PEDS
Leading cause of death for children under 14
Trauma
Allergic Reaction
Anaphylaxis
Prehospital protocols should require Assessment of pain severity 2. Reassessment of pain level after every __________ and documentation of every intervention.
Bonus Question: Pain scales come in these two types
Intervention
Numeric Rating Scale (1-10).
Graphic Scale (Faces).
Think of this mnemonic
F.A.S.T
The face of a penny can hold about how many drops of water
30
When should your primary assessment on a pediatric patient begin?
At the doorway
Allergic reactions are a a hyperactive, localized immune response to an
Allergen
The same pain scale should be used for assessment as well as
reassessment
Optimal out-of-hospital care for the stroke patient combines these two things
Recognition and Rapid Transport
All planets with the exception of Venus rotate
Counter Clockwise
Children have disproportionately larger ____ and ____
Heads and tongues
redness, swelling, hives, itching
1. Physiologic 2. Psychological 3. Emotional 4. Behavioral
These three things are out-of-hospital stroke assessment tools
Cincinnati Prehospital Stroke Scale 2. Los Angeles Prehospital Stroke Screen-LAPSS 3. Miami Emergency Neurologic Deficit Checklist, 2001.
Kleenex tissues were originally used as filters in ___ masks
Gas
1. Appearance
2. Work of breathing
3. Circulation to skin
These two things are indicative of Anaphylaxis as opposed to Simple Allergic Reaction
Multiple body systems are affected, not just a localized reaction like allergies
b. Life threatening reaction of the immune system to an allergen
c. Large quantities of histamine are released throughout the body
d. Vasodilation and increased capillary permeability e. May lead to shock
f. Bronchoconstriction and mucous production
g. May lead to respiratory distress
Assessment of pain should include presence of pain, intensity of pain and change in pain severity with ____ and _____ (HINT: Starts with T).
Time and Treatment
Signs and Symptoms assessed by these tools
Symmetry of the face, Weakness of extremities, Speech difficulties, Coordination
Name the continents
North America, South America, Antarctica, Europe, Asia, Africa, and Australia.
Child abuse is categorized under what type of trauma
Treatment for Anaphylaxis includes
1 Ensure adequate airway, ventilation, and oxygenation
2 SpO2 <94% administer oxygen
3. Assist patient with epinephrine auto-injector if available
4. SQ epinephrine
5. Transport to an appropriate facility for evaluation
Traditional interventions for pain include
i. Immobilization of fractures
ii. Elevation
iii. Ice
iv. Padding of spinal immobilization
These are two reasons to consider 2 L/min O2 via nasal cannula instead of O2 via high flow mask.
1. High flow oxygen decreases cerebral blood flow
2. High levels of oxygen produce free-radicals
Name two of the gasses that make up atmospheric air
Nitrogen
Oxygen
Carbon Dioxide