Paediatric Equipment   and Packaging
Paediatric Mission Profile  Greater Sydney Area HEMS    Ambulance Service NSW
!    Paediatric Mission Profile
!    Paediatric Mission Profile
!    Paediatric Mission Profile
!    Paediatric Mission Profile
!    Paediatric Mission Profile
!           Paediatric Mission Profile    All ages    Interhospital as well as pre-hospital    Not just trauma
!            Trauma case    A four year old boy is run over by a 4 x 4    ‘Unconscious at scene’    List your preparations
Weight estimation in paediatrics: a comparison of the APLS formula and the formula ‘Weight=3(age)+7’Emerg Med J. 2010 Jul ...
!            Trauma case    A four year old boy is run over by a 4 x 4    Unconscious with hypoxia, asymmetric chest    mo...
!        Trauma case    Pre-oxygenation NP + BVM / O2 mask    iv or io access + fluid bolus    RSI    thoracostomy    pelvi...
Vascular access
!        Trauma case    Pre-oxygenation NP + BVM / O2 mask    iv or io access + fluid bolus    RSI    thoracostomy    pelvi...
Laryngeal mask airways• Size 1 - < 5 kg• Size 1.5 - 5-10 kg• Size 2 - 20-30 kg• Size 3 - 30-50 kg• Size 4 - 50-70 kg• Size...
iGel
!        Trauma case    Pre-oxygenation NP + BVM / O2 mask    iv or io access + fluid bolus    RSI    thoracostomy    pelvi...
• 1-puberty: wt = 3(age) + 7• < 1: wt = (age in months / 2) + 4• ETT uncuffed = (age/4) + 4• length = age/2 + 12 cm (oral)...
!        Trauma case    Pre-oxygenation NP + BVM / O2 mask    iv or io access + fluid bolus    RSI    thoracostomy    pelvi...
AsthmaA six year old boy has been intubated foracute severe asthma in Auburn EDHas had steroids, iv salbutamol, magnesiumH...
Oxylog 3000 Plus  I:E range 1:100 to 50:1  Dedicated paediatric circuit  Minimal tidal volume 50 ml
Maternal arrest27 year old 38/40 pregnant female collapsesafter c/o abdominal painDevelops PEA rapidly followed by asystol...
Vascular access
Paediatric Equipment   and Packaging
Paediatric equipment and packaging
Paediatric equipment and packaging
Paediatric equipment and packaging
Paediatric equipment and packaging
Paediatric equipment and packaging
Paediatric equipment and packaging
Paediatric equipment and packaging
Paediatric equipment and packaging
Paediatric equipment and packaging
Paediatric equipment and packaging
Paediatric equipment and packaging
Paediatric equipment and packaging
Paediatric equipment and packaging
Paediatric equipment and packaging
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Paediatric equipment and packaging

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Paediatric equipment and packaging

  1. 1. Paediatric Equipment and Packaging
  2. 2. Paediatric Mission Profile Greater Sydney Area HEMS Ambulance Service NSW
  3. 3. ! Paediatric Mission Profile
  4. 4. ! Paediatric Mission Profile
  5. 5. ! Paediatric Mission Profile
  6. 6. ! Paediatric Mission Profile
  7. 7. ! Paediatric Mission Profile
  8. 8. ! Paediatric Mission Profile All ages Interhospital as well as pre-hospital Not just trauma
  9. 9. ! Trauma case A four year old boy is run over by a 4 x 4 ‘Unconscious at scene’ List your preparations
  10. 10. Weight estimation in paediatrics: a comparison of the APLS formula and the formula ‘Weight=3(age)+7’Emerg Med J. 2010 Jul 20. [Epub ahead of print]
  11. 11. ! Trauma case A four year old boy is run over by a 4 x 4 Unconscious with hypoxia, asymmetric chest movement with subcutaneous emphysema, shock, and a closed femur fracture List your interventions
  12. 12. ! Trauma case Pre-oxygenation NP + BVM / O2 mask iv or io access + fluid bolus RSI thoracostomy pelvic splint CT-6 collar consider blood
  13. 13. Vascular access
  14. 14. ! Trauma case Pre-oxygenation NP + BVM / O2 mask iv or io access + fluid bolus RSI thoracostomy pelvic splint CT-6 collar consider blood
  15. 15. Laryngeal mask airways• Size 1 - < 5 kg• Size 1.5 - 5-10 kg• Size 2 - 20-30 kg• Size 3 - 30-50 kg• Size 4 - 50-70 kg• Size 5 - 70-100 kg
  16. 16. iGel
  17. 17. ! Trauma case Pre-oxygenation NP + BVM / O2 mask iv or io access + fluid bolus RSI thoracostomy pelvic splint CT-6 collar consider blood
  18. 18. • 1-puberty: wt = 3(age) + 7• < 1: wt = (age in months / 2) + 4• ETT uncuffed = (age/4) + 4• length = age/2 + 12 cm (oral)• 2 x UETT - NG / foley• 3 x UETT = length of ETT@lips• 4 x UETT = intercostal catheter• ETT cuffed = (age / 4) + 3• Fluids = 10-20 ml/kg• adrenaline = 0.1 ml/kg 1:10 000
  19. 19. ! Trauma case Pre-oxygenation NP + BVM / O2 mask iv or io access + fluid bolus RSI thoracostomy pelvic splint CT-6 collar consider blood
  20. 20. AsthmaA six year old boy has been intubated foracute severe asthma in Auburn EDHas had steroids, iv salbutamol, magnesiumHigh airway pressures +++
  21. 21. Oxylog 3000 Plus I:E range 1:100 to 50:1 Dedicated paediatric circuit Minimal tidal volume 50 ml
  22. 22. Maternal arrest27 year old 38/40 pregnant female collapsesafter c/o abdominal painDevelops PEA rapidly followed by asystolicarrestResuscitative hysterotomy completed byretrieval doctor within 5 minutes of arrestMaternal ACLS managed by HEMS paramedicNewborn infant is pale and apnoeic
  23. 23. Vascular access
  24. 24. Paediatric Equipment and Packaging

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