Chapter 35 (EMT B) Pediatric Emergencies

Five Stages of Child hood

• Infancy: First year of life (RR: 30-60, HR:100-160)

• Toddler: Ages 1 to 3 years (RR: 20-40, HR:100-160)

• Preschool-age child: Ages 3 to 6 years (RR: 20-34, HR: 80-120 )

• School-age child: Ages 6 to 12 years (RR:12-20, HR: 80-120)

• Adolescent: Ages 13 to 18 years (RR: 12-20, HR: 70-100)

*HR less than 60 start compressions and less than 80 you bag

*BGL in infants and children ranges from 70-120

Infants heart can beat how many times?

160 times per minute

Signs of shock in children

• Tachycardia

• Poor capillary refill

• Mental Status changes

Nares

External openings of the nostrils

Pediatric Assessment Triangle (PAT)

Used to rapidly from a general impression of the infant or child without touching them

• Assesses Appearance, work of breathing(How hard your body has to work to move air in and out of the lungs), and circulation to the skin

Croup

Upper respiratory system that may cause a partial airway obstruction

→ Characterized by a barking cough; usually seen in children, raspy cough, harsh voice, dyspneic

Meningitis

Inflammation of the meningeal coverings of the brain and spinal cord

Pertussis

Airborne bacterial infection that affects mostly children younger than 6 years

• Exhibits a “whoop” sound on inspiration after a coughing attack

For Secondary Assessment for pediatrics what mnemonic do we use?

TICLS

• Tone

• Interactiveness

• Consolability

• Look or gaze

• Speech or Cry

APGAR

• Appearance

• Pulse

• Grimace

• Activity

• Respiration