Chapter 32: Pediatric Emergencies Flashcards Preview

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Flashcards in Chapter 32: Pediatric Emergencies Deck (31):

Which of the following statements is true concerning differences in anatomy between adults and children that influence treatment decisions?
- The proportionately larger diameter airway of the child is less easily obstructed by secretions.
- The proportionately larger tongue of the child is less likely to cause obstruction.
- The epiglottis is larger in the child than in the adult and is more likely to prevent aspiration.
- The child's occiput is larger and rounder than an adult's, requiring careful positioning.

- The child's occiput is larger and rounder than an adult's, requiring careful positioning.


Fever in children is a common reason for parents to call for an ambulance. A fever can result from:



Head injuries are common in children because:

the size of the head is larger in relation to the body


Children may have experienced a serious injury, even though there may be little or no outward signs, because:

their bodies can compensate better for significant blood loss


At the scene of an unexplained infant death, or SIDS call, the EMT should:

carefully inspect the scene for signs of illness, the general condition of the house, and family interaction.


The EMT is likely to encounter children with tracheostomy tubes, artificial ventilators, central IV lines, gastrostomy tubes, or shunts in the home environment because:

technology continues to improve and health care continues to focus on decreasing hospitalizations.


Problems leading to cardiopulmonary arrest in children include:

foreign body obstruction, respiratory infection, and electrocution.


Signs of respiratory distress in children include:

nasal flaring, grunting, wheezing or stridor, retractions, and tripod positioning.


Respiratory failure is distinguished from respiratory distress by:

a decreased level of consciousness and developing cyanosis.


he pediatric assessment triangle (PAT) is a structured assessment tool to rapidly determine the child's condition using:

appearance, work of breathing, and circulation to the skin.


Dehydration can present a serious problem to the infant or small child and should be suspected if:

the skin is loose and has no elasticity.


Infancy is the _____.

first year of life


The toddler is __-__ years of age

1 to 3 years of age


Preschool-age children are ____.

3 to 6 years of age


School-age children are ____.

6 to 12 years of age


Adolescents are ______

12 to 18 years of age.


The ____ is large relative to other structures, so it poses a higher risk of airway obstruction than in an adult.



The airway in a child has a _____ than the airway in an adult and is therefore more easily obstructed.

smaller diameter


A rapid heartbeat and blood vessel constriction help pediatric patients to compensate for _____

dec perfusion


Children’s bones are more flexible and bend more with injury, and the ends of the long bones, where growth occurs, are ____ and may be ____ more easily.

weaker and may be injured


You will need to carry special sizes of airway equipment for pediatric patients. Use a _____ measure to determine the approximately sized equipment for children.

pediatric resuscitation tap


Signs of shock in children are ____, poor capillary refill time, and mental status changes. You must be very alert for signs of shock in a pediatric patient because they can decompensate rapidly.



______ may be a sign of a more serious problem such as meningitis.

Febrile seizures


The most common cause of dehydration in children is ____ and ____. Life-threatening diarrhea can develop in an infant in hours.

vomiting and diarrhea


Fever is a common reason why parents or caregivers call 9-1-1. Body temperatures of ____ or higher are considered to be abnormal.

100.4°F (38°C)


____ is the number one killer of children in the United States.



A victim of _____ will be pale or blue, not breathing, and unresponsive. He or she may show signs of postmortem changes, including rigor mortis and dependent lividity; if so, call medical control to report the situation.

sudden infant death syndrome (SIDS)


Which age group commonly has stranger anxiety?



Where should you obtain a pulse rate in an infant?

Brachial or femoral pulse


What device should you use in patients with a respiratory rate of less than 12 breaths/min or more than 60 breaths/min?

Bag-valve-mask device


What are the risk factors for SIDS?

Mother younger than 20 years, smoking during pregnancy, low birth weight