EMR Chapter 25-MCIT-F3-1201 | Small patients, Big challenges
EMR Chapter 25-MCIT-F3-1201 | Small patients, Big challenges starts with an introduction to this important topic. Though the percentage of Pediatric Emergency calls are less, they are among the most emotionally and clinically challenging situations EMRs can face. Since children differ from adults not only in size but also in anatomy, physiology and emotional aspects, making a rapid assessment, effective intervention and calm communication becomes essential.
The lessons covered are
- Lesson 1: Introduction to Pediatric Assessment
- Lesson 2: Pediatric Respiratory Emergencies
- Lesson 3: Pediatric Trauma Management In EMS, and,
- Lesson 4: The Emotional Impact Of Pediatric Cases
Excerpt from EMR Chapter 25-MCIT-F3-1201 | Small patients, Big challenges
As an EMR, your assessment of the pediatric respiratory patient begins with the Pediatric Assessment Triangle we covered in our first lesson. Allow the child to maintain their position of comfort – forcing a child with respiratory distress to lie flat can worsen their condition. Count respiratory rates for a full minute in young children due to irregular patterns. If available, apply appropriate-sized pulse oximetry sensors, remembering that oxygen saturation readings may be less reliable in poorly perfused patients. Gather history from parents while continuing to observe the child – this multitasking approach allows ongoing assessment while collecting information. Key questions include onset and duration of symptoms, associated symptoms like fever, previous episodes, and response to any treatments given before your arrival.
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Core Concepts & Takeaways
- Demonstrate the proper use of the Pediatric Assessment Triangle (PAT) to rapidly evaluate pediatric patients without equipment, including accurate application of the TICLS mnemonic for appearance assessment.
- Differentiate between respiratory distress and respiratory failure in pediatric patients by identifying at least three specific transition signs and implementing appropriate EMR-level interventions.
- Apply knowledge of pediatric anatomical and physiological differences to anticipate potential complications in both medical and trauma emergencies, including recognition of compensatory mechanisms.
- Implement appropriate trauma assessment and management techniques specific to pediatric patients, including modified primary assessment, age-appropriate spinal motion restriction, and early recognition of shock. And,
- Recognize and develop strategies to manage the unique emotional challenges associated with pediatric emergency calls, including identifying stress indicators and utilizing appropriate coping mechanisms.
Important Notes:
To get credit for this course, you must watch all the lessons in their entirety, the course review, and pass the quiz at the end with a score of 75% or better.
Course Curriculum
EMR Chapter 25-MCIT-F3-1201 | Small patients, Big challenges
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Lesson 0 – Chapter Introduction
02:32 -
Lesson 1 – Introduction to Pediatric Assessment
05:06 -
Lesson 2 – Pediatric Respiratory Emergencies
11:27 -
Lesson 3 – Pediatric Trauma Management In EMS
08:52 -
Lesson 4 – The Emotional Impact Of Pediatric Cases
04:19 -
Lesson 5 – Chapter Review
03:53 -
Small Patients Big Challenges EMR Quiz
Course Evaluation
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An application for accreditation has been submitted to the Commission on Accreditation for Pre-Hospital Continuing Education.
Disclosure: The planners, faculty, and content developers of this activity have no relevant financial relationships or commercial interests to disclose. No commercial support was received for this activity.
