Flashcards in Paediatric Deck (37)
Paediatric Advanced Life Support Kit
The paramedic may ask you for equipment. Be familiar with the appropriate sized pieces of equipment.
BLS ratio for patients aged infant to puberty
15:2 @ 100-120
children and infants responses to illness
Severely unwell children can appear well then suddenly collapse.
More respiratory cause than cardiac in arrests.
Paediatric assessment triangle
Work of breathing.
Circulation to skin.
Work of Breathing - assessment - Effort
Stridor & Wheeze.
Work of breathing - assessment - Efficiency & Effect
Circulation to skin
Warmth of skin.
Common 30-40% of acute admissions in children.
Potentially life threatening.
Early recognition and treatment saves lives.
Respiratory Emergencies - Assessment
Effort of breathing.
Efficiency of breathing.
Effects of respiratory inadequacy.
Signs of deterioration
Increasing respiratory rate.
Altered mental status.
Upper Airway Emergency causes
Inhaled foreign body.
Upper Airway Emergencies - Acute upper airway obstructions are:
Angiodema (swelling i.e lips).
Croup - signs and symptoms
Not usually life threatening.
Age 6months - 9yrs.
Able to drink.
Epiglottitis - signs and symptoms
Looks very unwell.
Quiet, sitting up.
Unable to drink.
Upper Airway Emergency - management
Maintain the airway.
Minimise time on scene.
Do not agitate the child.
Anaphylaxis - signs and symptoms
Severe allergic reaction.
Anaphylaxis - treatment
Acute Asthma - information
Still results in death.
Night/early morning presentation.
Precipitated by infection/pollen.
Acute inflammation of the airways - wheeze, mucus, plugging, hypoxia, dehydration.
Complication of Acute Asthma can be...
A Spontaneous Pneumothorax.
Acute Asthma - Indicators of severity
Wheeze = poor.
Accessory Muscle = better
SPO2 = poor
Respiratory rate = better
ETCO2 = better
Severe Asthma - signs and symptoms
Too breathless to feed or talk.
Recession/use of accessory muscles.
RR >50 (2-5yrs).
RR >30 (5-18yrs).
Peak flow < 50% predicted.
Life Threatening Asthma - signs and symptoms
Agitated/altered level of consciousness.
Poor respiratory effort/exhaustion.
High flow oxygen.
Nebulisers: salbutamol 2.5mg & ipratropium bromide 0.125-0.25mg.
Bronchiolitis - information
50% of infants will suffer form it during first 2 years of life.
Apnoea (suspension of external breathing).
Asthma & Bronchiolitis - treatment
Ipratropium bromide (para)
Pneumonia - signs & symptoms
Pleuritic chest pain.
Responsible for 150 deaths per annum.
Inhaled foreign body - signs & symptoms
Inspiratory stridor (creaking or grating noise)/apnoea.
History of coughing/gagging.
Inhaled foreign body - treatment
Never perform blind finger sweep.
infants 1yr = 5 x abdominal thrusts.
5 x ventilations.
Convulsing child - Simple Febrile
<15 mins, do not recur within 24 hrs
Convulsing child - Complex Febrile
>15 mins, recurs within 1hr-24hrs
Convulsing child - Status Febrile
Convulsing child - causes
Convulsing child - treatment
Dextrose 40% gel (para)
IM glucagon (para).
IV glucose (para)
Poisoning - assessment
Intentional by child.
Deliberate by adult.
Admit all overdoses.