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Wanted to share a few tips for positioning for toddler facial laceration repair, inspired by @TessaRDavis great tweetorial on positioning for PIVs. I hope this inspires a thoughtful preparation for your next toddler lac repair!
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#PEMTwitter #FOAMed
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1. Toddler position: When possible, avoid tightly "swaddling" (it makes them distressed/hot) or the child sitting on a parent (2 moving targets). I prefer the toddler supine watching a tablet held above their head (change tablet position to get more/less neck extension).
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A neck roll can prevent unwanted neck extension for forehead/cheek lacerations. Conversely, a shoulder roll gets more extension for better chin exposure. This photo demonstrates neck over extension, which is bad for airway management, but good for fixing a chin lac!
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