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ENPC 5TH ED. QUESTIONS AND ANSWERS

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Preparation and Triage 1) Activate trauma or resuscitation team if needed 2) Prepare room: pediatric equipment, scale/length based resuscitation tape, Peds drug binders, warmer 3) PPE (especially if fever) "The patient has just arrived" 1) Uncontrolled hemorrhage? 2) Appearance ...

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  • November 3, 2023
  • 6
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
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ENPC 5TH ED. QUESTIONS AND
ANSWERS
Preparation and Triage - answer 1) Activate trauma or resuscitation team if needed


2) Prepare room: pediatric equipment, scale/length based resuscitation tape, Peds drug binders,
warmer


3) PPE (especially if fever)


"The patient has just arrived" - answer 1) Uncontrolled hemorrhage?


2) Appearance


3) WOB


4) Circulation to the skin


(0 = sick, 1 = sicker, 2-3 = sickest)


A - answer Airway and Alertness


***1) AVPU (Alert, Verbal, Pain, Unconscious)*


2) Head tilt/chin lift or ask to open mouth
(if trauma, need 2nd person and jaw thrust)

, ***3) Look for... tongue, foreign object, blood/vomit/secretions, edema,
(snoring/gurgling/stridor, teeth, bony deformity)*


(babies are nasal breathers so check nasal airway)


4) Suction, towel under shoulders, position, oral/nasal airway, intubation?
*REASSESS*


B - answer Breathing & Ventilation


***1) Spontaneous breathing/chest rise, depth/pattern/rate, WOB, skin color (breath sounds
present/equal, tracheal deviation, subcut. emphysema)*


2) Oxygen, ventilation with bag/mask, intubate?, chest tube, needle thoracentesis
*REASSESS*


C - answer ***1) Palpate central AND distal pulse, Inspect AND palpate skin for
color/temp/moisture, cap refill (check for hemorrhage if trauma)*


2) IV/IO access (labs if starting), bolus? (10 if neonate, 20 for infant/child), compressions?,
cardiac monitor if dysthymia
*REASSESS*


D - answer Disability


***1) GCS: "eye opening, verbal response, motor response"*


2) Pupils PERRL

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