General
For a pediatric airway what is the correct position and how is it acheived?
Sniffing position and with padding
This accounts for approximately 1.5% of reported pregnancies.
Ectopic
This develops in approximately 6% of women in the second half of their pregnancy.
Gestational diabetes
The stages of pediatrics are?
Infancy, Toddler, Preschool, School age, Adolescence.
Normal Heart Rates for pediatric patients?
newborn to 3 months 85 to 205
3 months to 2 years 100 to 190
2 to 10 years 60 to 140
>10 years 60-100
Position you should place mother in for transport in breech presentation.
Knees to Chest
What defines eclampsia?
Hypertension during pregnancy with a seizure
At what HR do you start compressions on a neonate?
60
What are then fontanelles and when do they close?
The anterior suture closes at 18 months and the posterior suture closes at 6 months
Pediatric patients that are seen by EMS typically have what medical history? what does this mean?
None meaning this could be the first presentation of chronic issues.
You arrive to a 4F respiratory distress. The parent s/t the child was playing with her toys when suddenly she began to cough and make a high-pitched whistling noise when she breaths. What should you suspect?
Foreign body airway obstruction.
What is the white cheesy substance on a newborn called?
Vernix Caseosa
You assess a newborn and note acrocyanosis, a pulse rate greater than 100, a weak cry, flaccid muscle tone, and slow, irregular respirations. What is the APGAR score?
5
You have a 4M who refuses to allow you to obtain a blood pressure. What should your next step be?
Use capillary refill to determine end-organ perfusion. Should be under 2 seconds.
Cardiac arrest in children is most likely caused by what? What is the specific name of this?
Respiratory failure
Cardiopulmonary arrest
You are dispatched to an unkempt house for precipitous birth. On arrival you notice paraphernalia around mother. Baby is delivered and you are directed to care for the newborn. Care should include consideration for what?
Ventilatory support and resuscitation.
You have a 16F with heavy vaginal bleeding. She states that she is 19 weeks pregnant. Mother states daughter is up to date on all pre-natal care. What is your suspicion?
Spontaneous abortion
You are caring for a newborn post birth. Baby is breathing well and pulse is 88 BPM. You should next?
Stimulate, and BVM the child at room air.
You have a 20month old female patient. Parents state there has been something going around the family. The patient is experiencing a 102.6-degree fever that has developed over the last 2 days, with a stridorous cough. You should suspect?
Croup
While using the PAT for your initial assessment of a pediatric patient, you note low interactiveness and a weak cry. Other signs are adequate. What does this suggest is wrong with the patient?
A CNS/metabolic problem.
Appearance, Work of Breathing, Circulation to the Skin
You arrive to a 24F abdominal pain. The patient is complaining of 6/10 abdominal pain, low grade fever, and vaginal discharge. What is the most likely cause?
Pelvic Inflammatory Disease
You respond to a 26F victim of a MVA. She reports severe lower abdominal pain, she is hypotensive with a weak rapid pulse. during assessment pt s/t she is 26 weeks pregnant. What is the likely cause of mother's pain?
Abruptio Placentae
You arrive to a 28F CC ALOC. On arrival husband informs you that the pt is pregnant at 36 weeks, was feeling dizzy when she laid down supine and is now hypotensive and semi-responsive. Your first action should be?
Roll mother onto here left side.
You arrive to a 3M that was struck by a car. Your physical exam has no significant findings, the patient was slightly elevated HR and slightly increased respiratory effort. What should you suspect?
Compensated shock
You arrive to a 3M CC unresponsive. The pt is unresponsive with heavy deep breathing. The patient is hot to the touch and parents state that the pt has been sick for the last few days. Parents have been giving Tylenol and acetaminophen in rotation for the last few days but may have missed a dose. What is the most likely reason for the patients unresponsive state?
Febrile seizure.