Podcast
Questions and Answers
What can impair the team's ability to auscultate breath sounds and heart sounds during pediatric critical care transport?
What can impair the team's ability to auscultate breath sounds and heart sounds during pediatric critical care transport?
- Variable intensities of background noise and vibration (correct)
- Use of non-mechanical monitoring tools
- Inadequate training of team members
- Poor health of the patient
What is a recommended practice for crew members and patients during rotor transports?
What is a recommended practice for crew members and patients during rotor transports?
- Reduce the use of mechanical monitoring
- Avoid wearing any headgear
- Engage in conversation frequently
- Wear helmets or headphones to mitigate noise (correct)
When considering the suitability of team members for pediatric critical care transport, what characteristic is deemed more important than their professional degree?
When considering the suitability of team members for pediatric critical care transport, what characteristic is deemed more important than their professional degree?
- Their years of professional experience
- Their training, experience, and skill in treating critically ill patients (correct)
- Their level of education
- Their position within the healthcare hierarchy
During pediatric critical care transport, what alternative assessment modalities can be used instead of manual blood pressure measurement?
During pediatric critical care transport, what alternative assessment modalities can be used instead of manual blood pressure measurement?
What physiological effect can altitude have on critically ill patients during transport?
What physiological effect can altitude have on critically ill patients during transport?
What common issue might occur in approximately 10% of pediatric critical care transports?
What common issue might occur in approximately 10% of pediatric critical care transports?
In pediatric critical care transport, why is there a focus on a team member's skill rather than their professional title?
In pediatric critical care transport, why is there a focus on a team member's skill rather than their professional title?
Which of the following can result from motion and vibration during transport?
Which of the following can result from motion and vibration during transport?
What role does the medical home play in communities regarding disasters?
What role does the medical home play in communities regarding disasters?
What is expected of all office staff concerning cardiopulmonary resuscitation (CPR)?
What is expected of all office staff concerning cardiopulmonary resuscitation (CPR)?
Who should also have training in a systematic approach to pediatric resuscitation?
Who should also have training in a systematic approach to pediatric resuscitation?
How can core knowledge in advanced life support (ALS) be obtained?
How can core knowledge in advanced life support (ALS) be obtained?
What is a reasonable expectation for the training of hospital staff regarding CPR?
What is a reasonable expectation for the training of hospital staff regarding CPR?
What is the primary focus of the Emergency Medical Services for Children (EMSC)?
What is the primary focus of the Emergency Medical Services for Children (EMSC)?
What is required before transferring a patient from an emergency department?
What is required before transferring a patient from an emergency department?
In what aspect is training in pediatric resuscitation vital for hospital staff?
In what aspect is training in pediatric resuscitation vital for hospital staff?
According to the EMTALA guidelines, what must happen if a patient has an emergency medical condition?
According to the EMTALA guidelines, what must happen if a patient has an emergency medical condition?
How should practitioners assess their local emergency department system?
How should practitioners assess their local emergency department system?
Which personnel interface with seriously ill and injured children in the EMSC system?
Which personnel interface with seriously ill and injured children in the EMSC system?
What does the Donabedian model focus on in healthcare quality measurement?
What does the Donabedian model focus on in healthcare quality measurement?
What must be adjusted when measuring outcomes in emergency medical services?
What must be adjusted when measuring outcomes in emergency medical services?
Under what condition will a hospital accept a patient from a transferring hospital?
Under what condition will a hospital accept a patient from a transferring hospital?
What should local improvements in pediatric emergency medicine strive to support?
What should local improvements in pediatric emergency medicine strive to support?
What is one of the primary responsibilities of the transferring hospital?
What is one of the primary responsibilities of the transferring hospital?
What is the primary role of the Commission on Accreditation of Medical Transport Systems (CAMTS)?
What is the primary role of the Commission on Accreditation of Medical Transport Systems (CAMTS)?
Which of the following are components of family-centered care?
Which of the following are components of family-centered care?
What type of educational activities do pediatric transport programs provide to community healthcare providers?
What type of educational activities do pediatric transport programs provide to community healthcare providers?
Why is family presence during transport considered beneficial?
Why is family presence during transport considered beneficial?
CAMTS was established in response to which issue?
CAMTS was established in response to which issue?
What does the acronym S.T.A.B.L.E. stand for in pediatric care?
What does the acronym S.T.A.B.L.E. stand for in pediatric care?
What kind of transport services does CAMTS audit and accredit?
What kind of transport services does CAMTS audit and accredit?
What is one of the obligations of regional pediatric transport programs?
What is one of the obligations of regional pediatric transport programs?
Which factor can indicate a potentially serious condition in pediatric patients presenting to the emergency department?
Which factor can indicate a potentially serious condition in pediatric patients presenting to the emergency department?
What does the presence of an indwelling medical device in a pediatric patient suggest?
What does the presence of an indwelling medical device in a pediatric patient suggest?
Which of the following is a performance measure endorsed by stakeholders in pediatric care?
Which of the following is a performance measure endorsed by stakeholders in pediatric care?
Which condition could contribute to increased morbidity or mortality in a pediatric patient during hospital care?
Which condition could contribute to increased morbidity or mortality in a pediatric patient during hospital care?
In assessing a pediatric patient, which vital sign is critical when evaluating respiratory status?
In assessing a pediatric patient, which vital sign is critical when evaluating respiratory status?
What is a crucial element for improving parental understanding of discharge instructions?
What is a crucial element for improving parental understanding of discharge instructions?
Which score is used to assess pediatric patients in emergency situations?
Which score is used to assess pediatric patients in emergency situations?
Which of the following is not typically considered in pediatric triage?
Which of the following is not typically considered in pediatric triage?
Which guideline is essential for managing pediatric patients with acute bronchiolitis?
Which guideline is essential for managing pediatric patients with acute bronchiolitis?
What is a key performance measure for reducing unnecessary interventions in pediatrics?
What is a key performance measure for reducing unnecessary interventions in pediatrics?
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Study Notes
Emergency Medical Services for Children
- Staff training and continuing education: all office staff should have CPR training and recertification every two years. Nurses and physicians should also have training in pediatric resuscitation
- Emergency medical services for children (EMSC) system: a continuum of care that involves a large number of healthcare personnel
- Transport teams: pediatric specialty teams have a lower incidence of transport-related morbidity compared to generalist teams
- Transport hazards: noise, motion, and vibration can impair the team's ability to assess the patient
- Altitude: patients on fixed-wing or rotary-wing transports may suffer adverse physiologic effects from altitude due to decreased barometric pressure
- Educational outreach: regional pediatric transport programs provide educational opportunities for community healthcare providers
- Family-centered care: respects the important role that family members play in a child's care
- Informed consent: should be obtained from the parent/legal guardian before transfer
- EMTALA (Emergency Medical Treatment and Active Labor Act): requires a medical screening examination to be given to a patient presenting to an ED regardless of their ability to pay
- Performance measures: national standards for emergency care performance measurement are crucial for delivering equitable, evidence-based care in the ED
- Donabedian structure-process-outcome model: a framework for quality measurement and improvement activities
- Stakeholder-endorsed performance measures: focus on areas such as reducing pain in children with acute fractures and reducing antibiotic use in children with viral illnesses
RePEAT Score
- Elements of the RePEAT score: age, chief complaint, triage category, current use of prescription medications, arrival via EMS, heart rate, respiratory rate, and temperature
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