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Pediatric emergencies

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Pediatric emergencies

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Pediatric emergencies

  1. 1. Pediatric Emergencies pediatrics
  2. 2. Fever – Common Causes Infections Neoplasm (cancer) Drug ingestion Collagen vascular disease High environmental temperatures pediatrics
  3. 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. 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. 5. Treatment ABC’s protect patient recovery position high flow oxygen suction prn Passive cooling measures transport pediatrics
  6. 6. Dehydration Dry lips and gums Fewer wet diapers Sunken eyes Poor skin turgor Sleepy or irritable Sunken fontanels pediatrics
  7. 7. Care for Dehydration Assess the ABCs Obtain baseline vital signs ALS backup may be needed for IV administration pediatrics
  8. 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. 9. Croup barking cough stridor wheezing rales accessory muscle use nasal flaring grunting pediatrics
  10. 10. Epiglottitis severe dyspnea stridor inability to swallow - DROOLING fever tripod position pediatrics
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  13. 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. 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. 15. Asthma dyspnea wheezing accessory muscle use nasal flaring respiratory rate - observe pediatrics
  16. 16. Treatment ABC’s high flow oxygen position of comfort transport pediatrics
  17. 17. What is the most frequent cause of cardiac arrest in pediatrics? pediatrics
  18. 18. Respiratory arrest! pediatrics
  19. 19. Meningitis Inflammation of meninges Bacterial or viral Permanent brain damage/death pediatrics
  20. 20. Signs and Symptoms of Meningitis Fever ALOC Headache Seizure Nuchal rigidity pediatrics Vomiting Photophobia Irritability Bulging fontanel
  21. 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. 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. 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. 24. Sudden Infant Death Syndrome SIDS - “crib death” pediatrics
  25. 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. 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. 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
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  34. 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. 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. 36. Thank you pediatrics

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