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PEDIATRIC ( PEDS) Emergencies involving pediatric patients account for 10 % to 20 % of all EMS responses. Here are the Pediatrics age classifications.

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Pediatric peds l.jpg
PEDIATRIC ( PEDS)




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Neonate: Birth to 1 month 20 % of all EMS responses.Young infant: 1 to 5 monthsInfant: 6 to 12 monthsToddler: 1 to 3 yearsPreschool: 3 to 5 yearsSchool age: 6 to 12 yearsAdolescent: 12 to 15 years



Neonate respiratory distress sepsis and meningitis jaundice vomiting fever l.jpg
Neonate: per age group.* Respiratory distress* Sepsis and meningitis* Jaundice*Vomiting* Fever


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1 to 5 month (young infant) per age group.* Respiratory distress* Fever*Sudden infant death syndrome ( SIDS )* Vomiting and diarrhea with dehydration


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* per age group. Meningitis and * Child abuse


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6 to 12 month ( infant) per age group.* Fever febrile seizures* Vomiting and diarrhea with dehydration*Bronchiolitis* Croup* Meningitis


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* per age group.Respiratory distress ( bronchiolitis, foreign body aspiration, croup)* Child abuse*Ingestion's* Falls*Injuries from MVA’s


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1 to 3 years (Toddle) per age group.*Fever, febrile seizure*Vomiting and diarrhea with dehydration*Respiratory distress*Meningitis*Child abuse


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* per age group.Foreign body airway obstruction*Falls * Injuries for MVA’s


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3 to 5 years (preschool) per age group.*Fever, febrile seizure*Vomiting and diarrhea with dehydration*Respiratory distress*Meningitis*Child abuse


Ingestion s foreign body airway obstruction falls injuries for mva s l.jpg
* per age group.Ingestion's* foreign body airway obstruction* Falls*Injuries for MVA’s


3 to 5 years preschool croup asthma epiglottis febrile seizures meningitis burns l.jpg
3 to 5 years (preschool) per age group.* Croup * Asthma* Epiglottis* Febrile seizures* Meningitis* Burns


Drowning near drowning child abuse injuries from mva s l.jpg
* per age group.Drowning, near drowning* Child abuse* Injuries from MVA’s


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6 to 12 years ( school age) per age group.*Drowning* Injuries from MVA’s* Injuries from bicycle- vehicle crashes*Fractures*Sports injuries* Child abuse* Burns


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12 to 15 years (adolescent) per age group.*Asthma* Injuries from MVA’s* Sports injuries* Drug or alcohol*Suicide gestures* Sexual abuse* Pregnancy



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Just a remember peds are treated just like adults except they are smaller. Some needs are different but the basis are the same. (ABC’s)


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Hypothermia and Hyperthermia can happen very fast with smaller PED’s. Do to they are unable to feel or tell the heat or cold very well.


If they are with a high fever then they may have a seizure that is their way for fighting the fever l.jpg
If they are with a high fever, then they may have a seizure. That is their way for fighting the fever.



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Be sure if they are crying to check to see if they have tears coming from there eyes, also see or check if they have been producing urine and how much


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THE ABCs OF CPR tears coming from there eyes, also see or check if they have been producing urine and how much


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Over half of patients requiring CPR are less than 1 year of ageWithin this age group, most are less than 4 months old


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Ventricular Fibrillation reportedly occurs in less than 10% of children in pulseless arrest. More likely in children with heart disease.


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Determine unresponsiveness or respiratory difficulty. of children in pulseless arrest. More likely in children with heart disease.



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If the child is having respiratory distress it should be allowed to remain in the position he/she finds most comfortable in order to maintain patency of the partially obstructed airway.


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CALL FOR HELP allowed to remain in the position he/she finds most comfortable in order to maintain patency of the partially obstructed airway.Position the victim on an hard surface maintain manual in line C spine if injury is suspected


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Open the airway with head-tilt or jaw thrust allowed to remain in the position he/she finds most comfortable in order to maintain patency of the partially obstructed airway.


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LOOK allowed to remain in the position he/she finds most comfortable in order to maintain patency of the partially obstructed airway.LISTENFEEL




Deliver two slow breaths 1 1 1 2 seconds per breath with a pause after the first breath l.jpg
Deliver two slow breaths nose.1-1 1/2 seconds per breath with a pause after the first breath.


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If the chest rises and air goes in check pulse. If air does not go in reposition the head and give 2 more breaths if it does not go in check for possible airway obstruction


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Also remember that if you tilt there smaller patents heads back to far this will also obstructed there airway.


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CIRCULATION back to far this will also obstructed there airway.




If pulse is present but the patent is not breathing then ventilation for the patient at 20 per min l.jpg
If pulse is present but the patent is not breathing then ventilation for the patient at 20 per min.



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For patients less than 1 year of age. Go down 1/3 the sternum and compress the chest 1/2 to 1 inch at a rate of 100 time per min. With the hand farthest away from the head and the index finger.


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With a child 1 to 8 years of age use the palm of the hand farthest away from the head. Compress the chest 1 to 1 1/2 inch at a rate of 100 per min.




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Airway obstrucion be done as if they are an adult.




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Turn the infant over while supporting the head and deliver 5 chest thrust with 1 finger. Then check for a foreign body with a tongue-jaw lift


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Open the airway and attempt to ventilate. If the chest does not rise reposition the head and reattempt to ventilate



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If the obstruction is removed assess breathing if present place patient on his/her side also make sure patient has a pulse


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If patient is with a pulse and is not breathing but airway is clear then breath for the patient 1 every 3 seconds


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The heimlich maneuver is done in a child and older, and with a standing patient or a patient lying down


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Trauma a standing patient or a patient lying down



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Assessment should be: can change very quickheart rateblood pressureperipheral circulationskin perfusionLOCurine output


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Heart Rates can change very quick100-180 neonate100-160 infant80-110 toddler70-110 preschool65-110 school60-90 adolsecent


Blood pressures systolic 0 1 month greater 60 1 month to 1 year greater 70 l.jpg
Blood pressures systolic can change very quick0-1 month greater 601 month to 1 year greater 70



Pulse sites carotid brachial neonate and infants femoral posterior tibial dorsalis pedis l.jpg
Pulse sites can change very quickcarotid brachial- (neonate and infants)femoral posterior tibialdorsalis pedis



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I hope everybody gets something out of this . There is a lot more that can be covered I hope this helps.THE END


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