Hypothermia — Pediatric Algorithms

What measurement is done if available for pediatric hypothermia?

Temperature Measurement Procedure.

What glucose test is done for pediatric hypothermia?

Blood Glucose Analysis Procedure.

When is the Pediatric Diabetic Protocol used in hypothermia?

If indicated.

When is the Pediatric Airway Protocol used in hypothermia?

If indicated.

When is the Pediatric Altered Mental Status Protocol used in hypothermia?

If indicated.

What is checked first in an unresponsive hypothermic child?

Pulse.

What protocol is used for a pulseless hypothermic child?

Pediatric Pulseless Arrest Protocol.

What is done first for localized cold injury in a child?

Remove wet clothing, dry and warm the patient, and use passive warming measures.

What wound care is given for pediatric frostbite?

General wound care.

What must not be allowed with pediatric frostbite?

Refreezing.

What is done after treating localized pediatric frostbite?

Monitor and reassess.

What should not be done to warm a child with systemic hypothermia?

Rub the skin.

Where are hot packs considered for systemic pediatric hypothermia?

Axilla and groin.

What monitoring is applied in systemic pediatric hypothermia?

Cardiac monitor.

What ECG is obtained in systemic pediatric hypothermia?

12 Lead ECG Procedure.

What vascular access is done in systemic pediatric hypothermia?

IV/IO procedure.

What is the dose of normal saline bolus for pediatric hypothermia?

20 mL/kg.

How is the normal saline bolus administered for pediatric hypothermia?

IV/IO.

When is the normal saline bolus repeated in pediatric hypothermia?

To remain above age-based hypotension.

What is the max dose of normal saline for pediatric hypothermia?

60 mL/kg.

What is assessed after each fluid bolus in pediatric hypothermia?

Lung sounds and vital signs.

What protocols may follow fluids in pediatric hypothermia?

Pediatric Hypotension/Shock or Pediatric General Trauma Protocol, if indicated.

What is done after treating systemic pediatric hypothermia?

Monitor and reassess.

What is the final step in pediatric hypothermia/frostbite?

Transport.