Pediatric Emergencies

0-2 months

Respond to physical stimuli, sucking reflex, cold

2-6 months

Eye contact, active extremities, increased awareness

6-12 months

Babble, sit/walk, put things in mouth

12-18 months

Not afraid, imitate, 4-6 words

18-24 months

Names common things, balance, running/climbing, comfort object

Preschool age

3-6 years

Use simple language effectively, rich imagination, appropriateness, tantrums

School age

6-12 years

Act like adults, social pressure, emotional vs physical

Adolescents

12-18 years

Think abstractly, incorporate values, romance

Pediatric anatomy

Smaller airway, higher heart, larger head/tongue, higher RR/HR, softer bones, fontanelles, larger body surface to mass ratio

Pediatric assessment triangle

Structured assessment tool used to rapidly form a general impression of an infant without touching them

Appearance, work of breathing, circulation to skin

TICLS

Determines if pediatric is sick

Tone

Interactiveness

Consolability

Look/gaze

Speech/cry

JumpSTART triage

Sorting system for pediatric patients younger than 8 years or weighing less than 100 lbs

Walk, breathing, respiratory rate, palpable pulse, AVPU

Green, yellow, red, black

CHILD ABUSE

Consistency of injury with development

History inconsistent

Inappropriate parental concerns

Lack of supervision

Delay in seeking care
Affect

Bruises of varying ages

Unusual injury patterns

Suspicious circumstances

Environmental cues

Shaken baby syndrome

Infants subjected to violent shaking injuries that can cause coma, seizures, and ICP

Sudden infant death syndrome

Death of an infant or young child that remains unexplained after a complete autopsy