Pediatric Pain Management
This is the two main pain management medications for pediatric patients
What is Acetaminophen and Ibuprofen
These are three medications that can be used at the AEMT level for adult pain management
Acetaminophen, Ibuprofen, Nitrous Oxide
You are considering pain management for little Timmy who has fallen off his bike and scraped his knee, these are your considerations:
What is acetaminophen and ibuprofen
These are a few ways that you can alleviate pain without administering medication
What is repositioning the patient, dimming lights, heat/ice packs, blanket application, splinting, etc
This is the measurement of the medications when talking about pediatrics
What is mg/kg
This is the adult dose, route, and frequency of Acetaminophen
What is 325-1000mg, PO, NO repeat
Nanny Noodle gets migraines and has been having a migraine for quite some time, she denies any head trauma and tells you that her migraine medicine has not alleviated the pain, these medications could be considered
What is acetaminophen, ibuprofen, or nitrous oxide
You have a 40lb child, this is their weight conversion to kilograms (yes use your calculator)
18.2kg
This is a contraindication specific to Ibuprofen at any age range
What is an active GI bleed/bleeding disorders
This is the pediatric dose, route, and frequency of Acetaminophen
What is 15mg/kg, PO, NO repeat
This is the adult dose, route, and frequency of Ibuprofen
What is 400mg, PO, NO repeat
26 yr/o female fell while playing soccer, she has obvious deformity to her left tib/fib, all vitals are stable not other meds on board, this medication can be administered
What is Nitrous Oxide, if ineffective paramedic intercept
You have a pediatric trauma patient who weighs 28lbs that needs a NS fluid bolus, you discussed with med control a 20ml/kg flow rate, this is the TOTAL amount of fluid you will need to administer.
What is 255ml of NS
Both of these medications are available for liquid suspension for pediatric administration
What is Acetaminophen and Ibuprofen
This is the pediatric dose, route, and frequency of Ibuprofen
What is 10mg/kg, PO, NO repeat
What is abdominal pain, blunt chest trauma, head injuries, or diving emergencies
Your patient is a 39 yr old male who was hit head on, patient was seat belted however you observe spidering to the windshield with a complaint of a headache. What medication is contraindicated?
What is Nitrous Oxide
Your pediatric patient is 20kg and he needs a dose of acetaminophen, this is the total dose of the medication that will be administered
What is 300mg
These are two options of what you use to administer/measure the liquid suspensions depending on the patient's age and ability to follow instruction
What is a medication cup and syringe
Both of these are available with the suspensions on both ambulances
What is the Wong-Bakers FACES scale
Any pain medications should be administered cautiously in this adult patient population
What is geriatrics
You have an unconscious patient who was struck in the chest with a baseball, he is unresponsive to all stimuli but has visible injuries you feel could produce pain, you could consider this.
What is a paramedic intercept. Is the patient unconscious because he is in so much pain? Think about these things when considering pain management.
Your 8 year old pediatric patient has a broken leg from hockey practice, what medication can be considered and what is the dose?
What is....a trick question. What is Nitrous Oxide, must be able to self administer
These are the 4 medications that Paramedics can administer for pain management that are outside the scope of EMT/AEMT
What is Toradol, Fentanyl, Dilauded, Ketamine