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24 Cards in this Set

  • Front
  • Back

_____ and _____ are the underlying principles of the pediatric protocols.

Airway control



rapid transport

Since IV/IO is more difficult in small children, these and other ALS interventions are carried out _____, or during a _____, except for special circumstances as clearly noted in the protocols.

enroute



transport delay

_____ should be used in neonates, infants and children as a first maneuver for Assisted Ventilations.

BVM


(or mouth to mask)

The correct position to maintain the optimal airway is ______.

age dependent

In pediatric patients with suspected trauma, the airway maneuver of choice is ______ combined with ______.

modified jaw thrust



cervical immobilization

Oxygen should always be provided at _______ in the pediatric patient and should be _______ when feasible.

high concentration



humidified

contraindication(s) to high concentration oxygen in the pre-hospital setting for the pediatric patient

there are NONE

contraindication to attempted Endotracheal Intubation

suspected croup/epiglottitis

Children with suspected croup/epiglottitis should be rapidly transported to ________ for definitive airway management.

the nearest 911 Ambulance Destination

High-pressure BVM ventilation should be attempted on children with...

...upper airway obstruction who are in cardiac arrest.

____ is to be started only enroute or during transport delay.

IV/IO access

There should be only ____ attempt(s) in each method (IV & IO) in obtaining access to pediatric patients.

one

_____ access should always precede _____ access in pediatric patients.

IV



IO

It may be necessary to pass _____ in the neonate, infant or child in order to successfully perform resuscitation.

an NG/OG tube

Due to the swallowing of air during CPR, the diaphragm may be forced upward, resulting in decreased tidal volume, if the stomach is not decompressed by ______.

an NG/OG tube

For drug dosage and fluid administration, refer to a regionally approved ______.

Length Based Dosing Device

When there is a discrepancy between the protocols and the Length Based Dosing Device with regard to a particular dose...

...follow the Length Based Dosing device and document.

REMAC has approved _______ for use as a Length Based Dosing Device.

Broselow Tape

ET drug administration should be used...

...only as a last resort.

Initial fluid administration should not exceed...

20 ml/kg

Pediatric patients who are hypotensive according to blood pressure should be...

...examined for other signs of shock to support the diagnosis.

It may be technically difficult to obtain a blood pressure in a...

...small or agitated child.

In a small or agitated child, ______ should be used to assess hypovolemic shock, especially in trauma, even if a blood pressure cannot be readily obtained.

clinical judgment

True or False




Doses on the length-based dosing device may also be used for indications not specifically listed.

False.




Doses may be used only for the specific indications listed on the device.