Pediatrics
Any abnormality found while using THIS ASSESSMENT with a pediatric patient warrants an ALS upgrade
What is the Pediatric Assessment Triangle?
(Also any sustained abnormal vital signs [pg 71])
Supine, inline and c-collared is considered WHAT?
Full SMR
pg 94
Define:
1. Newborn
2. Infant
3. Child
1. Newborn: Neonate to 1 month
2. Infant: 1 month to 1 year
3. Child: 1 year to signs of puberty
You can cancel medics after administration of THIS MEDICATION if you have a stable and conscious patient
Narcan / Naloxone (pg 130)
This blood glucose level now means that you are hypoglycemic
What is 70 mg/dL?
pg. 7
If an infant or child has a pulse but decreased LOC and signs of poor perfusion do THIS
If their HR is <60 do THIS
Oxygenate
CPR
pg. 60
After applying a chest seal to a patient with a sucking chest wound, you see that their respiratory status worsens. Consider doing THIS before wiping away any obvious clots and then resealing
Burping the chest seal
pg 92
If unable to reduce a nuchal cord before delivery, your next step should be THIS
Deliver the baby, then clamp and cut the cord after the baby has been fully delivered
pg 31
Because elevating the legs has been shown to have negative effects, THIS is the new shock position
Supine
pg. 100
You no longer have to do THIS while doing EPI check and inject
Check for flash (pg 127)
ALS should be called for a pediatric patient with stridor or at all requiring THIS intervention
What is oxygen?
pg 71
ALS should be called if a patient receives one of THESE which results in puncture wounds to the head, neck or a mangled extremity.
What is an animal bite?
pg. 17
ALS should now be called for a pregnant patient with THIS physical assessment finding as it may indicate a significant issue with the patient's liver
What is RUQ pain?
pg 29
A positive finding of THIS type of vital sign is no longer by itself an ALS indicator. However, other findings may warrant ALS eval
Postural Vital Signs
(pg 102)
With a conscious choking adult, what should you do in addition to abdominal thrusts?
Back slaps
It may be beneficial to take a pediatric patient with a loud barking cough WHERE?
Outside (kids with croup can benefit from cold, moist air)
ALS should be called for a 65 y.o. trauma patient with a SBP under THIS
What is 110?
pg. 10
If a newborn requires CPR, THIS is the proper compression to ventilation ratio
3 : 1
pg 65
If someone is experiencing SLUDGEMS, request ALS / HazMat to administer THIS medication
DuoDote pg 131
This is the normal doppler BP for a patient with an LVAD
60 - 70
ALS should be called if a pediatric patient is found to have a blood glucose level outside of THIS range + associated sympotoms
<70 or >200
According to pg 123 of the Blue Book, this # patient MCI will get you 12 total units + 1 BLS strike team, 2 MCI units, 1 rehab unit, 4 medic units and 15 AMBs
30 Patient MCI (21 - 30)
BRUE:
1. What is the maximum amount of time to be considered brief?
2. How old is too old to have a BRUE?
3. Up to what age needs an ALS evaluation?
1. 1 minute
2. 1 year
3. 2 months
pg 73
If a patient has a chief complaint of substance abuse and or mental health issues, they can be transported HERE instead of an ER, if they meet the criteria on pg. 106
Crisis Care Center
If transporting someone BLS with a medically complex device, THIS must also go with them
A caregiver familiar with the device