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Dog Bite of the Neck: A Pediatric Complex Case
Release and Expiration Dates
Released: 9/25/2020
Expires: 9/24/2025
Last Reviewed Date
2/5/2022, 1/3/2024
Pediatric Complex Case: Dog Bite of the Neck

Pediatric Complex Case: Dog Bite of the Neck is a TCAA course from a previous live webinar which provides an in-depth look at the successful treatment of a dog bite in a pediatric patient.
Estimated completion time:
60 minutes

Target Audience: The Trauma healthcare team and other clinical departments
Learning Objectives
At the conclusion of this course, the learner should be better able to:

1. Describe management of a complex penetrating injury to the neck
2. Understand the roles of each of the specialists and subspecialists in the management of a complex penetrating injury to the neck
3. Generate a discussion regarding different options for complex penetrating injury to the neck in children
4. Present the outcome of this complex penetrating injury to the neck

Faculty Presenters: Ericka King, Randall Holland, Wesley Hart, and Jonathan Ratcliff
Moderator: Tony Escobar
Faculty Bios:

Mauricio A. “Tony” Escobar, Jr. MD, FACS, FAAP, is a Pediatric Surgeon and Medical Director of Pediatric Surgery and Pediatric Trauma at Mary Bridge Children’s Hospital in Tacoma, WA where he recently completed two terms as Chief of Staff.  He has numerous academic and professional honors, including publishing over 40 peer-reviewed articles, 14 clinical textbook chapters, and presentations at multiple national and international surgical meetings, and serves on numerous professional committees in the field – and as chair of our TCAA Pediatric Committee. He is board certified in General Surgery with added special qualifications in Pediatric Surgery. Chair of the Pediatric Committee of the Trauma Center Association of America. His academic interests lie in screening for child abuse and bioethics. He led a PTS team in publishing an extensive review of NAT screening in the Journal of Trauma, co-authored the American Pediatric Surgical Association Position Statement on the Role of the Pediatric Surgeon in screening for child abuse, and recently co-lead the taskforce to develop the Child Abuse section of the Best Practice Guideline for Trauma Center Recognition of Family Violence: Child Abuse, Elderly Abuse, and Intimate Partner Violence by the American College of Surgeon Trauma Quality Improvement Program (TQIP ®) and the Pediatric Trauma Society.

Dr. Wesley Hart is an anesthesiologist at Mary Bridge’s Children’s/TGH since finishing his training in July 1991. He has been involved in med staff, anesthesia group (TAA) and OR leadership most of this time and his practice mainly involves pediatric anesthesia and cardiac anesthesia. 

Dr. Jonathan Ratcliff is a vascular surgeon practicing in the Puget Sound region of Washington state working with the Pulse Heart Institute of Multicare Health System. He is board certified in General and Vascular surgery. His training included medical school at the University of Arkansas for Medical Sciences, General Surgery residency at the University of South Florida, and a Vascular Surgery fellowship at Vanderbilt University Medical Center.

Dr. Randall Holland is a board-certified pediatric surgeon who treats children with a wide array of conditions, from appendicitis and thyroid, to cancer and kidney issues. His clinical interests are neonatal surgery, endocrine surgery, biliary disease in newborns and children, and chest wall abnormalities. Away from work he enjoys karate, gardening, cooking, hiking and camping with his family.

Dr. Ericka King attended medical school at the University of Washington, graduating with Honors in 2005. She went on to residency at the Medical College of Wisconsin in Milwaukee and a clinical and research fellowship at the University of Michigan in Ann Arbor. In 2012, she joined the faculty at Oregon Health and Science University in Portland, rising to the rank of Associate Professor of Pediatric Otolaryngology. She joined the staff at Mary Bridge Children’s Hospital in 2019.  Her clinical practice compasses the breadth of pediatric otolaryngology, with particular interest in pediatric obstructive sleep apnea, sensorineural hearing loss, long term speech and hearing outcomes in hearing impaired children, and cochlear implantation.  


Pediatric Emergency Medicine Education
Pediatric Penetrating Neck Injury
By Sean M. Fox · APRIL 13, 2018

Supplemental Reading:

Analysis of Dog Bites in Children Who Are Younger Than 17 Years
Johannes Schalamon, Herwig Ainoedhofer, Georg Singer, Thomas Petnehazy, Johannes Mayr, Katalin Kiss and Michael E. Höllwarth
Pediatrics March 2006, 117 (3) e374-e379; DOI:

Craniomaxillofac Trauma Reconstr. 2013 Dec; 6(4): 225–232.
Published online 2013 Sep 3. doi: 10.1055/s-0033-1349211
PMCID: PMC3820741
PMID: 24436765
Analysis of Pediatric Facial Dog Bites
Henry H. Chen, MD, MBA,1 Anna T. Neumeier, MD,1 Brett W. Davies, MD, MS,2,3 and Vikram D. Durairaj, MD, FACS1,2,3

The Journal of Pediatrics
Volume 144, Issue 1, January 2004, Pages 121-122
The Journal of Pediatrics
Clinical and laboratory observations
Posttraumatic stress disorder after dog bites in children
Vincent Peters, MD; Martine Sottiaux, MD; Jocelyne Abblebloom, MD, Andre' Kahn, MD
Peer Reviewer
Kim Choppi
Barbara Jensen
Marty Collins
Alita Lanoux
Margaret Triplett
Availability: On-Demand
Cost: FREE
Credit Offered:
1 CE Credit
1 COP Credit
1 TCAA CME Credit
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