1 | P a g e | © copyright 2024/2025 | Grade A+
ENPC Questions and Correct
Answers | Latest Update
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
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"
Pediatric Assessment Triangle : Appearance
→ ::- Most important. Reflects adequacy of ventilation, oxygenation,
brain perfusion, and central nervous system function.
Assess for : tone, interactiveness, consolability, look/gaze, and speech/cry.
Pediatric Assessment Triangle : Work of Breathing
Master01 | September, 2024/2025 | Latest update
, 1 | P a g e | © copyright 2024/2025 | Grade A+
→ ::- Breathing easy, even, and unlabored or tripod position, nasal flaring,
retractions, supraclavicular retractions
Pediatric Assessment Triangle : Circulation to the skin
→ ::- Mottling or PWD
PQRST for Pain
→ ::- (pg86)
Precipitating and palliating factors
Quality
Radiation
Severity, symptoms, and site
Time or triggering factors
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.
What age is the respiratory system considered fully developed?
Master01 | September, 2024/2025 | Latest update
, 1 | P a g e | © copyright 2024/2025 | Grade A+
→ ::- 8 years old
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.
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
6P's Assessment for Musculoskeletal Trauma
Master01 | September, 2024/2025 | Latest update
, 1 | P a g e | © copyright 2024/2025 | Grade A+
→ ::- (pg 283)
Pallor : color different from uninjured
Pain
Pulselessness
Parasthesia
Paralysis
Poikilothermia
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.
Master01 | September, 2024/2025 | Latest update
