Blog

You are preparing to intubate a 4-year-old apneic patient. Which of the following uncuffed endotracheal tube sizes would be MOST appropriate?

ALS providers are dispatched to a daycare facility for a child short of breath. After assessing the patient, they suspect the child has croup. What unique treatment plan would they offer this patient during transport, if available?

Which of the following is the most likely clinical finding in a pediatric patient with a significant hemothorax?

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?

You arrive on the scene of a house fire. You are presented with an infant who has burns covering both legs. Which of the following represents the correct percentage of surface area involved?

You are treating a 7-year-old patient in cardiac arrest. The monitor shows ventricular fibrillation. Which of the following would be the appropriate energy setting for the SECOND shock if the patient weighs 30 kg?

Stable infants and toddlers should be assessed which of the following ways?

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 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? 

Clinical Judgement: On scene phase You are dispatched to a residential neighborhood for a 6-year-old male; 36 pound who was struck by a vehicle while crossing the street. Bystanders reported the child was thrown several feet and hit his head on the pavement. Traffic has been stopped, and bystanders are gathered. Reports indicate the child was hit by a car traveling approximately 30 mph (48 km/h). Bystanders stated child was running across the street when struck. Witnesses state he briefly lost consciousness. The patient is lying supine on the pavement, helmet not worn. Patients has no medical history and no known drug allergies. Patient has decreased level of consciousness with vomiting noted, Shallow, irregular, respiratory rate 24 breaths/min, SpO2 94% on room air, Pale skin, weak radial pulse at 130 bpm, capillary refill >3 seconds, Glasgow Coma Scale (GCS): 10. Right pupil dilated and sluggishly reactive, Posturing (decorticate).No significant bleeding, but bruising and deformity seen on the forehead. The patient’s mother is distraught and crying, asking if her child will be okay. What is your best response?