Tag Archives | pediatrics

Advanced Study | Pediatrics Part Eight

SIDS: Sudden Infant Death Syndrome: unexplained after post-mortem exam. Third leading cause of death in children age 1 month to 1 year. 3,400 annually. Peak age 2-4 months. 95% occur by 6 months. More males, during sleep, more in winter esp. January. Native Americans/Blacks, premature, multiples, soft bedding, overheating, young cigarette-smoking moms. Try to determine […]

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Advanced Study | Pediatrics Part Seven

Trauma: 20-40% of pediatric deaths due to trauma are preventable. Most common: Falls, then MVA, accidental injury, sports related injury, assaults/abuse. Assessment: ABCs Treatment: IV saline or LR for hypovolemia Head trauma: most common cause of death because their big, heavy heads hit first. Manage airway, O2, intubate as necessary Spinal Trauma: more flexible, lack […]

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Advanced Study | Pediatrics Part Six

Seizures/Epilepsy: 8% of pediatric transports, many are febrile (fever) seizures. Make note of duration, aura, level of responsiveness, parts of body involved, postictal period, incontinence Simple Partial: no loss of consciousness, motor signs or sensory symptoms Complex Partial: psychomotor or temporal lobe seizures; purposeless activity Absence: formerly called Petit Mal, loss of consciousness, short periods […]

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Advanced Study | Pediatrics Part Four

Pediatric Respiratory Compromise: Upper Airway Obstruction: Foreign body: toddlers/preschoolers most common. Abdominal thrusts for children back blows and chest thrusts for infants Tonsillitis Croup (laryngotracheobronchitis): children 3 months to 3 years. Viral infection, slow onset, upper resp infection and low fever, Hoarse with stridor (subglottic edema) and a barking cough. O2, transport in position of […]

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Advanced Study | Pediatrics Part Three

Pediatric Resuscitation: cardiac arrest usually results from respiratory arrest/hypoxemia Asystole: flatline on the cardiac monitor: To treat asystole: CPR Ventilate with BVM 15 L/min O2 Intubate IV with LR or normal saline Epinephrine V-Fib: chaotic looking rhythm with varied waveforms, no P waves, QRS complexes or T waves. Rarely occurs in children except congenital heart […]

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Advanced Study | Pediatrics Part Two

Assessment: scene size-up: is the scene safe? In what position was the child found? Do the history and the injuries match? Pediatric Assessment Triangle (first 30-60 secounds): Appearance work of breathing circulation Initial Triage decision: if immediate treatment is necessary, then rapid transport LOC – AVPU ABCs 90% of cardiopulmonary problems start as respiratory problems Respiratory […]

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Advanced Study | Pediatrics

Neonate –        Birth to 1 month Young Infant – 1 to 5 months Infant –           6-12 months, may have fear of separation, minimize separation, decrease parental anxiety Toddler –         1-3 years, may fear separation, loss of control, keep it simple, play with equipment, do not ask permission – they will refuse Preschooler –   3-5 years, fear […]

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