Sick kid approach PAT
pediatric acuity triangle
WOB
Circulation
Appearance
Sick kid approach PAT
WOB look for
breath sounds
positioning
retractions
nasal flarings
Sick kid approach PAT
apperance look for
tone
interactivness
gaze
cry
consolability
Sick kid approach PAT
circulation look for
pallor
mottling
low risk for pneumonia sats
if sat more than 95% (not explained by wheezes)
tachypnea not due to fever
NOT febrile
WOB (very specific for lower disease)
***if not febrile - prob not need to chest Xray
if hx of wheezing - do not do a chest Xray
only if wheeze + does not improve inhalation therapy does not improving
cardinal signs in peds
sats less than 95% (not explained by wheezes)
tachypnea not due to fever
Febrile
WOB (very specific for lower disease)
persistent tachy despite fluids worry about
SEPSIS
Bolus IV fluids for kids cc per kg
10-20cc per kg
IO access color for kids
pink - neonate 3-39kg
blue - mid
yellow - bigger
IO placement
tibial tuberosity
shoulder
IO when you insert the IO, make sure that
you see one line before drilling
NEONATE compression ventilation ratio when doing CPR
if closer to 1 day if closer to 30 days = not neonate
neonate: 3:1
vs everyone else 15:2
compression rate for everyone
100-120
advanced airway put in place ventilation rate
1 q 3 sec ish (change)
use atropine for RSI if pt
bradycardic + young infant
when to give epi in pea
ASAP
crash cart epi - 10ml = 1mg
dose for a child
if not responsive to fluids and require vasoactive support - consider
CORTICOSTEROIDS
hypotension in peds (post ROSC vs shock)
not responding to fluids
need for pressors - which one to start
epi or norepi
If pt who is at risk for arrest … things to optimize
phenylephrine or epi for BP
