Pediatric AssessmentTracey Lopez LPTiffanie Wagner EMT-P

Overview Pediatric Assessment Triangle

Pediatric Vital signs

Pediatric GCS

Review of Developmental stages

Review Drug dosages for the Pediatric patient

Using the PAT to form a general impression

Appearance Tone- Is the infant or child moving extremities? Or are they lethargic and Floppy?

Interactiveness- Is it age appropriate interaction?

Look and Gaze- Is the patient making eye contact with the caregiver?

Speech/cry- Is the infant or child crying or talking?

Pediatric Assessment Triangle Cont.Circulation

Skin Color/condition

Pallor- Pale appearance

Cyanosis-blue appearance

Mottling –discolored irregular pattern

Core color vs extremity color

Work of breathing

Abnormal sounds- Wheezing, crackles, ect

Positioning of child- Tripod

Retractions- accessory muscle use such as in chest and neck

Nasal flaring

Skin mottling

Pallor

Quick Review of vital sign Ranges

You May refer to the Pedi-Wheel also for Vital signs during a call.

GCS of a Pediatric Patient

Assess motor and Verbal based on what is appropriate for the age of the patient. Is the patient of talking age? Is speech / sentence structure appropriate for developmental stage the child is at?-Also consider developmental delays or disabilities

Developmental stages

NewbornNeonate0-4weeks

Infant 1 m to 12m

Toddler12m to 3 years

Preschool3years to 6years

School age 6 years to 12 years

Adolescents13 years to 18 years

https://www.youtube.com/watch?v=pZSjm0drIGM

This video discusses speech and communication

Guide to Developmental MilestonesThis video discusses physical development milestones

https://www.youtube.com/watch?v=WSBI1lsaI2U

CLEMC protocol Specific Drug dosages

Epinephrine 0.01 mg/kg of 1:10,000 (0.1 ml/kg)

Epinephrine 0.01 mg/kg 1:1,000 IM (anaphalaxis)

Adenosine 0.1 mg/kg

Atropine 0.02 mg/kg IVP

Sodium Bicarbonate 4.2% 1mEq

Normal Saline bolus of 20 ml/kg

Ondansetron 0.1 mg/kg

Dextrose 25% IVP 0.5 grams/kg (Less than 10 kg).

Dextrose 50% 0.5 grams/kg IVP (Greater than 10 kg).Refer to broselow tape or pediatric wheel as well!

Refer to Protocol, Pedi wheel or broslowe tape

Glucagon 0.025 mg/kg IM.

Diphenhydramine 1-2 mg/kg

Methylprednisolone, 1 mg/kg IV

Racemic Epinephrine 11.25 mg in 2.5 ml saline nebulized

Morphine Sulfate 0.1 mg/kg SIVP/IM/IO, not to exceed 10 mg per dose For patients weighing less than 25 kg, dilute with 1 ml of NS to 1 mg of Morphine Sulfate.

Fentanyl 1 mcg/kg, SIVP/IM/IO. For patients weighing less than 25 kg, dilute 2 ml of Fentanyl with 8 ml of NS, which gives a concentration of 10 mcg/ml

Critical Care ACLS GUIDE- APP!

Consider purchasing for yourself!