May 2015 CE
Site code # 107200E-1215
Pediatrics
Objectives by
Reviewed/revised by Sharon Hopkins, RN, BSN, EMT-P
To view on the Advocate Condell website visit:
http://www.advocatehealth.com/condell/2015-ems-continuingeducation
Date of CE presentation: May, 2015
Topic: Pediatrics
Behavioral Objectives:
Upon successful completion of this module, the EMS provider will be able to:
1. Recall and be able to apply the components of the Pediatric Assessment
Triangle to determine if the child is sick or not sick.
2. Distinguish between the patient in respiratory distress versus respiratory
failure.
3. Identify the components to tabulate for the GCS in the pediatric population.
4. Distinguish the stages of shock for the pediatric population.
5. Identify what could constitute an episode of ALTE (apparent life-threatening
event).
6. Identify the pain management plan for the pediatric patient and successfully
calculate dosing.
7. Actively participate in review of selected Region X SOP’s related to the
topic presented.
8. Actively participate in review and correct identification of a variety of
EKG rhythms.
9. Actively participate in case scenario and group discussion at your
respective licensed level.
10. Actively participate in calculating and drawing up pediatric doses of
medications.
11.Successfully complete the post quiz with a score of 80% or better.
Bibliography:
American Academy of Pediatrics. Pediatric Education for Prehospital
Professionals 3rd Edition. Jones and Bartlett. 2014
Bledsoe, B., Porter, R., Cherry, R. Paramedic Care Principles & Practices, 4th
edition. Brady. 2013.
Mistovich, J., Karren, K. Prehospital Emergency Care 9th Edition. Brady. 2010.
Region X SOP’s; IDPH Approved April 10, 2014.
Pediatric Assessment Triangle – PAT
Appearance
Work of Breathing
Circulation
IO Needles
Math Calculation
Formula #1:
Mg ordered = mg on hand
X ml
ml on hand
Line up mg across form mg and ml across from ml
Cross multiply
With fraction result, divide numberator (top number) by
denominator (bottom number)
Answer is ml needed
Formula #2:
D=DV
H
Desired ml = desired dose in mg x volume on hand
dose on hand (mg)
Lidocaine Discussion
Lidocaine packaging 100 mg / 5 ml
Patient weight 88 pounds; dose desired = 40 mg
Patient weight 130 pounds; dose desired = 50 mg
Patient weight 50 pounds; dose desired = 23 mg
OPQRST Assessment
O – onset
P – provocation / palliation
Q – quality in patinte’s words
R – radiation
S – severity on 0 – 10 scale or age appropriate scale
T – time started
Case Scenario #1
Fentanyl dose – for 132 pound 13 year-old
Packaged: 100 mcg/2 ml
Case Scenario #4
DCFS hot line 24/7 – 1-800-25- Abuse (1-800-252-2873
Group Practice #1
13 year-old – 90 pounds
BVM rate to assist ventilations –
Medication dosing:
Narcan –
Lidocaine DAI –
Lidocaine for IO pain control (packaged as 100 mg/5ml)
Group Practice #2
5 year-old; 45 pounds
Medication dosing:
Lidocaine for IO pain control (packaged as 100 mg/5ml)
Group Practice #3
2 year-old; 23 pounds
Medication dosing:
Epinephrine 1:10,000
Atropine
Etomidate
Versed
Group Practice #4
8 year-old; 60 pounds
Medication dosing:
Duoneb
Group Practice #5
15 year-old; 128 pounds
Medication dosing:
Glucagon
Dextrose
Narcan
File: CE, EMS; CE Packets; 2015: May Handout Peds