REMSA EMT Division 3 (2023/2024) ALREADY PASSED

REMSA EMT Division 3 (2023/2024) ALREADY PASSED Neonate age Birth to 1 month Infant age 1 month to 1 year Toddler age 1 year to 3 years Preschool Age 3 years to 6 years School-age ages 6-12 years Adolescent 12 years to 18 years Child Assessment Triange General Appearance Work of Breathing Circulation of skin T.I.C.L.S Appearance tone, interactiveness, consolability, look/gaze, speech/cry AVPU Alert, Verbal, Pain, Unresponsive Physical Examination approach kids Toe to head Heart Rate and RR of Newborn-1 year 140 bpm and 40/min Heart Rate and RR 1-4 year 120 bpm and 30/min Heart Rate and RR 4-12 year 100 bpm ad 20/min Heart Rate and RR 12 years 80 bpm and 15/min 1-10 years old systolic BP Lower limit 70+(2xAge) Middle normal 80+(2xAge) Upper Limit 90+(2xAge) Pediatric Respiratory Distress Tachypnea, Masal Flaring, Accessory muscle use, Audible stridor, wheezing, Seesaw breathing, Irritability RX: Oxygen Pediatric Respiratory Failure Severe Tachypnea or bradypnea, Cyanosis, Decreased muscle tone, Marked accessory muscles, shock, ALOC, grunting, head bobbing Rx: PPV and O2 Pediatric Respiratory Arrest Agonal or absent breathing, Unresponsive, Bradycardia, Shock and hypotension RX: PPV and O2 Airway Obstruction infant 5 back blows by 5 Chest thrusts 2 fingertips, 1 fingerwidth below nipple line Croup SXS Shortness of breath and "barkinf seal" cough, often relieved by moist, cool air Croup Tx ABC's and Oxygenation Epiglottis TX NPO!, ABCs, O2, Avoid aggravating kid. (Life threatening) Croup vs Epiglottis Croup: Late fall/early winter 6 months- 4y/o sitting or supine Barking cough No drooling Onset is slow Temp 104 Cause is viral Epiglottis: