Pediatric emergencies

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Pediatric emergencies

Pediatric emergencies

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  • 1. Pediatric Emergencies pediatrics
  • 2. Fever – Common Causes Infections Neoplasm (cancer) Drug ingestion Collagen vascular disease High environmental temperatures pediatrics
  • 3. Emergency Care for Fever Ensure BSI Begin passive cooling – Remove clothing/coverings – Damp towels No ice No alcohol No cold water baths pediatrics
  • 4. Febrile Seizures common in children 6 months to 6 years caused by high fever history of infection generalized grand mal seizure less than 15 minutes pediatrics
  • 5. Treatment ABC’s protect patient recovery position high flow oxygen suction prn Passive cooling measures transport pediatrics
  • 6. Dehydration Dry lips and gums Fewer wet diapers Sunken eyes Poor skin turgor Sleepy or irritable Sunken fontanels pediatrics
  • 7. Care for Dehydration Assess the ABCs Obtain baseline vital signs ALS backup may be needed for IV administration pediatrics
  • 8. Airway Obstruction Croup – An infection of the airway below the level of the vocal cords, caused by a virus Epiglottitis – Infection of the soft tissue in the area above the vocal cords Foreign body Aspiration pediatrics
  • 9. Croup barking cough stridor wheezing rales accessory muscle use nasal flaring grunting pediatrics
  • 10. Epiglottitis severe dyspnea stridor inability to swallow - DROOLING fever tripod position pediatrics
  • 11. pediatrics
  • 12. pediatrics
  • 13. Foreign body aspiration Partial Blockage – coughing – accessory muscle use – nasal flaring – wheezing pediatrics Complete Blockage - no sound no cry stridor cyanosis loss of consciousness
  • 14. treatment ABC’s high flow oxygen position of comfort do not attempt to visualize the throat! do not put anything into patient’s mouth. pediatrics
  • 15. Asthma dyspnea wheezing accessory muscle use nasal flaring respiratory rate - observe pediatrics
  • 16. Treatment ABC’s high flow oxygen position of comfort transport pediatrics
  • 17. What is the most frequent cause of cardiac arrest in pediatrics? pediatrics
  • 18. Respiratory arrest! pediatrics
  • 19. Meningitis Inflammation of meninges Bacterial or viral Permanent brain damage/death pediatrics
  • 20. Signs and Symptoms of Meningitis Fever ALOC Headache Seizure Nuchal rigidity pediatrics Vomiting Photophobia Irritability Bulging fontanel
  • 21. Treatment BSI (Body substance Isolation) ABC’s protect patient high flow oxygen passive cooling for fever monitor for shock Transport Call ALS for backup if unstable pediatrics
  • 22. Submersion Injury Drowning or near drowning Second most common cause of unintentional death ABC’s May be in respiratory or cardiac arrest C-spine precautions? Be ready to suction Keep warm pediatrics
  • 23. Poisoning Poisoning is common in children Ask specific questions of caregivers Focus on the ABCs Give oxygen Provide transport Child’s condition could change at any time pediatrics
  • 24. Sudden Infant Death Syndrome SIDS - “crib death” pediatrics
  • 25. SIDS Definition - unexplained death of an apparently healthy infant. 7500+ cases per year in U.S. Leading cause of death in infants <1 year old more cases in winter months pediatrics
  • 26. Sudden Infant Death Syndrome (SIDS) Several known risk factors: – – – – – pediatrics Mother younger than 20 years old Mother smoked during pregnancy Low birth weight Putting babies to sleep on stomach Siblings of SIDS babies
  • 27. Child Abuse Any improper or excessive action that injures or harms a child or infant physical, sexual, emotional abuse and neglect More than 2 million cases reported annually Be aware of signs of child abuse and report it to authorities pediatrics
  • 28. pediatrics
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  • 34. Emergency Medical Care ABCs Transport if you suspect child abuse Do not make accusations EMT-Bs must report all suspected cases of child abuse pediatrics
  • 35. Sexual Abuse Children of any age or either gender can be victims Limit examination Do not allow child to wash, urinate, or defecate Document carefully Transport pediatrics
  • 36. Thank you pediatrics