pediatric emergencies & childbirth emt 100 guidelines in dealing with children get parental...
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Pediatric Emergencies &Childbirth
EMT 100
Guidelines in Dealing with Children
Get parental consent (implied in emergency) Involve the parent(s)? Talk TO child Try to be close to eye level Don’t lie or surprise!
Croup – inflammation of the larynx, trachea, and bronchi
Usually between 3 months and 3 years
– Usually while asleep Complication of viral infection,
eg cold Difficulty breathing Crowing sound on inspiration
(inspiratory stridor) Seal-like barking cough Breath cool moist air for 5
minutes– If no improvement after 5
minutes, EMS!
Epiglottitis
Usually between 3 –10 years Caused by bacterial infection High fever Difficulty breathing Inspiratory stridor Drooling Try moist air breathing Will need antibiotics and
possibly EMS
Seizures (Tonic-Clonic)
Most common are febrile Toxin ingestion Treat as any seizure and get follow up medical
care
Child Abuse: Treat and Notify Police or County Protective Services
Wounds in different stages of healing Wounds that suggest defensive posturing
– Hands and forearms– Back, back of head,back of legs
“Fishy” explanation
Emergency Childbirth
Signs that birth is imminent:
Contractions 2-3 minutes apart or less– How is the interval timed?
Mother feels urge to push with each contraction Crowning
Preparation
Get mother comfortable (prop with pillows) Drape abdomen, each leg, as well as under
her Wash hands! Get ready for the big “catch”
Delivery: Head
Delivery: Shoulders
Head and shoulders rotatenaturally
If possible, clear airway
Delivery: Chest and Rest of Body
Delivery: Catch!
Lay baby NEXT to Mother and:
Clear Airway Towel dry and wrap in
dry blanket If not breathing (crying)
yet, clear airway again, and flick soles of feet
If still not breathing, give 2 breaths, check pulse and CPR if needed
EMS
Two most important concerns:
Airway & Breathing
Preventing heat loss
Cutting the cord
After drying and breathing has started
Make two ties: 4 inches from baby and 6 inches from baby
Cut between
Placenta Delivery
With infant wrapped up and breathing, and cord cut, place on mother’s abdomen
Let placenta deliver passively!
Three things have to go to hospital:
Mother Baby Placenta
Surprises! (Complications)
Twins Prematurity
– More prone to airway/breathing problems & heat loss Breech
– Tush and feet appear first– Footling breech- arm or leg appears first
True obstetrical emergency
Nuchal cord – cord around infant’s neck– Slip over baby’s head
Prolapsed cord – cord comes out first– True obstetrical emergency
Ectopic Pregnancy
Female of child rearing age Sudden onset of belly pain with no obvious
cause Development of shock Treat shock and activate EMS
Hit the books!