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- p. 28added include crew resource management across all levels and disease transmission in the EMT, AEMT and paramedic curricula. Pediatric and Geriatric Content Competencies Individual sections for pediatrics and geriatrics have been removed, with ... education content addressing these special populations now incorporated throughout the education standards. This change is based on recommendations from pediatric-focused stakeholders, scientific evidence and consensus among clinical partners. Concepts related to geriatric and pediatric patients deserve equitable
- p. 53physiology of neonatal circulation (C,C) Pediatrics The Education Standards now integrate assessment, diagnostic, treatment and disposition modifications for pediatric-specific diseases and emergencies into each section of the document. Geriatrics The Education Standards now integrate assessment, diagnostic
- p. 51aspects of age-related assessment and treatment modifications for the major or common diseases and/or emergencies associated with pediatric and geriatric patients) • Open fractures (S,S) • Closed fractures (S,S) • Dislocations (S,S) • Amputations (S,S) • Open fractures ... Amputations/replantation (C,F) • Upper and lower extremity orthopedic trauma (C,C) • Sprains/strains (F,F) • Pelvic fractures (C,F) • Pediatric fractures (F,F) • Tendon laceration/ transection/ rupture (Achilles and patellar) (F,F) Soft Tissue Trauma (Include psychosocial aspects
- p. 27Practice subject matter experts, in EMS evidenced-based literature and numerous other sources. When it comes to pediatric populations, EMS for Children identified a significant need for additional training in this area and called for specific teaching ... pediatric dosing and troubleshooting abnormal situations. As a result, the pharmacology section has been expanded for EMR, EMT, AEMT and paramedics. It is not enough to solely teach pharmacology in a traditional didactic manner. This skill should include
- IFRC — International First Aid, Resuscitation and Education Guidelines 2020IFRC — Global First Aid Reference Centre
- p. 434e259. de Caen AR, Maconochie IK, Aickin R, Atkins DL, Biarent D, … Guerguerian A-M. (2015). Part 6: Pediatric Basic Life Support and Pediatric Advanced Life Support. Pediatrics. American Academy of Pediatrics; 2015 Nov 1;136(Supplement ... Aickin, R., Hazinski, M. F., Atkins, D. L., Bingham, R., Couto, T. B., ... & Ong, G. Y. (2020). Pediatric Life Support: 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations. Circulation, 142(16_suppl
- p. 461systematic reviews El-Radhi, A. S. M. (2012). Fever management: Evidence vs current practice. World journal of clinical pediatrics, 1(4), 29. https://doi.org/10.5409/wjcp.v1.i4.29 Education references El-Radhi, A. S. M. (2012). Fever management: Evidence vs current ... practice. World Journal of Clinical Pediatrics, 1(4), 29–33. https://www.ncbi.nlm.nih.gov/pmc/articles/pmc4145646/ Patricia, C. (2014). Evidence-based management of childhood fever: What pediatric nurses need to know. Journal of Pediatric Nursing, 29(4), 372-375. https://doi.org
- p. 435Telford, R., Holubkov, R., Slomine, B. S., Christensen, J. R., Dean, J. M., & Moler, F. W. (2016). Pediatric out-of-hospital cardiac arrest characteristics and their association with survival and neurobehavioral outcome. Pediatric critical care medicine: a journal ... Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 17(12), e543. DOI: 10.1097/PCC.0000000000000969 Education references Anderson, C. R., & Taira, B. R. (2018). The train-the-trainer model
- p. 458doi.org/10.1016/j.jaci.2005.12.1303 Sicherer, S. H., & Simons, F. E. R. (2017). Epinephrine for first-aid management of anaphylaxis. Pediatrics, 139(3). Education references Alvarez-Perea, A., Tanno, L. K., & Baeza, M. L. (2017). How to manage anaphylaxis in primary ... Factors determining the ability of parents to effectively administer intramuscular adrenaline to food allergic children. Pediatric allergy and immunology, 17(3), 227-229. https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1399-3038.2006.00392.x Brockow, K., Schallmayer, S., Beyer, K., Biedermann, T., Fischer, J., Gebert
