Shock
Shock caused by insufficient blood within the vascular system
Hemorrhagic Shock
High CO2, Low pH
Examples:
- COPD
- Repiratory Depression
- CNS Depressants
Respiratory Acidosis
Name the colours of each tag:
1) Walking wounded
2) Delayed
3) Expectant
4) Immediate
1) Green
2) Yellow
3) Black
4) Red
3 sides to the pediatric triangle
2 categories of seizures
1) Generalized: (main type) both hemispheres @ same time; affect large portion of brain; motor and non-motor
2) Partial (Focal): arise from specific areas in 1 hemisphere; affects limited portion of brain; Complex + simple
Shock caused by insufficient volume within the vascular system
Hypovolemic Shock
Low CO2, High pH
Examples:
- Hyperventilation
- Panic
- Anxiety
- Pain
Respiratory Alkalosis
The person in charge of overall incident -- will assess, establish strategic objectives and priorities and develop a plan to manage
Incident Commander
Formula for minimum BP on a pediatric
BP = 70 + (2 x age in years)
When the body doesn't make enough insulin because the immune system's T-cells attack and destroy Beta cells in the pancreas.
Diabetes Mellitus: Type 1
4 distinct kinds of shock
1) Hypovolemic shock ( absolute hypovolemia)
2) Distributive Shock (relative hypovolemia)
3) Obstructive Shock
4) Cardiogenic Shock
pH: 7.40 (7.35-7.45)
PaCO2: 50 mmHg (35-45)
HCO3: 28 (22-26)
Metabolic Alkalosis
Logistics Section
BP = 90/65
RR = 25
HR = 115 BPM
This is normal vitals for which age group?
A) Infant
B) Toddler
c) PreSchool
d) School age
C) Preschool
When placing the 3- and 12- ECG Leads on, what leads view the Lateral wall.
V5, V6, Leads I and aVL
Approximately 15-25% of blood volume lost in setting of hypovolemia.
May stimulate slight-moderate tachycardia, pallor, narrowed pulse pressure, thirst, weakness and possibly delayed capillary refill
Early Shock (compensated shock)
An accumulation of abnormal acids in the blood for any several reasons (i.e. sepsis, DKA, salicylate poisoning)
Metabolic Acidosis
What tags would each patient receive at a MCI:
Patient 1: burns without airway problems
Patient 2: minor fractures
Patient 3: Uncontrolled leg hemorrhage
Patient 1: Yellow
Patient 2: Green
Patient 3: Red
What is your epinephrine dose for a 6 year old boy weighting 26kg who is having an anaphylaxis reaction.
a) 0.5mg (1ml/mg)
b) 0.3 mg/kg (1ml/mg)
c) 0.01 mg/kg (1ml/mg)
d) 0.02 mg/kg (1ml/mg)
C) 0.01mg/kg (1 ml/mg)
What type of chest pain is typically triggered by physical exertion or emotional stress, usually subsides after a few minutes of rest or with the use of Nitro
Stable Angina (Angina Pectoris)
- Hypotension
- altered mental status
- cardiac arrest
Signs of Decompensated Shock (Late Shock)
The body's most important extracellular Buffer System
Bicarbonate (HCO3-)
In a blast emergency, there are 4 levels of blasts. Which level is when a victim is thrown by the force of the blast?
Tretiary Blast
When looking at the characteristics of appearance of a pediatric patient, what does the TICLS mnemonic stand for?
Tone
Interactiveness
Consolability
Look (or gaze)
Speech (or cry)
Toxidrome:
Drugs that BLOCK acetylcholine, reducing the parasympathetic activity.
Symptoms are:
altered mental statud, delirium
hyperthermia
flushed skin
dry mucous membranes
mydriasis (dilated pupils)
urinary retention
Anticholinergic Toxidrome