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9/11/2012
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Chapter 48
Pediatrics
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Learning Objectives
• Identify the role of the Emergency Medical Services for Children program.
• Identify age‐related illnesses and injuries in pediatric patients.
• Outline the general principles of assessment and management of the pediatric patient.
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9/11/2012
Learning Objectives
• Identify modifications in patient assessment techniques that assist in the examination of patients at different developmental levels.
• Describe the pathophysiology, signs and symptoms, and management of selected pediatric respiratory emergencies.
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Learning Objectives
• Describe the pathophysiology, signs and symptoms, and management of shock in the pediatric patient.
• Describe the pathophysiology, signs and symptoms, and management of selected pediatric dysrhythmias.
• Describe the pathophysiology, signs and symptoms, and management of pediatric seizures.
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Learning Objectives
• Describe the pathophysiology, signs and symptoms, and management of hypoglycemia and hyperglycemia in the pediatric patient.
• Describe the pathophysiology, signs and symptoms, and management of infectious pediatric emergencies.
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9/11/2012
Learning Objectives
• Identify common causes of poisoning and toxic exposure in the pediatric patient.
• Describe special considerations for assessment and management of specific injuries in children.
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Learning Objectives
• Outline the pathophysiology and management of sudden infant death syndrome.
• Describe the risk factors, key signs and symptoms, and management of injuries or illness resulting from child abuse and neglect.
• Identify prehospital considerations for the care of infants and children with special needs.
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Paramedic’s Role in Caring for Pediatric Patients
• Prehospital care and interfacility transfer
• Reduce mortality and morbidity for children
• Participate in school, community, and parent education programs
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9/11/2012
Paramedic’s Role in Caring for Pediatric Patients
• Provide documentation for – Prehospital trauma registries – Epidemiological research
– Surveillance
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Paramedic’s Role in Caring for Pediatric Patients
• Improvement of knowledge and clinical skills is important
– Continuing education programs include • Neonatal Resuscitation Program
• Neonatal Advanced Life Support
• Pediatric International Trauma Life Support • Pediatric Advanced Life Support
• Pediatric Education for Prehospital Professionals • Prehospital Pediatric Care
• Teaching Resource for Instructors of Prehospital Pediatrics
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Paramedic’s Role in Caring for Pediatric Patients
• Other ways to enhance continuing education and clinical skills
– Read textbooks and journals – Internet study
– Attend regional conferences and seminars
– Working or volunteering at pediatric emergency departments, pediatric hospitals, or a pediatrician’s office
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Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 4
9/11/2012
EMS for Children
• 1985: Emergency Medical Services for Children (EMS‐C) Demonstration Program established through grants provided by the Maternal and Child Health Bureau of the U.S. DHHS and by the NHTSA, a division of the U.S. DOT
• Designed to enhance and expand EMS for acutely ill and injured children
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EMS for Children
• Defined 12 basic components of an effective EMS‐C system
– System approach – Education
– Data collection
– Quality improvement – Injury prevention
– Access
– Prehospital care
– Emergency care – Definitive care – Rehabilitation
– Finance
– Continual health care from birth to young adulthood
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Are you familiar with any Emergency Medical Services for Children injury prevention programs in your area?
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