Module 27: Special Patient Populations Flashcards
Describe the timeline for the following stages of development
infancy
toddler
preschool-age
school-age
adolescent
infancy: first year of life
toddler: 1 to 3 years
preschool-age: 3 to 6 years
school-age: 6 to 12 years
adolescent: 12 to 18 years
Describe differences in pediatric respiratory system
occiput larger (back of head)
airway less deeply curved
tongue proportionally larger
airways is smaller and not developed
diaphragmatic breathers
If children are breathing on their own, an EMT should look at their _____. If pediatric patients are being ventilated, EMTs should watch their _____.
belly
chest
Pediatric patients are rate dependent, meaning…
they have a higher heart rate than adults
Children are more likely to have ____ and ____ fractures
greenstick and growth plate
TorF: Children have thinner skin and less subcutaneous fat
True
What layer of skin absorbs trauma?
dermis
Describe the ABCs of the pediatric assessment triangle.
Appearance
Work of breathing
Circulation to skin
CRT should be obsessed up until age of
five
CPR should begin if children’s HR is less than ___bpm
60
TorF: When looking at breathing, EMTs should make sure the child’s shirt is off
True
What are some additional questions an EMT should ask caregivers of pediatric patients?
change in bowel/bladder habits
vomiting, diarrhea, abdominal pain
rashes
TorF: BP should be taken on patients one year and older
False, three years and above is the limit
What is a good systolic BP for a child?
70 + (2 x child’s age)
How does stridor differ from wheezing?
Stridor: upper airway, inhalation
Wheezing: lower airway, exhalation
Your pediatric pt presents with swelling in the upper airway and inspiratory stridor. Should you administer albuterol?
No, that is only for wheezing which is expiratory and in the lower airway. You can try to put in position of comfort and humidified oxygen.
How do epiglottitis and croup differ?
NOTE: BOTH HAVE STRIDOR
epiglottitis: bacterial, fever, inflammation of epiglottis, pt often drools because they can’t swallow
Croup: viral, inflammation of upper airway, seal-bark cough
TorF: If a pt with RSV is wheezing, you can treat with a bronchodilator like albuterol
true
TorF: dehydration is a common symptom of pertussis
true
Describe the state of the pop-off valve when using a BVM
the pop-off valve should be disengaged when using a BVM
Over ventilation in pediatric pts can cause
barotrauma and gastric distention
What is meningitis? What are the signs and symptoms of meningitis?
Inflammation of meninges
fever
neck stiffness
inability to look at light
If a pediatric pt is suffering from a febrile seizure, is it appropriate to remove their clothes?
Yes, EMTs should attempt to get the heat off them (no ice packs)
What are the maternal risk factors of SIDS?
younger than 20
smokes cigarettes
uses drugs/alcohol
inadequate prenatal care