Pediatric Emergencies

Question 1

Treatment of kids

Answer 1

85% BLS skills

Question 2

Proper way to deal with kids

Answer 2

Tell them procedures right before you start

Question 3

Adenosine
MS
Epinephrine
Atropine
Narcan
Versed
Lidocaine

Answer 3

epi .01mg/kg
Adenosine .1mg-.2mg/kg
Versed 1mg/min
Atropine .02mg/kg (.1mg min dose)
Lidocaine 1mg/kg per dose
MS
Narcan

Question 4

Neonates

Answer 4

birth to 1 month

Question 5

Ductus venosis

Answer 5

Oxygenated blood from mom directly to the inferior vena cava bypassing the liver. Becomes ligamentum venosus

Question 6

Ductus arteriosis

Answer 6

Shunts blood from the pulmonary artery bypassing the lungs into the descending aorta. Stays open because the Pao2(partial pressure of O2 in arterial blood) is low.
after birth, 2-3 weeks, becomes ligamentum arteriosum.

Question 7

Foramen Ovale

Answer 7

1/3 of blood shunted from the inferior vena cava to the left ventricle through a flap valve between the atria. Closes when pressure in the left atrium exceeds the pressure in the right atrium

Question 8

Moro reflex

Answer 8

Hands spread out

Question 9

Rooting refles

Answer 9

baby turns its head toward anything that strokes its cheek or mouth.

Question 10

sucking reflex

Answer 10

roof of the mouth is touched, baby will begin to suck

Question 11

Palmar reflex

Answer 11

when an object touches their palm the fingers will close. persists to 5 or 6 months

Question 12

1month

Answer 12

eat sleep poop

Question 13

6months

Answer 13

Sit up

Question 14

9months

Answer 14

crawl

Question 15

12 months

Answer 15

walk

Question 16

1min apgar

Answer 16

score during birthing process

Question 17

5min apgar

Answer 17

score how theyre doing outside of uterus

Question 18

acrocyanosis

Answer 18

cyanotic extremities

Question 19

7 8 9 apgar

Answer 19

normal

Question 20

10 apgar

Answer 20

rare

Question 21

Pepp handshake

Answer 21

Brachial and femoral pulses

Question 22

Check for shock by?

Answer 22

Capillary refill

Question 23

Pediatric assessment triangle

Answer 23

Appearance, circulation, Work of breathing

Question 24

EMSC (EMS for Children)

Answer 24

Data collection
quality improvement
Rehab
Prehospital care

Question 25

Compromised breathing respiratory rate

Answer 25

Slow respiratory rate is an ominous sign

Question 26

Fontanels close up at what age

Answer 26

9-18 months

Question 27

Kids GCS Mild, moderate, severe

Answer 27

13-15mild | 9-12 severe

Question 28

Calculate peds weight in KG

Answer 28

Age x 2 + 8 = kg

Question 29

SCIWORA

Answer 29

Spinal cord injury without radiological abnormalities

Question 30

Protocols 161, 167, 172

Answer 30

?

Question 31

S/S of status asmaticus

Answer 31

Does not respond to usual use of inhaled bronchodilators, respiratory failure.

Question 32

PEEP

Answer 32

Positive End Expiratory Pressure

Question 33

Leading cause of ped poisoning

Answer 33

Chelated iron

Question 34

Bronchiolitis S/S

Answer 34

Swelling and mucus buildup in bronchioles Viral infection effects children up to 2yrs old, usually 3-6months can be caused by RSV (Respiratory Syncytial Virus)

Question 35

Common blunt trauma to chest in PED

Answer 35

Pulmonary contusion

Question 36

Common dysrhythmias in peds

Answer 36

bradycardia

Question 37

SIDS facts

Answer 37

?

Question 38

ALTE

Answer 38

Apparent Life Threatening Event

Question 39

4 months

Answer 39

flip over, rolling

Question 40

Neonate

Answer 40

birth to 1month

Question 41

language developement age

Answer 41

1-3yrs toddler

Question 42

When to expect shock in peds?

Answer 42

Tachycardia present

Question 43

cap refill is reliable sign of perfusion of what ages?

Question 44

PEPP handshake

Answer 44

Brachial and femoral pulses

Question 45

max age to give back blows

Answer 45

1yr old

Question 46

Suction pressure for infants

Question 47

Weight estimate formula (KG)

Answer 47

Age x 2 + 8 = kg

Question 48

Defib dose | Sync dose

Answer 48

2 then 4joules/kg | 1 then 2joules/kg

Question 49

Stages of respiratory compromise

Answer 49

Respiratory distress/ failure/ arrest

Question 50

Croup/Laryngeal Tracheal Bronchitis

Answer 50

Viral, slow onset, low fever

Question 51

Epiglottitis

Answer 51

Bacterial, Very sudden, higher fever

Question 52

Bronchiolitis

Answer 52

``` common in infants Resps 50ish Grunting Nasal flaring Intercostal resp. Pale wheezing (can be confused w/Asthma but typically younger) ```

Question 53

Epiglottitis Rx

Answer 53

humidified O2

Question 54

Shock rx

Answer 54

20cc/kg, may require 80-100cc/kg

Question 55

Meningitis

Answer 55

Bacterial(worse) or Viral Caused by strep Infection of meninges

Question 56

2 bigger organs in peds

Answer 56

Spleen and liver. Frequent abdominal trauma

Question 57

Most likely people to abuse children

Answer 57

Stepfather/boyfriend and stay at home mom

Question 58

most prominent age for choking

Answer 58

6 months