Clinical Judgement: Enroute phase You are dispatched to a re…

Clinical Judgement: Enroute phase You are dispatched to a residential home for a 2-year-old female; 22 pound with burn injuries. The caregiver states the child “accidentally spilled hot water on herself” while playing in the kitchen. What will be the most concerning finding on this pediatric patient?

Clinical Judgement: On scene phase You are dispatched to a r…

Clinical Judgement: On scene phase You are dispatched to a residence for a 4-month-old male patient; 15 pound experiencing a prolonged seizure. The caregiver reports the child has been seizing for over 10 minutes and is unresponsive. The apartment is dimly lit, and the caregiver single father, 22 years old, he appears anxious but inconsistent in their story. No visible signs of trauma in the environment. The father reports the baby was “acting weird,” then started convulsing. No known medical conditions, Full term birth, no complication. Vaccination is up to date, no known medication allergies. Patient is currently seizing with irregular, periods of apnea, respiratory rate 20 breaths/min, SpO2 90% on room air. Patient is warm, pale, weak pulse at 160 bpm, capillary refill >3 seconds, and Glasgow Coma Scale 6. The caregiver states, “I just shook him a little because he wouldn’t stop crying.” What should your priority action be?

Phase: On Scene You are dispatched to a 10-month-old male re…

Phase: On Scene You are dispatched to a 10-month-old male reported to be lethargic and not responding normally. The mother states the child had a low-grade fever and poor feeding over the past day. Upon arrival, you find the infant pale, weak, and barely responsive, with a heart rate of 70 bpm on the monitor. His respiratory rate is shallow and slow, and capillary refill is delayed.  When should atropine be considered for pediatric bradycardia?