EncounteringthePediatricPatient-AdvocateHealthCare.ppt

Encountering The Pediatric Patient Condell Medical Center EMS System September 2008 CE Site Code #10-7200E1208 Objectives Upon successful completion of this module, the EMS provider should be able to: Review and understand the components of the Pediatric Assessment Triangle (PAT) Identify the difference between respiratory distress and respiratory failure State the landmarks for the EZ IO needle Choose the appropriate medication dose to administer for a variety of conditions (Dextrose, Narcan, Albuterol, Valium, Epinephrine, Atropine, Adenosine, Versed, Benadryl) Calculate medication dosages given the patient’s weight Calculate the GCS given the pt’s responses Identify and appropriately state interventions for a variety of EKG rhythms specific to the pediatric population (VF, SVT, bradycardia) Demonstrate the ability to obtain information from the Broselow tape and SOP pediatric medication tables Participate in calculating and drawing up medications -Successfully complete the 10 question quiz with a score of 80% or better Pediatric Assessment Triangle - PAT Establishes a level of severity Assists in determining urgency for life support Identifies key physiological problems using observational listening skills General Assessment - PAT Performed when first approaching the child Does not take the place of obtaining vital signs Check appearance Evaluate work of breathing Assess circulation to the skin PAT - Appearance Reflects adequacy of: Oxygenation Ventilation Brain perfusion Homeostasis CNS function Assessing Appearance Evaluate as you cross the room and before you touch the child: Muscle tone Mental status / interactivity level Consolability Eye contact or gaze Speech or cry PAT - Breathing Reflects adequacy of : oxygenation Ventilation In children, work of breathing more accurate indicator of oxygenation ventilation than respiratory rate or breath sounds (standards used in adults) Assessing Breathing Evaluate: Body