pediatric emergencies & childbirth emt 100 guidelines in dealing with children get parental...
TRANSCRIPT
![Page 1: Pediatric Emergencies & Childbirth EMT 100 Guidelines in Dealing with Children Get parental consent (implied in emergency) Involve the parent(s)? Talk](https://reader036.vdocuments.site/reader036/viewer/2022062517/56649e885503460f94b8d145/html5/thumbnails/1.jpg)
Pediatric Emergencies &Childbirth
EMT 100
![Page 2: Pediatric Emergencies & Childbirth EMT 100 Guidelines in Dealing with Children Get parental consent (implied in emergency) Involve the parent(s)? Talk](https://reader036.vdocuments.site/reader036/viewer/2022062517/56649e885503460f94b8d145/html5/thumbnails/2.jpg)
Guidelines in Dealing with Children
Get parental consent (implied in emergency) Involve the parent(s)? Talk TO child Try to be close to eye level Don’t lie or surprise!
![Page 3: Pediatric Emergencies & Childbirth EMT 100 Guidelines in Dealing with Children Get parental consent (implied in emergency) Involve the parent(s)? Talk](https://reader036.vdocuments.site/reader036/viewer/2022062517/56649e885503460f94b8d145/html5/thumbnails/3.jpg)
Croup – inflammation of the larynx, trachea, and bronchi
Usually between 3 months and 3 years
– Usually while asleep Complication of viral infection,
eg cold Difficulty breathing Crowing sound on inspiration
(inspiratory stridor) Seal-like barking cough Breath cool moist air for 5
minutes– If no improvement after 5
minutes, EMS!
![Page 4: Pediatric Emergencies & Childbirth EMT 100 Guidelines in Dealing with Children Get parental consent (implied in emergency) Involve the parent(s)? Talk](https://reader036.vdocuments.site/reader036/viewer/2022062517/56649e885503460f94b8d145/html5/thumbnails/4.jpg)
Epiglottitis
Usually between 3 –10 years Caused by bacterial infection High fever Difficulty breathing Inspiratory stridor Drooling Try moist air breathing Will need antibiotics and
possibly EMS
![Page 5: Pediatric Emergencies & Childbirth EMT 100 Guidelines in Dealing with Children Get parental consent (implied in emergency) Involve the parent(s)? Talk](https://reader036.vdocuments.site/reader036/viewer/2022062517/56649e885503460f94b8d145/html5/thumbnails/5.jpg)
Seizures (Tonic-Clonic)
Most common are febrile Toxin ingestion Treat as any seizure and get follow up medical
care
![Page 6: Pediatric Emergencies & Childbirth EMT 100 Guidelines in Dealing with Children Get parental consent (implied in emergency) Involve the parent(s)? Talk](https://reader036.vdocuments.site/reader036/viewer/2022062517/56649e885503460f94b8d145/html5/thumbnails/6.jpg)
Child Abuse: Treat and Notify Police or County Protective Services
Wounds in different stages of healing Wounds that suggest defensive posturing
– Hands and forearms– Back, back of head,back of legs
“Fishy” explanation
![Page 7: Pediatric Emergencies & Childbirth EMT 100 Guidelines in Dealing with Children Get parental consent (implied in emergency) Involve the parent(s)? Talk](https://reader036.vdocuments.site/reader036/viewer/2022062517/56649e885503460f94b8d145/html5/thumbnails/7.jpg)
Emergency Childbirth
![Page 8: Pediatric Emergencies & Childbirth EMT 100 Guidelines in Dealing with Children Get parental consent (implied in emergency) Involve the parent(s)? Talk](https://reader036.vdocuments.site/reader036/viewer/2022062517/56649e885503460f94b8d145/html5/thumbnails/8.jpg)
Signs that birth is imminent:
Contractions 2-3 minutes apart or less– How is the interval timed?
Mother feels urge to push with each contraction Crowning
![Page 9: Pediatric Emergencies & Childbirth EMT 100 Guidelines in Dealing with Children Get parental consent (implied in emergency) Involve the parent(s)? Talk](https://reader036.vdocuments.site/reader036/viewer/2022062517/56649e885503460f94b8d145/html5/thumbnails/9.jpg)
Preparation
Get mother comfortable (prop with pillows) Drape abdomen, each leg, as well as under
her Wash hands! Get ready for the big “catch”
![Page 10: Pediatric Emergencies & Childbirth EMT 100 Guidelines in Dealing with Children Get parental consent (implied in emergency) Involve the parent(s)? Talk](https://reader036.vdocuments.site/reader036/viewer/2022062517/56649e885503460f94b8d145/html5/thumbnails/10.jpg)
Delivery: Head
![Page 11: Pediatric Emergencies & Childbirth EMT 100 Guidelines in Dealing with Children Get parental consent (implied in emergency) Involve the parent(s)? Talk](https://reader036.vdocuments.site/reader036/viewer/2022062517/56649e885503460f94b8d145/html5/thumbnails/11.jpg)
Delivery: Shoulders
Head and shoulders rotatenaturally
If possible, clear airway
![Page 12: Pediatric Emergencies & Childbirth EMT 100 Guidelines in Dealing with Children Get parental consent (implied in emergency) Involve the parent(s)? Talk](https://reader036.vdocuments.site/reader036/viewer/2022062517/56649e885503460f94b8d145/html5/thumbnails/12.jpg)
Delivery: Chest and Rest of Body
![Page 13: Pediatric Emergencies & Childbirth EMT 100 Guidelines in Dealing with Children Get parental consent (implied in emergency) Involve the parent(s)? Talk](https://reader036.vdocuments.site/reader036/viewer/2022062517/56649e885503460f94b8d145/html5/thumbnails/13.jpg)
Delivery: Catch!
