Pediatrics
2 rescue CPR on a pediatric patient not showing signs of puberty, what is the rate of compressions?
15:2
in heat related emergencies showing signs of heat stroke, as a medic what should you do? (3)
IV
Cardiac monitor
fluids if dehydrated
Name the H's and T's
Hypovolemia
hypoxia
hydrogen ions
hypo/hyperkalemia
hypothermia
toxins
tamponade
Tension pnuemo
thrombos
trauma
How far from an injury do you place a tourniquet
2-3" proximal to hemmorhage
dose of zofran
4mg
What is a BRUE
Brief Resolved unexplained event
in pediatrics
What determines when it changes from heat exhaustion to heat stroke?
Temp usually over 104F
neurolgical symptoms
no longer or delayed sweating
the recommened oral dose of asprin for a patient with suspected ACS?
162 to 324mg
you place a tourniquet on a patient in the correct spot, what must you do after? (2 things)
record time it was placed
notify facility
What is the target ventilation rate post ROSC in an adult?
10bpm
what is the dose of versed IM/IN for chemical restraint in pediatrics
0.2mg/kg(max 10mg)
Name 6 of the 8 ways to characterize heat exhaustion
Volume depletion, sweating 5. Tachycardia 2. Fatigue 6. Hyperventilation 3. Lightheadedness 7. Hypotension 4. Headache 7. Body temperature may be normal
Preferred antiarrhythmic agent for Atrial and Ventricular arrythmias
Amio
what must you do and what is the dose for a pediatric patient in PSVT?
contact medical control
0.1mg/kg
0.2mg/kg
You DO not have to resuscitate someone in a trauma if 1 of what 4 things are met?
decapitation
burned beyond recognition
obvious signs of death (rigor)
(Isolated penetrating trauma should rarely be considered incompatible with life)
What is the dose for a pediatric patient weighing <15kg having an anaphylactic reaction?
.15mg (1:1,000)
When cooling a patient with heat exhaustion or stroke, when do you stop cooling?
once temperature has reached 101
when mental status improves
after 20 minutes
what are the 2 types of irregular tachycardias
a fib
a flutter
Your patient is 30 weeks pregnant and just fell down the stairs and is now in arrest, what hospital do you transport to?
Nearest ED
Cyanokit dose for pediatrics
70mg/kg
Age<60 days
Born before 32 weeks
CPR was performed by a trained medical professional
Lasted longer than 1 minute
has had multiple BRUE
concerns in medical history such as SIDS- must contact medical control if high risk
What 4 things can impair thermoregulation?
1. Hypoglycemia
2. Drugs
3. infection
4. CNS disorders(parkinsons)
You have a 60 year old male with chest pain, SOB, no history of heart problems. 12 lead shows polymorphic V-tach with a pulse. initial treatment was magnesium sulfate. Amiodarone is on shortage and none is on the bus. What is the next treatment option and dose?
Lidocaine - .5-1mg/kg
Only give lidocaine if amiodarone shortage or unavailable.
You have a 6 year old restrained in a car seat; however, the car seat was not installed properly and the patient hit his head on the windshield, Patient presents with obvious irregular pupils, what is your treatment and dose?
3% hypertonic Saline
4ml/kg IV ONCE, MAX 500ml
Explain the RASS scale for combative patients
Determine and document the patient’s level of agitation using the RASS scale. 0 – Alert and Calm +1 – Restless: Anxious. Apprehensive but movements are not aggressive or vigorous
+2 – Agitated: uncooperative; resists care; frequent non-purposeful movement
+3 – Very agitated: cannot focus, pulls/removes IVs/canula; fights environment
+4 – Combative: violent, immediate danger to staf