- p. 22Damage Control Resuscitation CPG ID: 18 APPENDIX B: PEDIATRIC CONSIDERATIONS There are no prospective studies of transfusion resuscitation in pediatric trauma. Most major children’s centers extrapolate from adult literature and are using similar damage control resuscitation strategies ... half of a WB unit may provide adequate initial resuscitation, which can then be further titrated. Pediatric approved Intraosseous (IO) devices can be used for transfusion if required. Note that sternal IOs designed for adults may pierce
- p. 23Damage Control Resuscitation CPG ID: 18 References for Pediatric Considerations: 1. Neff LP, Cannon JW, Morrison JJ, et al. Clearly defining pediatric massive transfusion: cutting through the fog and friction with combat data. J Trauma Acute Care Surg ... discussion 28-9. 2. Eckert MJ, Wertin TM, Tyner SD, et al. Tranexamic acid administration to pediatric trauma patients in a combat setting: the pediatric trauma and tranexamic acid study (PED-TRAX). J Trauma Acute Care Surg
- p. 132normalize potassium • Magnesium Sulfate should be diluted into 50-100 mL NS or D5W for all adult and pediatric infusions • Pediatrics: Rapid infusion may cause hypotension or bradycardia. Have calcium chloride available to reverse magnesium toxicity ... over 15-30 mins followed by 1-2 g/hr continuous infusion for 24 hrs PEDIATRIC (Always reference BROSELOW Tape) Pulseless Torsades de Pointes • IV / IO o 25-50 mg/kg bolus (max dose: 2 g) Status Asthmaticus
- p. 107Precautions • Normally causes sedation but may cause paradoxical excitation in children • Rapid IV infusion may precipitate seizures in pediatrics • May cause sedation and respiratory depression especially when used with other sedatives or alcohol • May cause hypotension (use with ... hemoglobinuria, rise in venous pressure, distended neck veins, crackles in lung bases) • IV / IM o 25 mg once PEDIATRIC (Always reference BROSELOW Tape) Anaphylaxis / Anaphylactic Shock • IV / IM / PO o 1-2 mg/kg (max dose: 50 mg) Allergic
- p. 152provided written orders by referring provider • No Analgesic properties. Must supplement with analgesic agents • Potential to cause seizures • Pediatrics: use with opioids may cause serious bradycardia • Pregnancy: Category B Lactation: Not recommended Dose / Administration ADULT Sedation ... required when used with opioids Note: Not preferred in Burn patients in the first 48-72 hrs PEDIATRIC (Always reference BROSELOW Tape) Sedation / RSI • IV Push o 1-2.5 mg/kg q 5-10 mins Maintenance of General Anesthesia
- p. 142Sublingual: 0.4 mg q 5 min (max dose: 3 doses in 15 min as long as SBP > 90) PEDIATRIC (Always reference BROSELOW Tape) Not indicated in most children, even with heart failure, as their heart failure ... Could cause significant problems in those with depressed myocardial function. Consult Medical Direction (if able) before use in Pediatrics CHF or Cardiogenic Shock / Hypertensive Crisis / Myocardial Ischemia • IV Drip o Infants/Children: 0.25-0.5 mcg/kg/min; titrate by 1 mcg/kg/min
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- p. 13products can be given in higher doses as fast as needed to gain hemodynamic stability. Massive transfusion in pediatrics has been defined as more than 40mL/kg of blood products in 24 hours. WB is easier to titrate effectively ... hour if possible) and correction of acid/base status, electrolytes, and core temperature is indicated during the resuscitation of pediatric casualties, when available. END OF LIFE/EXPECTANT MANAGEMENT Determining futility of care: despite best efforts, certain injuries are not survivable
