EMR Chapter 25-MCIT-F3-1202 | To Tube Or Not To Tube

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.

Core Concepts & Takeaways

  • Identify at least three clinical scenarios where EMRs commonly encounter advanced airway management and describe the EMR’s specific support role during intubation procedures in each scenario. 
  • Differentiate between endotracheal tubes and supraglottic airways by listing at least three anatomical and functional differences and explaining the placement location of each device relative to the vocal cords. 
  • Demonstrate proper bag-valve-mask ventilation technique through an advanced airway by maintaining the correct adult ventilation rate of 10 to 12 breaths per minute while identifying proper chest rise during each ventilation. 
  • Recognize three signs of intubation complications (esophageal intubation, tube dislodgement, and aspiration risk) and formulate the appropriate EMR response for each complication, including when to notify ALS providers. 
  • Describe the EMR’s support role during a surgical cricothyrotomy by listing the equipment preparation steps and explaining how to assist the lead provider during this emergency procedure.

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-F3-1202 | To Tube Or Not To Tube

  • Lesson 0 – Introduction
    02:40
  • Lesson 1 – Introduction to Airway Management for EMRs
    04:47
  • Lesson 2 – Understanding Different Airway Devices
    05:34
  • Lesson 3 – Bag-Valve-Mask Ventilation and Complications
    06:26
  • Lesson 4 – Surgical Cricothyrotomy and Scenario Application
    05:17
  • Lesson 5 – Chapter Review
    05:17
  • EMR Chapter 25-MCIT-F3-1202 | To Tube Or Not To Tube | QUIZ
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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.

$32.50
Course Duration: 29m
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