Questions and Answers
What is the primary age at which a patient should transition from Pediatric to Adult protocols?
Which component of the Pediatric Assessment Triangle (PAT) focuses on evaluating a child's respiratory effort?
During scene assessment in pediatric patient evaluation, which of the following should NOT be considered?
What should personnel be prepared to administer upon initial patient contact in all pediatric cases?
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When assessing the general appearance of a pediatric patient, which of the following is NOT a feature to evaluate?
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In the absence of pediatric assessment tools, what should personnel default to when necessary?
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Which of the following is NOT a component of the Pediatric Assessment Triangle (PAT)?
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Which of the following statements accurately reflects the goal of the pediatric protocol?
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Which characteristic indicates inadequate overall perfusion when assessing circulation?
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What is the priority action when abnormal breathing sounds such as wheezing or absence of breath sounds are detected?
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During the neurological exam, which of the following assessments is NOT a part of determining the patient's level of consciousness?
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In which scenario should a patient be placed in a Trendelenburg position?
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What is the primary purpose of a toe-to-head survey during a secondary assessment?
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Which of the following best describes a characteristic found in a patient with respiratory distress?
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Which method is used for advanced airway management in ALS care?
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When assessing circulation, which of the following parameters should be documented?
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Which of the following findings would warrant immediate attention for a patient showing respiratory depression due to opiate overdose?
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What should a paramedic prioritize when a patient's breathing is accompanied by use of accessory muscles?
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Study Notes
Pediatric Patient Care Protocol
- Systematic evaluation and treatment tailored to the age of pediatric patients.
- Transition to Adult protocols occurs at age 14 or if patient cannot be measured with pediatric length-based tape.
- Additional protocols may override and provide specific therapy recommendations.
Scene Size-Up
- Conduct a scene assessment to ensure safety and gather information:
- Scene safety
- Mechanism of injury or Nature of Illness (NOI)
- Patient count
- Severity assessment
- Need for additional resources
- Notify dispatch for Alert Criteria: STEMI, STROKE, or TRAUMA.
General Impression and Assessment
- Perform rapid assessment using the Pediatric Assessment Triangle (PAT):
- Appearance: Evaluate tone, interactiveness, consolability, look/gaze, and speech/cry.
- Work of Breathing: Observe for respiratory status, effort, and abnormal sounds (e.g., wheezing).
- Circulation: Check skin color, pattern for perfusion adequacy (e.g., pallor, mottling).
Primary Assessment
- Airway: Ensure patency and align head for potential spinal injuries.
- Breathing: Record respiratory rate, rhythm, and abnormal sounds; assess for trauma signs.
- Circulation: Measure pulse rate, evaluate for external bleeding, and skin perfusion.
- Neurological Exam: Assess consciousness, Glasgow Coma Score, pupil reaction, and equality of extremity movement.
Medical Patient Management
- BLS interventions include airway management, oxygen administration, and blood glucose checks.
- Administer Narcan (Naloxone) for suspected opiate overdose.
- ALS interventions encompass advanced airway management, EKG monitoring, and establishing vascular access.
- Pediatric Length-Based Tape or Handtevy system is utilized for medication dosing.
Trauma Patient Management
- BLS management requires airway control, oxygen delivery, hemorrhage control, and patient packaging.
- Place shock patients in Trendelenburg position unless airway or breathing is compromised.
- ALS supports advanced procedures like airway management, EKG monitoring, and vascular access.
Secondary Assessment
- Conduct a thorough evaluation simultaneously with primary assessment.
- Gather vital signs and document estimated weight, especially before medication administration.
- Collect pertinent medical history using the SAMPLER acronym:
- Signs and symptoms
- Allergies
- Medications
- Past medical history
- Last oral intake
- Events leading to the call for help.
- Perform a toe-to-head survey guided by the patient’s chief complaint.
- Ongoing assessment includes repeating the Pediatric Assessment Triangle.
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Description
Test your knowledge on the protocols for pediatric patient care. This quiz covers systematic evaluations, scene safety assessments, and the Pediatric Assessment Triangle methods. Understand the transition to adult protocols and the specific therapy recommendations for pediatric patients.
