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ENPC comboset Complete 2022 Course ENPC Institution ENPC Components in the prioritization of pediatric emergency care (4) PAT, Focused Assessment (objective information), Focused pediatric Hx(subjective information),$10.99
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enpc comboset complete 2022 course enpc institution enpc components in the prioritization of pediatric emergency care 4 pat
focused assessment objective information
focused pediatric hxsubjecti
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ENPC comboset
1. Components in the prioritization of pediatric emergency care (4): PAT,
Focused Assessment (objective information), Focused pediatric Hx(subjective
information), assignment of an acuity rating decision
2. Pediatric Assessment Triangle : (3) components: Appearance. Work of
Breathing. Circulation to the skin. This forms the "general impression".
If there is an acute disruption in 1 component, child is "sicker".
If there is an acute disruption in 2+ components the child is "sickest"
3. Pediatric Assessment Triangle : Appearance: Most important. Reflects ad-
equacy of ventilation, oxygenation, brain perfusion, and central nervous system
function.
Assess for : tone, interactiveness, consolability, look/gaze, and speech/cry.
4. Pediatric Assessment Triangle : Work of Breathing: Breathing easy, even,
and unlabored or tripod position, nasal flaring, retractions, supraclavicular retrac-
tions
5. Pediatric Assessment Triangle : Circulation to the skin: Mottling or PWD
6. PQRST for Pain: (pg86)
Precipitating and palliating factors
Quality
Radiation
Severity, symptoms, and site
Time or triggering factors
7. Verbal Report for pain: (pg86)
Self-report is the most reliable indicatior of pain; however not all pediatric pt are
capable or wiling to verbalize their discomfort.
8. What age is the respiratory system considered fully developed?: 8 years
old
9. Most age to , are concrete thinkers and interpret words
literally.
Where as, most age to , are magical and illogical thinkers. They
often confuse coincidence with causation, and have difficulty distinguising
fantasy from reality.: (pg36)
Most Toddlers age 1yo to 3yo , are concrete thinkers and interpret words literally.
Where as, most Preschoolers age 3yo to 5yo, are magical and illogical thinkers.
They often confuse coincidence with causation, and have difficulty distinguising
fantasy from reality.
, ENPC comboset
10. Hypotension related to hypovolemia in pediatric trauma patients is a
sign and may indicate a loss of % to % of their circulating blood
volume.: (pg262)
Late sign.
20% to 25% of circulating blood volume
11. 6P's Assessment for Musculoskeletal Trauma: (pg 283)
Pallor : color different from uninjured
Pain
Pulselessness
Parasthesia
Paralysis
Poikilothermia
12. Burn Transfer Criteria: 1. Partial thickness >10% of BSA
2. Face, hands, feet, genetalia, perineum or major joints
3. Third degree burns in any age group.
4. Electrical burns, including lightning injury, and chemical burns.
5. Inhalation injury.
6. Burn injury in pt with preexisting medical disorders that could complicate tx.
7. Concomitant trauma (such as fx) in which the burn injury poses the greatest risk
of morbidity or mortality.
8. Burned children in hospital wo qualified equipment or personnel to care for them
9. Pt who will require special social, emotional, or rehabilitative intervention.
13. If live interpreter not available for 15mins use : Language line
interpreter
14. Infants are obligate nose breathers. If nose is obstructed :-
suction nose
15. Opiod antidote: Narcan
16. Benzo antidote: Romazicon
17. Neutropenic pt with a temperature: Don't take rectal temp.
No invasive procedures if not necessary.
18. Nonblanchable Rashes of concern: Meningocoxcemia
Petiachia/Purpura
19. Bicycle accident concerns: Did pt strike handle bars?
Possible abdominal injury
Ribs are more horizontal and provide less protection.
20. Normal Urine Output for child: 1 to 2ml / Kg / Hr
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