- p. 12blood must be enrolled into a follow-up infectious disease monitoring program (contact JBPO or ASBP for guidance). PEDIATRIC CONSIDERATIONS Critically wounded or ill pediatric patients are more difficult for the Role 1 provider or medic because ... lack of regular exposure to pediatric care. It is recommended that a pediatric reference card or Broselow tape be available to identify pediatric ranges for vital signs, drugs, and supplies. Total circulating blood volume in children
- Agressions collectives par armes de guerre — conduites à tenirMinistères de l'Intérieur, des Armées et de la Santé
- p. 141Damage Control Surgery in Children, Injury, 2004, 35: 708-12. §§ Dua A. et al., Early Management of Pediatric Vascular Injuries Through Humanitarian Surgical Care During U.S. Military Opérations, J Vasc Surg, 2013. §§ Matos R.I., Holcomb J.B., Callahan ... Rates of Young Children with Traumatic Injuries at a US Army Combat Support Hospital in Baghdad, Iraq, 2004, Pediatrics, 2008, 122: e959
- p. 8days, consider a 7-day taper. There is no recommendation for use of dexamethasone for AMS in the pediatric population. 3-4,17 A M S T R E A T M E N T Descent: This ... given to treat AMS in adults at a dose of 250 mg orally every 12 hours. In pediatrics, the dosing is 2.5 mg/kg orally every 12 hours (max 250 mg/dose).17 In severe AMS, it should be used
- ASPR TRACIE — Triage et soins sur les lieux d'un afflux massifASPR TRACIE (HHS)
- p. 10short (five question) quiz that participants can take and receive a certificate once complete. Pauze, D. (2015). Pediatric Triage. University at Albany, State University of New York, School of Public Health and Health Professions, Center for Public Health ... Preparedness. This archived webcast from a full-day training included identifying the basic steps involved in pediatric disaster triage and describing the fundamental difference between adult and pediatric disaster triage as objectives. Topics covered include: principles of pediatric
- p. 18Burn care for children generally follows adult recommendations, with a few modifications as itemized below.27 See Appendix C: Pediatric Lund Browder Burn Estimate and Diagram. Airway patency can be lost early in small children with facial burns, inhalation ... bladder catheter (size 6 Fr for infants and 8 Fr for most small children). The formula for pediatric resuscitation is as follows. The volume for the first 24 hours is 3 x weight in kg x TBSA. Half
- JTS — Prolonged Casualty Care GuidelinesJoint Trauma System (DoD)
- p. 52USAISR Burn Center (DSN 312-429-2876 (BURN); Commercial (210) 916-2876 or (210) 222-2876; email burntrauma.consult.army@mail.mil). Pediatric Burn Injuries Children with acute burns over 15% of the body surface usually require a calculated resuscitation. Place ... Initial parenteral administration is advised for most children presenting with fever or systemic toxicity. Nutrition is critical for pediatric burn patients. Nasogastric feeding may be started immediately at a low rate in hemodynamically stable patients and tolerance monitored
- p. 109Paediatrics and Child Health. 1979;15(4):260–262. 19 Playpen Safety [website]. Ilinois, USA: American Academy of Pediatrics; 2015 (https://www. healthychildren.org/English/safety-prevention/ at-home/Pages/Playpen-Safety.aspx, accessed 5 November 2016). 20 Deaths associated with playpens. Maryland ... Stevenson MR, Miroslava R, Edgecombe D, Vickery K. Childhood drowning: barriers surrounding private swimming pools. Pediatrics. 2003;111(2):E115–119. 26 World report on child injury prevention. Geneva: World Health Organization; 2008. 27 WHO Fact Sheet
- p. 56Kaltman J, Callaway C, Idris A, Nichol G, Hutchison J. A quantitative analysis of out-of-hospital pediatric and adolescent resuscitation quality–A report from the ROC epistry- cardiac arrest. Resuscitation. 2015;93:150-157. 124. Sutton ... Meert KL, Yates AR, Berger JT, Newth CJ, Carcillo JA, McQuillen PS, Harrison RE. Chest compression rates and pediatric in-hospital cardiac arrest survival outcomes. Resuscitation. 2018;130:159-166. 125. Edelson DP, Abella BS, Kramer-Johansen