This document provides an overview of key differences between pediatric and adult patients that are important for emergency medical responders. It discusses anatomical, skeletal, airway, breathing, circulation, and developmental differences. It also reviews common pediatric emergencies like fever, dehydration, respiratory distress, and poisoning. Treatment priorities for pediatric patients focus on maintaining the ABCs. Responders must also consider appropriate communication and transport when treating pediatric patients.
PREVIEW OF EMT/EMR PEDIATRIC EMERGENCIES POWERPOINT TRAINING PRESENTATIONBruce Vincent
Presents information concerning the developmental and anatomical differences in infants and children, discuss common medical and trauma situations, and also covered are infants children dependent on special technology. Dealing with an ill or injured infant or child patient has always been a challenge for EMS providers. Presentation is over 100 slides in length. Meets or exceeds USDOT NHTSA 2009 Training Standards.
PREVIEW OF EMT/EMR PEDIATRIC EMERGENCIES POWERPOINT TRAINING PRESENTATIONBruce Vincent
Presents information concerning the developmental and anatomical differences in infants and children, discuss common medical and trauma situations, and also covered are infants children dependent on special technology. Dealing with an ill or injured infant or child patient has always been a challenge for EMS providers. Presentation is over 100 slides in length. Meets or exceeds USDOT NHTSA 2009 Training Standards.
How to Spot the Sick Child in the Emergency DepartmentSMACC Conference
Ffion Davies gives her take on how to spot the sick child in the Emergency Department.
Paediatric medicine is no doubt hard and can at times be scary. There is nothing worse, in Ffion’s opinion, than sending a child home who later represents to the hospital in a worse condition, or even worse, later dies.
So, how does one spot the sick child amongst the droves of children who will present with fever and vomiting.
In this talk, Ffion gives a lesson on how to spot the sick children in the ‘grey’ zone – those that are not clearly sick and not clearly well.
Ffion breaks her thinking into two main areas: physiology and psychology.
Physiology matters. Scrutinising a full set of observations/vitals (in the context of the child’s age) will help avoid the feared crime of discharging a sick child.
Ffion discusses tachypnoea as a prime example of a simple physiological compensation to raise one’s suspicion of serious disease.
Similarly, psychology matters. Ffion talks in depth as to why she considers this to be true.
Talks on Paediatric Emergency Medicine are always popular because Emergency Medicine physicians are insecure about mismanaging a child. Are children precious? Are adults just big children? Therein lies the problem.
Less knowledge, less experience and perhaps less confidence. Compounding this is the complexities of having to deal with the stressed parents when you yourself are stressed because of the situation.
Ffion continues to talk about systems of thinking and decision making. She compares Type 1 thinking which is automatic and instinctive with Type 2 thinking, which is more considered. She explains the risks and benefits of relying more upon Type 2 thinking when considering the sick child in the Emergency Department.
Finally, Ffion concludes by talking about strategies to improve your own management of the paediatric population in the Emergency Department. She discusses improving your knowledge base, using resuscitation aids and checklists and training by using stress inoculation simulations.
For more like this, head to our podcast page. #CodaPodcast
Shaken Baby Syndrome: A Comprehensive Review of Manifestation, Diagnosis, Man...iosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care.
Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice
How to Spot the Sick Child in the Emergency DepartmentSMACC Conference
Ffion Davies gives her take on how to spot the sick child in the Emergency Department.
Paediatric medicine is no doubt hard and can at times be scary. There is nothing worse, in Ffion’s opinion, than sending a child home who later represents to the hospital in a worse condition, or even worse, later dies.
So, how does one spot the sick child amongst the droves of children who will present with fever and vomiting.
In this talk, Ffion gives a lesson on how to spot the sick children in the ‘grey’ zone – those that are not clearly sick and not clearly well.
Ffion breaks her thinking into two main areas: physiology and psychology.
Physiology matters. Scrutinising a full set of observations/vitals (in the context of the child’s age) will help avoid the feared crime of discharging a sick child.
Ffion discusses tachypnoea as a prime example of a simple physiological compensation to raise one’s suspicion of serious disease.
Similarly, psychology matters. Ffion talks in depth as to why she considers this to be true.
Talks on Paediatric Emergency Medicine are always popular because Emergency Medicine physicians are insecure about mismanaging a child. Are children precious? Are adults just big children? Therein lies the problem.
Less knowledge, less experience and perhaps less confidence. Compounding this is the complexities of having to deal with the stressed parents when you yourself are stressed because of the situation.
Ffion continues to talk about systems of thinking and decision making. She compares Type 1 thinking which is automatic and instinctive with Type 2 thinking, which is more considered. She explains the risks and benefits of relying more upon Type 2 thinking when considering the sick child in the Emergency Department.
Finally, Ffion concludes by talking about strategies to improve your own management of the paediatric population in the Emergency Department. She discusses improving your knowledge base, using resuscitation aids and checklists and training by using stress inoculation simulations.
For more like this, head to our podcast page. #CodaPodcast
Shaken Baby Syndrome: A Comprehensive Review of Manifestation, Diagnosis, Man...iosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care.
Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice
Desarrollamos los conceptos asociados a la etapa de la administración llamada Dirección. Esta es la clave del desarrollo de las habilidades gerenciales
Funciones de la Dirección: Implica conducir, guiar y supervisar los esfuerzos de los subordinados para ejecutar planes y lograr objetivos de un organismo social.
COVID19 Updates Related to Children: 3 Hot TopicsKatherine Noble
Presentation for Greenwich Public Schools PTA Council Public Forum 1/29/2021, focusing on 1) COVID19 Vaccination for Children, 2) PE & Sports Clearance for COVID19+ Students, 3) Mental Health Challenges for Children During The Pandemic
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
2. Family Matters
When a child is ill or injured, you may
have several patients, not just one.
