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What are the ABCDE of emergency care?
- Airway
- Breathing
- Circulation
- Disability
- Exposure
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What as AVPU when assessing for disability?
- Alert
- responds to Voice, Pain, Unresponsive
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What do you do after the initial ABCDE assessment?
FGHI.
- Full vitals
- Give comfort
- Head to toe assessment
- Inspect back
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What are the weights for a 1, 5, and 10 yr old?
10, 20, 30kg.
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In the head to toe assessment, you use the SAMPLE method to get a brief hx. What is it?
- Signs and symptoms
- Allergies
- Meds
- Prior hx and injury
- Last meal
- Events surrounding injury
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Most common cause of pulmonary arrest in children?
Hypoxia
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What are Waddell's triad of injuries?
Injury to femur, intra-abdominal, head.
Significant internal bleeding. Might want to remember that when you see one of the signs, might expect the others; even when they don't present.
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What is the "silent event" that is 2nd in accidental death in children?
Submersion injury (drowning or near drowning).
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What is diff between drowning and near drowning?
Drowning - asphyxia and death w/in 24 hours
Near-drowning - if they live beyond 24 hours. regardless of outcome.
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Where is the most common place children drown?
swimming pools. next is bathtubs
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What age of infants do you have to worry about separation anxiety d/t hospitalization?
6-18 months
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What are the signs of separation anxiety in an infant?
- 1st: Protest
- 2nd: Despair (develomental regressions)
- 3rd: Detachment (lack of interaction between unfamils people)
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What is the erikson's stage for toddlers? What age are toddlers?
2-3 years. Autonomy vs shame and doubt.
remember they have hard time understanding directions, tx, everything that's going on.
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What is erikson's stage for preschoolers?
Initiative vs guilt
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What are are preschoolers?
3-5
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What is a common problem for hospitalized preschoolers?
they feel like they caused the problem. (initiative vs guilt)
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Will you let a preschooler handle equipment to have them better understand the situation?
Yes.
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Should you tell a preschooler that it's "ok to cry"?
Yes.
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What age are "school-age" children?
6-11
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What erikson stage are school-age children?
industry vs inferiority
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School-age children can begin to understand cause and effect?
yes
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school-age children fears what?
loss of control.
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what do school age children worry about when being in the hospital?
being separated from friends. "i'm different".
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What stage are adolescents?
identity vs role confusion
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What is the best way to approach school-age and adolescents?
facts
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What kind of play would you do with a infant?
soft toys, noise toys, large blocks, toys that break apart.
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what play would you do with a toddler?
cloth books, large crayons, push and pull toys, large piece puzzles
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what play would you do with a preschooler?
draw, paint, jump, run, educational tv/videos
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what play would you do with school-age and adolescents?
solitaire, game room, arts and crafts, instruments.
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Remember that parents are most important. if parents refuse, children have problems.
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What are the goals of terminal care?
pain tx
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What are signs of an impeding death?
- loss of sensation
- feel heat
- lossof senses
- confusion, LOC, slurred speech
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What are "raccoon eyes"?
pariorbital ecchymosis. basal skull fracture.
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