STARTriage
What Color?
What Color?
STARTriage Pediatric
What color?
What color?
Pediatrics
GCS...
ugh, math!
ugh, math!
APGAR
100
Patient is walking around.
What is green?
100
Patient is able to walk.
What is green?
100
Components of Pediatric Assessment Triangle.
What are:
Work of breathing
Appearance
Circulation
("the kids are WAC, yo!")
100
What is 3?
100
When is APGAR scored?
What is at 1 and 5 minutes?
Meaning, if the baby is born at 9:06, the baby will have an APGAR assessment at 9:07 and 9:11.
200
Patient is apneic even after airway positioning.
What is black?
200
Patient is unable to walk, and resp rate is ten.
What is red?
(For pediatric START, the respiration red zones are <15 or >45.)
200
The bag you'll pull out in a pediatric emergency.
What is a Broselow™ bag?
200
Patient's eyes open spontaneously, she obeys commands, and she is oriented.
What is 15?
Eyes 4, Best motor 5, best verbal 6.
200
The components of the APGAR scale.
What are:
Appearance
Pulse
Grimace
Activity
Respiration
300
Patient is unable to walk, respiration rate is 26 with radial pulses and obeys commands.
What is yellow?
300
Patient's respiration rate is 30 with no palpable pulse.
What is red?
300
The leading cause of death in children.
What are car accidents?
300
Patient's eyes open when you speak to him, he withdraws from pain, and he tells you his mother is going to be very angry with him for crashing her brand new Ford Pinto.
What is 12?
Eyes open to verbal: 4
Withdrawal from pain: 4
Disoriented: 4
300
Baby is a lovely pink, HR of 140, baby coughs and then cries when pinched, and waves arms and legs around.
What is a perfect 10?
400
Patient is unable to walk, resp rate is 26 with good cap refill but doesn't follow commands.
What is red?
400
Patient's respiration rate is 30, with palpable radial pulses and unresponsive or has posturing.
What is red?
400
The rule of thumb for systolic blood pressure in children 1-10 years old?
What is 70 + (twice the age of the child in years)?
E.g., a 7 year old will be considered hypotensive if their systolic BP is under 84.
400
Patient's eyes open to pain, he points to where it hurts, he is confused about what happened and why he is on the side of the road, why can't you nosy jerks just let him sleep?!
What is 11?
Eyes open to pain: 2
Localizes pain: 5
Disoriented: 4
400
Baby is pale and blue, apneic, pulseless, and limp.
What is a 0?
500
Patient is apneic but breathes spontaneously following repositioning of airway.
What is red?
500
Patient has a broken leg, a respiration rate of 30, with palpable pulse, and withdraws from painful stimuli.
What is yellow?
500
A nine month old infant was lowered into scalding bathwater up to his navel, calculate the approximate burn percentage.
What is ~47%?
The difference in the rule of 9s for infants is that the head is worth 18%, and each leg is worth 14%.
So, each leg is 14%: 14%x2=28%
The genitalia is 1%.
Halfway up the torso will yield 18% (front is 18%, back is 18%, but both sides are burned halfway up the torso, so we'll take half of each).
For children over 1 year of age, for each year above one year old, add 0.5% to each leg and subtract 1% from the head. (e.g., a 4 year old would have a head value of 15% and leg values of 15.5% each.)
500
The patient's eyes open when you speak to him, but he can't follow your commands and tries to bat your hands away while slurring incomprehensibly.
What is 10?
Eyes open to verbal: 3
PURPOSEFUL MOVEMENT (an alternative to "localizes pain"): 5
Incomprehensible speech: 2
500
Baby's hands and feet are blue, HR is 95, baby grimaces, has some flexion, and breathes irregularly.
What is a 5?