Components in the prioritization of pediatric emergency care (4)
PAT, Focused Assessment (objective information), Focused pediatric Hx(subjective information), assignment of an acuity rating decision
Pediatric Assessment Triangle : (3) components
Appearance. Work of Breathing. Circulation ...
ENPC comboset Complete 2022
Components in the prioritization of pediatric emergency care (4) - Answer PAT,
Focused Assessment (objective information), Focused pediatric Hx(subjective
information), assignment of an acuity rating decision
Pediatric Assessment Triangle : (3) components - Answer Appearance. Work of
Breathing. Circulation to the skin. This forms the "general impression".
If there is an acute disruption in 1 component, child is "sicker".
If there is an acute disruption in 2+ components the child is "sickest"
Pediatric Assessment Triangle : Appearance - Answer Most important. Reflects
adequacy of ventilation, oxygenation, brain perfusion, and central nervous system
function.
Assess for : tone, interactiveness, consolability, look/gaze, and speech/cry.
Pediatric Assessment Triangle : Work of Breathing - Answer Breathing easy, even, and
unlabored or tripod position, nasal flaring, retractions, supraclavicular retractions
Pediatric Assessment Triangle : Circulation to the skin - Answer Mottling or PWD
PQRST for Pain - Answer (pg86)
Precipitating and palliating factors
Quality
Radiation
Severity, symptoms, and site
Time or triggering factors
Verbal Report for pain - Answer (pg86)
Self-report is the most reliable indicatior of pain; however not all pediatric pt are capable
or wiling to verbalize their discomfort.
What age is the respiratory system considered fully developed? - Answer 8 years old
Most ______ age __to____, are concrete thinkers and interpret words literally.
Where as, most _____ age ___ to ___, are magical and illogical thinkers. They often
confuse coincidence with causation, and have difficulty distinguising fantasy from
reality. - Answer (pg36)
Most Toddlers age 1yo to 3yo , are concrete thinkers and interpret words literally.
Where as, most Preschoolers age 3yo to 5yo, are magical and illogical thinkers. They
often confuse coincidence with causation, and have difficulty distinguising fantasy from
reality.
Hypotension related to hypovolemia in pediatric trauma patients is a _____ sign and
may indicate a loss of ___% to ___% of their circulating blood volume. - Answer (pg262)
Late sign.
20% to 25% of circulating blood volume
, ENPC comboset Complete 2022
6P's Assessment for Musculoskeletal Trauma - Answer (pg 283)
Pallor : color different from uninjured
Pain
Pulselessness
Parasthesia
Paralysis
Poikilothermia
Burn Transfer Criteria - Answer 1. Partial thickness >10% of BSA
2. Face, hands, feet, genetalia, perineum or major joints
3. Third degree burns in any age group.
4. Electrical burns, including lightning injury, and chemical burns.
5. Inhalation injury.
6. Burn injury in pt with preexisting medical disorders that could complicate tx.
7. Concomitant trauma (such as fx) in which the burn injury poses the greatest risk of
morbidity or mortality.
8. Burned children in hospital wo qualified equipment or personnel to care for them
9. Pt who will require special social, emotional, or rehabilitative intervention.
If live interpreter not available for 15mins use ________ - Answer Language line
interpreter
Infants are obligate nose breathers. If nose is obstructed ___________ - Answer
suction nose
Opiod antidote - Answer Narcan
Benzo antidote - Answer Romazicon
Neutropenic pt with a temperature - Answer Don't take rectal temp.
No invasive procedures if not necessary.
Nonblanchable Rashes of concern - Answer Meningocoxcemia
Petiachia/Purpura
Bicycle accident concerns - Answer Did pt strike handle bars?
Possible abdominal injury
Ribs are more horizontal and provide less protection.
Normal Urine Output for child - Answer 1 to 2ml / Kg / Hr
Differences of child vs adult : BSA, blood volume, glycogen storage, metabolic rate -
Answer Children have : increased BSA(predispose to temp dysregulation), decreased
circulation blood volume(predispose to hypovolemia), decreased glycogen
storage(predisoposed to hypoglycemia), Increased metabolic rate.
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