Epab Medical Emergency Peds

Front 1

1. ABCs
2. Oxygen
3. NPO
4. History & physical, vital signs, secondary assessment
5. Provide protection and maintain body temperature
6. Reassurance and position of comfort, if hypotensive elevate feet

Back 1

Pediatric Abdominal Pain

Front 2

1. ABCs
2. Oxygen
3. NPO
4. History & physical, vital signs, secondary assessment
5. Provide protection and maintain body temperature
6. Reassurance and position of comfort, if hypotensive elevate feet

Back 2

Pediatric Hypertensive Crisis (diastolic ≥ 120mmHg)

Front 3

1. ABCs
2. Oxygen
3. NPO
4. History & physical, vital signs, secondary assessment
5. Provide protection and maintain body temperature
6. Reassurance and position of comfort, if hypotensive elevate feet

Back 3

Pediatric Hypotension

Front 4

1. ABCs
2. Oxygen
3. NPO
4. History & physical, vital signs, secondary assessment
5. Provide protection and maintain body temperature
6. Reassurance and position of comfort, if hypotensive elevate feet

Back 4

Pediatric Nausea and Vomiting

Front 5

1. Assure scene safety (Refer to the “Hazardous Materials” procedure if indicated)
2. ABCs
3. Oxygen and assist ventilations as indicated
4. NPO
5. History & physical, vital signs, secondary assessment
6. Flush skin / mucous membranes with appropriate solution, as indicated
7. Provide protection and maintain body temperature
8. Reassurance and position of comfort, if hypotensive elevate feet

Back 5

Pediatric Toxicologic Emergencies / Poisoning / Overdoses

Front 6

1. ABCs
2. Oxygen and assist ventilations as indicated
3. NPO
4. Temperature measurement
5. History & physical, vital signs, secondary assessment
6. Provide protection and maintain body temperature
7. Reassurance and position of comfort, if hypotensive elevate feet

Back 6

Pediatric Stroke

Front 7

1. ABCs
2. Oxygen and assist ventilations as indicated
3. NPO
4. History & physical, vital signs, secondary assessment
5. Remove excess clothing and protect from further heat gains
6. Appropriate cooling measures
7. Provide protection
8. Reassurance and position of comfort, if hypotensive elevate feet

Back 7

Pediatric Seizure

Front 8

1. Maintain scene safely. If scene is unsafe, leave and stage for the police department
2. Consider requesting law enforcement assistance
3. ABCs
4. Oxygen
5. NPO
6. History & physical, vital signs, secondary assessment
7. Provide protection and maintain body temperature
8. Reassurance and position of comfort, if hypotensive elevate feet

Back 8

Pediatric Psychiatric Emergencies

Front 9

1. ABCs
2. Oxygen and assist ventilations as indicated
3. Assess lung sounds
4. History & physical, vital signs, secondary assessment
5. Prescribed Metered Dose inhaler – assist according to prescribe dose and amount
6. Provide protection and maintain body temperature
7. Reassurance and position of comfort, seated or in Fowler’s position is preferable
8. For known diagnosed Asthma and wheezing:
a. If ≤ 8kg, albuterol 1.25 mg updraft (1.5ml), may repeat twice for total of 3
doses
b. If > 8kg, albuterol 2.5 mg updraft (3ml), may repeat twice for total of 3 doses

Back 9

Pediatric Obstructive Airway Diseases

Front 10

1. Safely and rapidly remove patient from the source of exposure
2. ABCs
3. Oxygen and assist ventilations if indicated
4. NPO
5. Remove wet clothing
6. Cover with blankets
7. History & physical, vital signs, secondary assessment
8. Provide protection
9. Reassurance and position of comfort, if hypotensive, elevate feet

Back 10

Pediatric Hypothermia

Front 11

1. Safely and rapidly remove patient from source of exposure
2. ABCs
3. Oxygen and assist ventilations if indicated
4. History & physical, vital signs, secondary assessment
5. Remove excess clothing and protect from further heat gains
6. Appropriate cooling measures
7. Provide privacy and protection
8. Reassurance and in position of comfort or, if hypotensive, elevate feet

Back 11

Pediatric Hyperthermia

Front 12

1. Scene safety
2. ABCs
3. Oxygen and assist ventilations as indicated
4. History & physical, vital signs, secondary assessment
5. Measure blood glucose as indicated
6. If blood glucose <40mg/dL and patient is conscious with good gag reflex, glucose
paste (1/2 to 1 tube)
7. Recheck blood glucose after sugar administration
8. Provide protection and maintain body temperature
9. Reassurance and position of comfort, if hypotensive elevate feet

Back 12

Pediatric Diabetic / Glucose Emergencies

Front 13

1. Assess airway and status of breathing
2. Basic life support for partial or complete airway obstruction as indicated
3. If obstruction is removed, assess breathing and circulation
4. Administer Oxygen and/or assist ventilations as indicated
5. If circulation is not adequate, provide circulatory support as indicated
6. Assess lung sounds
7. NPO

Back 13

Pediatric Choking / Airway Obstruction

Front 14

1. ABCs
2. Oxygen, assist ventilations if indicated
3. Assess lung sounds
4. History & physical, vital signs (monitor frequently), secondary assessment
5. NPO
6. Provide protection and maintain body temperature
7. Reassurance and position of comfort, preferable seated or in Fowler’s position to aid
breathing.

Back 14

Pediatric Congestive Heart Failure/Pulmonary Edema

Front 15

1. ABCs
2. Oxygen and assist ventilations if indicated
3. Assess lung sounds
4. NPO
5. History & physical, vital signs (monitor frequently), secondary assessment
6. Provide protection and maintain body temperature
7. Reassurance and position of comfort, if hypotensive elevate feet

Back 15

Pediatric Chest Pain

Front 16

1. Assure scene safety (Refer to the “Hazardous Materials” protocol if indicated)
2. Refer to Chemical Warfare Exposure for patient and self administration.
3. ABCs
4. NPO
5. Oxygen and assist ventilations as indicated
6. History & physical, vital signs, secondary assessment
7. Measure blood glucose as indicated
8. Flush skin / mucous membranes with appropriate solution, if indicated
9. Provide protection and maintain body temperature
10. Reassurance and position of comfort, if hypotensive elevate feet

Back 16

Pediatric Chemical Warfare Exposure (Auto-injectors)

Front 17

1. Safely and rapidly remove patients from exposure (by trained rescuers)
2. ABCs
3. Oxygen via non-rebreather or assist ventilations as indicated
4. NPO
5. History & physical, vital signs, secondary assessment
6. Spinal immobilization for suspected trauma
7. Provide protection and maintain body temperature
8. Reassurance and position of comfort, if hypotensive elevate feet

Back 17

Pediatric Carbon Monoxide / Smoke Inhalation

Front 18

1. Safely/rapidly remove patient from source of exposure, if necessary
2. ABCs
3. Oxygen and assist ventilations as indicated
4. History & physical, vital signs, secondary assessment
5. Provide protection and maintain body temperature
6. Reassurance and in position of comfort or, if hypotensive, elevate feet
7. Remove injection mechanism if still present
8. Remove constricting jewelry

Back 18

Pediatric Allergic Reaction / Anaphylaxis

Front 19

1. Scene safety
2. ABCs
3. Oxygen and assist ventilations as indicated
4. History & physical, vital signs, secondary assessment
5. NPO
6. Provide protection and maintain body temperature
7. Reassurance and position of comfort, if hypotensive elevate feet

Back 19

Pediatric Altered Mentation