Children mimic caregiver behavior
Be calm, professional, and sensitive.
pediatrics
3. Anatomic Differences
Less circulating blood
Lose body heat more easily
Bones are more flexible
Less fat surrounding organs
Could be much internal damage with
little external visible trauma
pediatrics
4. Skeletal Differences
Bones are prone to fracture
with stress.
Infants have two openings in
the skull called fontanels.
– close by 18 months.
pediatrics
5. Airway Differences
– Larger tongue relative
to the mouth
– Less well-developed
rings of cartilage in
the trachea
– Head tilt-chin lift may
occlude the airway.
pediatrics
6. Breathing Differences
Infants breathe faster than children
or adults.
Infants use the diaphragm when
they breathe.
Sustained, labored breathing may
lead to respiratory failure.
pediatrics
7. Circulation Differences
The heart rate increases for illness
and injury
Very effective vasoconstriction
keeps vital organs nourished
Pale, extremities, decreased cap
refill are early signs of perfusion
problems
pediatrics
8. Approach to Assessment
level of activity, work of breathing, and skin color
cap refill
ALS backup or immediate transport?
Pediatric patients crash harder than adults
Transport to peds facilities when possible
pediatrics
10. Treatment Considerations
Oxygen - treat same as adult – Use
“blow-by” administration if needed
Patient position - same as adult
*Remember* airway and breathing are
focus
pediatrics
12. Infant
first year of life
respond physical stimuli
crying is main means of
expression
have caregiver hold pt
pediatrics
13. Toddler
1 to 3 years of age
mobile
may resist separation
don’t like being
restrained
can be distracted
pediatrics
14. Preschool
3 to 6 years of age
can understand directions
can identify painful areas
fearful of pain
allow them to handle equipment
explain what you are going to
do
pediatrics
15. School-Age Child
6 to 12 years of age
begin to think like adults
can be included when taking medical
history
should be familiar with physical exam
allow them to make choices when
possible
pediatrics
16. The Adolescent
12 to 18 years of age
concerned about body image
may have strong feelings about being
observed
respect their privacy
they understand pain
explain any procedure
pediatrics
19. Respirations
Abnormal respirations are a common
sign of illness or injury
Less than 3, count rise and fall of
abdomen
Note effort of breathing/noises
Note if they are crying
pediatrics
20. Respiration Notes
Less than 12 breaths/min
More than 60 breaths/min,
ALOC and/or an inadequate tidal
volume
= ventilation with a BVM device
pediatrics
26. Emergency Care for Fever
Ensure BSI
Begin passive cooling
– Remove clothing/coverings
– Damp towels
No ice
No alcohol
No cold water baths
pediatrics
27. Febrile Seizures
common in children 6 months to 6
years
most caused by high fever
hx of infection
generalized grand mal seizure
less than 15 minutes
pediatrics
29. Dehydration
Dry lips and gums
Fewer wet diapers
Sunken eyes
Poor skin turgor
Sleepy or irritable
Sunken fontanels
pediatrics
30. Care for Dehydration
Assess the ABCs
Obtain baseline vital signs
ALS backup may be needed for
IV administration
pediatrics
31. 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
36. Foreign body aspiration
Partial
Blockage
– coughing
– accessory
muscle use
– nasal flaring
– wheezing
pediatrics
Complete
Blockage
-
no sound
no cry
stridor
cyanosis
loss of
consciousness
48. 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
49. 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
54. Transporting Infants and
Children
Children require padding under the torso
Newborns should be in special incubators
Do not hold child during the actual transport
Drive with due care
Do not allow your emotions to take control
pediatrics
56. 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
57. 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
58. Tasks at Scene
Assess and manage patient
Communicate with and
support the family
Assess the scene
pediatrics
59. Assessment and
Management
Diagnosis of exclusion
Can be other causes of condition
Regardless of cause, TX is same
Infant may have signs of postmortem
changes
It is ok to work up an obviously dead
baby
If no postmortem changes, begin CPR
immediately
pediatrics
60. Communication and Support
of Family
The death of child is very stressful for the
family
Parents guilt is overwhelming
Provide support in whatever ways you can
IT IS NOT YOUR PLACE TO JUDGE
Use the infant’s name
Allow family time with the infant
pediatrics
61. Scene Assessment
Inspect the environment, noting:
–
–
–
–
pediatrics
Signs of illness, including medications
General condition of the house
Family interaction
Site where infant was discovered
62. Support Groups
Know your local phone numbers
for referrals
Arrange for proper debriefing
pediatrics
63. 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
64. Questions Regarding
Signs of Abuse (1 of 4)
Is the injury typical?
Is reported method of injury consistent with
injuries?
Is the caregiver behaving appropriately?
Is there evidence of drinking or drug abuse?
pediatrics
65. Questions Regarding
Signs of Abuse (2 of 4)
Delay in seeking care?
Good relationship between child
and caregiver?
Multiple injuries at various stages of
healing?
Any unusual marks or bruises?
pediatrics
66. Questions Regarding
Signs of Abuse (3 of 4)
Are there several types of injuries?
Any burns on the hands or feet
involving a glove distribution?
Unexplained decreased level of
consciousness?
pediatrics
67. Questions Regarding
Signs of Abuse (4 of 4)
Is the child clean and an
appropriate weight?
Any rectal or vaginal bleeding?
What does the home look like?
pediatrics
68. Other Indicators
Withdrawn, fearful or hostile child
Refusal to discuss MOI
History of “accidents”
Conflicting stories
Caregiver lack of concern
pediatrics
76. 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
77. 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
78. EMS Response to
Pediatric Emergencies
You may experience a wide range
of emotions
You may feel anxious
Practice helps
After difficult incidents, a
debriefing may be helpful
pediatrics