Preparation and Triage - correct answer 1) Activate trauma or resuscitation team if needed
2) Prepare room: pediatric equipment, scale/length based
... [Show More] resuscitation tape, Peds drug binders, warmer
3) PPE (especially if fever)
"The patient has just arrived" - correct answer 1) Uncontrolled hemorrhage?
2) Appearance
3) WOB
4) Circulation to the skin
(0 = sick, 1 = sicker, 2-3 = sickest)
A - correct answer Airway and Alertness
***1) AVPU (Alert, Verbal, Pain, Unconscious)*
2) Head tilt/chin lift or ask to open mouth
(if trauma, need 2nd person and jaw thrust)
***3) Look for... tongue, foreign object, blood/vomit/secretions, edema, (snoring/gurgling/stridor, teeth, bony deformity)*
(babies are nasal breathers so check nasal airway)
4) Suction, towel under shoulders, position, oral/nasal airway, intubation?
*REASSESS*
B - correct answer Breathing & Ventilation
***1) Spontaneous breathing/chest rise, depth/pattern/rate, WOB, skin color (breath sounds present/equal, tracheal deviation, subcut. emphysema)*
2) Oxygen, ventilation with bag/mask, intubate?, chest tube, needle thoracentesis
*REASSESS*
C - correct answer ***1) Palpate central AND distal pulse, Inspect AND palpate skin for color/temp/moisture, cap refill (check for hemorrhage if trauma)*
2) IV/IO access (labs if starting), bolus? (10 if neonate, 20 for infant/child), compressions?, cardiac monitor if dysthymia
*REASSESS*
D - correct answer Disability
***1) GCS: "eye opening, verbal response, motor response"*
2) Pupils PERRL
3) Glucose? need to intubate (GCS <8)?
*REASSESS*
E - correct answer Exposure & Environment
**1) Remove clothes*
**2) Check for hemorrhage*
**3) Check for obvious signs of illness/injury*
4) Keep warm: blankets, room temp, warmer, warmed fluid
F - correct answer Full set of vitals & Family
1) Full vitals
2) Weight
3) Facilitate family presence
G - correct answer Get adjuncts and Give comfort (LMNOP)
1) Labs: glucose, CBC, blood cultures, blood typing, blood gas, lactate
2) Monitor hookup
3) NG/OG?
4) Oximetry (end tidal capnography if vented or sedated)
**5) Pain assessment* [Show Less]