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A comprehensive collection of questions and answers related to pediatric emergency medicine. it covers a wide range of topics, including the pediatric assessment triangle, shock management, airway management, and the treatment of common pediatric emergencies such as croup and epiglottitis. The q&a format facilitates learning and knowledge retention, making it a valuable resource for students and professionals in the field. The detailed explanations and practical advice make it suitable for both classroom learning and real-world application.
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ANS Early
ANS Hypotension
volume is lost ANS 25%
ANS Applying oxygen Checking bedside blood glucose
ANS Until at least one year of age
ANS Toddlers
ANS Preschoolers Magical and
it logical thinkers Take things literally
ANS Pain Darkness Body mutilation Being alone
ANS School age kids Beers include separation from parents, loss of control, and physical disability
ANS Body a parent is the most important thing
ANS Child- hood obesity
ANS Three years old
Safety
ANS Objective
ANS Subjective
Inspect the color of central areas such as lips and mucous membranes Assessed for pallor, molting, or cyanosis Is the patient flushed or diaphoretic
gle? ANS Sick Sicker
Sickest
be ranked as? ANS Sick
be ranked? ANS Sicker
will the patient receive? ANS Sickest
ANS Rapid resuscitation
ANS Typically a respiratory event leads to a cardiac event
ANS Stabilize the C-spine and stop any bleeding
ANS Jaw thrust maneuver
ANS In a semi conscious or conscious patient
ANS 1-1.5 ml/kg / hour
ANS Respira- tory arrest
ANS Shock
normal tissue and cellular function. It is the in balance between supply and demand at the cellular level. ANS Shock
we should do? ANS Place them on oxygen
ANS Plasma leakage/fluid shifts. This results in puffy kids. DIC, inflammatory responses, intracellular acidosis, ards, and MODS are also seen in shock
Burns? ANS Lactated ringer fluid replacement using the Parkland formula.
ANS In early Shock or warm Shock there is flash cab refill. Look for bounding pulses
fever and flushed skin
ANS Adenosine
ANS Pneumothorax - you will want to do needle aspiration that the second intercostal space in the midclavicular line and you want to always place a chest tube after PDA - start this patient on prostaglandins. Do not give this patient any Motrin as it can help the PDA to close. Tampa nod - you need to pull the fluid off surrounding the heart PE Congenital heart disease
is in shock? ANS 1 mL per kilo
ANS Cardiac monitoring
ANS I feeling underneath of the leg when flushing
ANS For 24 hours or until you get another form of access
ANS Preoxy- genation Atropine, this drug maybe used for patients less than eight years old
Prepare for any alternative things that may have to happen such as cric Consider lido
ANS Pneumothorax Gastric dissension
ANS Auscultation CO2 detector Chest x-ray Capnography
ANS LMA mask Needle cricothyrotomy
sign is seen via x-ray. You will want to inform parents to do coolness, take the child outside or open the freezer. Steam from the shower can also help. Administer steroids for inflammation. Give her Seemic Kathy for relief up to two hours, observation is key. ANS Croup
ANS Whooping cough Bacterial - contagious Thank you Bashan is 7 to 10 days Usually worse at night Droplet cautions Erythromycin is the anabiotic of choice
or ANS Respiratory or metabolic compromise
ANS Two times that of an adults
compromise. Greater than 220 bpm in infants and greater than 180 bpm in children. Absent or hard to see P waves. Rapid onset ANS SVT
adenosine and you want to flush it fast with a 10 mL Saline flush and using the stopcock method. ANS Adenosine
ment
ANS Synchronize cardioversion. Consider sedation. 0.5 J/Kg. Make sure that machine is in synchronized mood. Refer patient to cardiology.
ANS Vagal maneuver Aka using ice to the face blowing through an obstructed straw
Rapid HR with wide QRS complex Tombstone like appearance No p waves Sometimes pulseless
Signs of shock Initiate CPR Administer at the every 3 to 5 minutes
ANS Acidosis or hypox- ia
ANS Initiate droplet precautions and start anabiotic's that the patient is going to be admitted