Procedure 18 - Cardiac: 12 Lead ECG & Code STEMI Activation

What clinical indication defines use of the Pediatric Assessment procedure?

Any pre-pubescent patient who can be measured with the Broselow-Luten Resuscitation Tape.

What does scene size-up include in pediatric assessment?

Universal precautions, scene safety, environmental hazards assessment, need for additional resources, bystander safety, and patient/caregiver interaction.

What framework is used to assess a pediatric patient?

The pediatric triangle of ABCs.

What is assessed under "Airway and appearance" in the pediatric triangle?

Speech/cry, muscle tone, interactiveness, look/gaze, movement of extremities.

What is assessed under "Work of breathing" in the pediatric triangle?

Absent or abnormal airway sounds, use of accessory muscles, nasal flaring, body positioning.

What is assessed under "Circulation to skin" in the pediatric triangle?

Pallor, mottling, cyanosis.

When should spinal immobilization be established in pediatric assessment?

If there is any suspicion of spinal injury.

How is a pediatric patient's level of responsiveness established?

Using an age-appropriate scale (AVPU, GCS, etc.).

How is a pediatric patient's approximate weight determined?

By color coding using the Broselow-Luten Resuscitation tape.

What is assessed under "disability" in pediatric assessment?

Pulse, motor function, sensory function, pupillary reaction.

What consideration should be kept in mind during the pediatric physical exam?

Pediatric patients experience hypothermia easily and should not be left uncovered any longer than necessary to perform the exam.

How is the need for a blood pressure measurement determined in young children?

On a case-by-case basis, considering the healthcare provider's rapport with the child and the child's clinical condition.

For which pediatric patients should blood pressure be measured if possible?

Any child over 3 years old.

Why is blood pressure measurement important in critically ill pediatric patients?

Because blood pressure may guide treatment decisions.

What history elements should be gathered in pediatric assessment, where appropriate?

Immunization history, allergies, medications, past medical history, last meal, and events leading up to the injury or illness.

How should the chief complaint be treated in pediatric assessment?

Per protocol.

What provider levels perform the Pediatric Assessment procedure per CFD protocol?

EMT-A, EMT-B, and EMT-P.