PEDIATRIC EMERGENCIES
A-LINES
MH
LAST
A-LINE REMOVAL
100

This tape is used to estimate a pediatric patient’s weight and equipment size.

What is the Broselow tape?

100

The first step before performing arterial blood sampling.


What is verifying the practitioner’s order?

100

First and most sensitive sign of MH during anesthesia




What is rising ETCO₂?

100

This early CNS symptom often gives patients a strange taste in their mouth.
 
 

What is a metallic taste?

100

Before removal, these labs must be reviewed.


What are coagulation studies?

200

This cart contains color-coded drawers for pediatric emergencies.

What is the Broselow cart?

200

How long should you wait after a change in oxygen, neb, or suctioning before drawing an ABG?


What is 20–30 minutes?

200

Cardiac sign often seen early

What is tachycardia?

200

LAST primarily affects these two body systems.

What are the central nervous system and cardiovascular system?

200

Pressure is applied this long after catheter removal (minimum).

What is at least 5 minutes?

300

Using the Broselow tape, this determines which drawer you select.

What is the patient’s color zone?

300

This must be done for at least 5 seconds on the sampling port before access.


What is vigorous mechanical scrubbing with antiseptic?

300

Two anesthetic agents most commonly associated with MH


What are volatile anesthetics and succinylcholine?

300

This medication is the primary antidote used to treat LAST.
 

 What is 20% lipid emulsion (Intralipid)?

300

Pressure should be applied this distance above the insertion site.
 

What is 1–2 finger widths above?

400

Name the three main sections found in a Broselow drawer.


What are airway, IV, and IO modules?

400

This is done to clear flush solution before collecting the blood sample.

What is discarding waste blood per manufacturer guidelines?

400

The FIRST thing you do when MH is suspected



What is stop triggering agents?

400

This is the very first action to take when LAST is suspected.
 

What is stop the injection?

400

If the catheter is not intact after removal, this action is required.
 

What is notifying the practitioner immediately and monitoring the patient?

500

This medication is used during pediatric cardiac arrest and is dosed by patient size.


What is epinephrine?

500

After sample collection, this confirms arterial line function.

What is observing waveform and performing a square wave test?

500

Initial dosing of dantrolene


What is 2.5 mg/kg IV?

500

These medications should be avoided during LAST resuscitation.

What are vasopressin, calcium channel blockers, propofol, and beta blockers?

500

This must be documented after arterial catheter removal.


What is the procedure, site assessment, and patient response?