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PEDIATRIC ( PEDS) PowerPoint PPT Presentation

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)

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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.


Neonate: Birth to 1 monthYoung 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


Here are some of the most common emergencies for pediatric per age group.


Neonate:* Respiratory distress* Sepsis and meningitis* Jaundice*Vomiting* Fever


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


* Meningitis and * Child abuse


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


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


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


*Foreign body airway obstruction*Falls * Injuries for MVA’s


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


*Ingestion's* foreign body airway obstruction* Falls*Injuries for MVA’s


3 to 5 years (preschool)* Croup * Asthma* Epiglottis* Febrile seizures* Meningitis* Burns


*Drowning, near drowning* Child abuse* Injuries from MVA’s


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


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


Her are some Key points to remember about PED’s


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)


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.


Dehydration can also happen very fast with the smaller pediatric patient.


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


THE ABCs OF CPR


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


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


Determine unresponsiveness or respiratory difficulty.


If head or neck trauma is suspected, do not shake the child to avoid spinal injury.


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.


CALL FOR HELPPosition the victim on an hard surface maintain manual in line C spine if injury is suspected


Open the airway with head-tilt or jaw thrust


LOOKLISTENFEEL


Infant less than 1 year make seal around mouth and nose at the same time.


From ages 1-8 make seal around victims mouth and pinch the nose.


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


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


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


CIRCULATION


In children over the age of 1 the most accessible central artery is the carotid


In infants less than 1 year of age, the most accessible is the brachial.


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


If the patient is not breathing and does not have a pulse then start CPR.


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.


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.


Compress the sternum approximately 1 to 1 1/2 inches . At a rate of 80 per minute.


If the 8 year old is big or large or older, then CPR should be done as if they are an adult.


Airway obstrucion


Place the infant face down with his/her head lower than the trunk over the rescuer’s forearm.


Using the palm of one hand deliver up to 5 back blows between the shoulder blades


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


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


If airway remains obstructed repeat the back blows with chest thrust


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


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


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


Trauma


Assessment should be done rapid and often do to pediatric can change very quick


Assessment should be: heart rateblood pressureperipheral circulationskin perfusionLOCurine output


Heart Rates100-180 neonate100-160 infant80-110 toddler70-110 preschool65-110 school60-90 adolsecent


Blood pressures systolic0-1 month greater 601 month to 1 year greater 70


Hypotension often occurs before the loss of central pulses


Pulse sitescarotid brachial- (neonate and infants)femoral posterior tibialdorsalis pedis


Remember that peds are more acceptable to head injury do to that is he heaviest part of the body


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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