Skull fracture (peds): Difference between revisions
| Line 15: | Line 15: | ||
**Involves sinus | **Involves sinus | ||
**Leads to pneumocephalus | **Leads to pneumocephalus | ||
*[[Ceftriaxone]] 2gm IV + metronidazole 500mg +/- | *[[Ceftriaxone]] 2gm IV + metronidazole 500mg +/- [[vancomycin]] 1gm IV | ||
==See Also== | ==See Also== | ||
Revision as of 06:53, 3 March 2014
Background
Pediatric
- fxs are predictors of intracranial inj
- infants higher risk for fx since thinner bones
- most fxs have hematomas
Diagnosis
- All skull fx require Head CT
Management
- ABX indicated for:
- Open fx
- Depressed fx
- Involves sinus
- Leads to pneumocephalus
- Ceftriaxone 2gm IV + metronidazole 500mg +/- vancomycin 1gm IV