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Which of the following injuries is associated with the highest risk of morbidity and mortality in a pediatric trauma patient?
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A 4-year-old child involved in a motor vehicle collision sustains multiple injuries including splenic rupture, bilateral open femur fractures, lumbar burst fracture with compression of the neural elements, and a closed head injury requiring a ventriculostomy. Of these injuries, which is likely to cause the greatest long-term morbidity?
Traumatic brain injury
Peripheral nerve injury
Vertebral column injury
A 5-year-old female presents after being struck by a vehicle in her driveway. She has multiple injuries, including a right femur fracture, and open book pelvis injury, and bilateral clavicle fractures. Peripheral IV access is not able to be obtained in the trauma bay after multiple attempts, and the patients blood pressure is 110/70. Which of the following is the most appropriate method to obtain vascular access in this patient?
Placement of an intraosseous infusion device
Peripherally inserted central catheter (PICC) placement in the upper extremity
Femoral venous cutdown
Subclavian central line placement
Continued attempts at obtaining peripheral IV access
How many milliliters(mL) of intravascular blood volume are present per kilogram of body weight in a healthy 5-year-old child?