ENPC
Components in the prioritization of pediatric emergency care (4) - correct answer -PAT, Focused
Assessment (objective information), Focused pediatric Hx(subjective information), assignment of an
acuity rating decision
Pediatric Assessment Triangle : (3) components - correct answer -Appearance. Work of Breathing.
Circulation to the skin. This forms the "general impression".
If there is an acute disruption in 1 component, child is "sicker".
If there is an acute disruption in 2+ components the child is "sickest"
PQRST for Pain - correct answer -(pg86)
Precipitating and palliating factors
Quality
Radiation
Severity, symptoms, and site
Time or triggering factors
What age is the respiratory system considered fully developed? - correct answer -8 years old
6P's Assessment for Musculoskeletal Trauma - correct answer -(pg 283)
Pallor : color different from uninjured
Pain
Pulselessness
Parasthesia
Paralysis
Poikilothermia
Burn Transfer Criteria - correct answer -1. Partial thickness >10% of BSA
, 2. Face, hands, feet, genetalia, perineum or major joints
3. Third degree burns in any age group.
4. Electrical burns, including lightning injury, and chemical burns.
5. Inhalation injury.
6. Burn injury in pt with preexisting medical disorders that could complicate tx.
7. Concomitant trauma (such as fx) in which the burn injury poses the greatest risk of morbidity or
mortality.
8. Burned children in hospital wo qualified equipment or personnel to care for them
9. Pt who will require special social, emotional, or rehabilitative intervention.
Infants are obligate nose breathers. If nose is obstructed ___________ - correct answer -mouth then
suction nose
Neutropenic pt with a temperature - correct answer -Don't take rectal temp.
No invasive procedures if not necessary.
Nonblanchable Rashes of concern - correct answer -Meningocoxcemia
Petiachia/Purpura
Normal Urine Output for child - correct answer -1 to 2ml / Kg / Hr
Oral Rehydration for 9month old with mild dehydration. - correct answer -Glucose and sodium solution,
every 2 to 5min with 5 to 10ml
6week old infant, no medical hx. eating poorly, vomiting, "hard to wake up", responsive to pain. Anterior
fontanel bulging, tachypnic. Diagnostic evaluation expected? - correct answer -Skeletal survey
Possible shaken baby syndrome
Minimal Acceptable BP's - correct answer -Newborn = 60
Infant = 70
Components in the prioritization of pediatric emergency care (4) - correct answer -PAT, Focused
Assessment (objective information), Focused pediatric Hx(subjective information), assignment of an
acuity rating decision
Pediatric Assessment Triangle : (3) components - correct answer -Appearance. Work of Breathing.
Circulation to the skin. This forms the "general impression".
If there is an acute disruption in 1 component, child is "sicker".
If there is an acute disruption in 2+ components the child is "sickest"
PQRST for Pain - correct answer -(pg86)
Precipitating and palliating factors
Quality
Radiation
Severity, symptoms, and site
Time or triggering factors
What age is the respiratory system considered fully developed? - correct answer -8 years old
6P's Assessment for Musculoskeletal Trauma - correct answer -(pg 283)
Pallor : color different from uninjured
Pain
Pulselessness
Parasthesia
Paralysis
Poikilothermia
Burn Transfer Criteria - correct answer -1. Partial thickness >10% of BSA
, 2. Face, hands, feet, genetalia, perineum or major joints
3. Third degree burns in any age group.
4. Electrical burns, including lightning injury, and chemical burns.
5. Inhalation injury.
6. Burn injury in pt with preexisting medical disorders that could complicate tx.
7. Concomitant trauma (such as fx) in which the burn injury poses the greatest risk of morbidity or
mortality.
8. Burned children in hospital wo qualified equipment or personnel to care for them
9. Pt who will require special social, emotional, or rehabilitative intervention.
Infants are obligate nose breathers. If nose is obstructed ___________ - correct answer -mouth then
suction nose
Neutropenic pt with a temperature - correct answer -Don't take rectal temp.
No invasive procedures if not necessary.
Nonblanchable Rashes of concern - correct answer -Meningocoxcemia
Petiachia/Purpura
Normal Urine Output for child - correct answer -1 to 2ml / Kg / Hr
Oral Rehydration for 9month old with mild dehydration. - correct answer -Glucose and sodium solution,
every 2 to 5min with 5 to 10ml
6week old infant, no medical hx. eating poorly, vomiting, "hard to wake up", responsive to pain. Anterior
fontanel bulging, tachypnic. Diagnostic evaluation expected? - correct answer -Skeletal survey
Possible shaken baby syndrome
Minimal Acceptable BP's - correct answer -Newborn = 60
Infant = 70