![Page 14: Pediatric Emergencies & Childbirth EMT 100 Guidelines in Dealing with Children Get parental consent (implied in emergency) Involve the parent(s)? Talk](https://reader036.vdocuments.site/reader036/viewer/2022062517/56649e885503460f94b8d145/html5/thumbnails/14.jpg)
Lay baby NEXT to Mother and:
Clear Airway Towel dry and wrap in
dry blanket If not breathing (crying)
yet, clear airway again, and flick soles of feet
If still not breathing, give 2 breaths, check pulse and CPR if needed
EMS
![Page 15: Pediatric Emergencies & Childbirth EMT 100 Guidelines in Dealing with Children Get parental consent (implied in emergency) Involve the parent(s)? Talk](https://reader036.vdocuments.site/reader036/viewer/2022062517/56649e885503460f94b8d145/html5/thumbnails/15.jpg)
Two most important concerns:
Airway & Breathing
Preventing heat loss
![Page 16: Pediatric Emergencies & Childbirth EMT 100 Guidelines in Dealing with Children Get parental consent (implied in emergency) Involve the parent(s)? Talk](https://reader036.vdocuments.site/reader036/viewer/2022062517/56649e885503460f94b8d145/html5/thumbnails/16.jpg)
Cutting the cord
After drying and breathing has started
Make two ties: 4 inches from baby and 6 inches from baby
Cut between
![Page 17: Pediatric Emergencies & Childbirth EMT 100 Guidelines in Dealing with Children Get parental consent (implied in emergency) Involve the parent(s)? Talk](https://reader036.vdocuments.site/reader036/viewer/2022062517/56649e885503460f94b8d145/html5/thumbnails/17.jpg)
Placenta Delivery
With infant wrapped up and breathing, and cord cut, place on mother’s abdomen
Let placenta deliver passively!
![Page 18: Pediatric Emergencies & Childbirth EMT 100 Guidelines in Dealing with Children Get parental consent (implied in emergency) Involve the parent(s)? Talk](https://reader036.vdocuments.site/reader036/viewer/2022062517/56649e885503460f94b8d145/html5/thumbnails/18.jpg)
Three things have to go to hospital:
Mother Baby Placenta
![Page 19: Pediatric Emergencies & Childbirth EMT 100 Guidelines in Dealing with Children Get parental consent (implied in emergency) Involve the parent(s)? Talk](https://reader036.vdocuments.site/reader036/viewer/2022062517/56649e885503460f94b8d145/html5/thumbnails/19.jpg)
Surprises! (Complications)
Twins Prematurity
– More prone to airway/breathing problems & heat loss Breech
– Tush and feet appear first– Footling breech- arm or leg appears first
True obstetrical emergency
Nuchal cord – cord around infant’s neck– Slip over baby’s head
Prolapsed cord – cord comes out first– True obstetrical emergency
![Page 20: Pediatric Emergencies & Childbirth EMT 100 Guidelines in Dealing with Children Get parental consent (implied in emergency) Involve the parent(s)? Talk](https://reader036.vdocuments.site/reader036/viewer/2022062517/56649e885503460f94b8d145/html5/thumbnails/20.jpg)
Ectopic Pregnancy
Female of child rearing age Sudden onset of belly pain with no obvious
cause Development of shock Treat shock and activate EMS
![Page 21: Pediatric Emergencies & Childbirth EMT 100 Guidelines in Dealing with Children Get parental consent (implied in emergency) Involve the parent(s)? Talk](https://reader036.vdocuments.site/reader036/viewer/2022062517/56649e885503460f94b8d145/html5/thumbnails/21.jpg)
Hit the books!
![Page 22: Pediatric Emergencies & Childbirth EMT 100 Guidelines in Dealing with Children Get parental consent (implied in emergency) Involve the parent(s)? Talk](https://reader036.vdocuments.site/reader036/viewer/2022062517/56649e885503460f94b8d145/html5/thumbnails/22.jpg)