SNHD Pediatric protocols Exam Questions and Answers (2024/2025) (with 100% Errorless Answers).

SNHD Pediatric protocols Exam Questions and Answers (2024/2025) (with 100% Errorless Answers). General Pediatric Assessment 1 correct answers Scene safety/scene size up Nature of calll/mechanism of injury PPE/BSI - bring all equipment to patinet's side includign broselow tape - START triage or continue General pediatric assessment 2 correct answers Level of consciousness -unresponsive- check pulse -none or 60- *cardiac arrest Airway -signs of compromise or not protecting- *ventilation management Breathing -inadequate or respiratory distress - *Respiratory distress Circulation -bleeding- *Hemorrhage control tourniquet Disability -altered or confused- *Altered mental status/syncope General pediatric assessment 3 correct answers History -HPI & AMPLE Vital signs & physical exam - blood glucose testing if indicated Special treatment protocol as indicated - Cspine as indicated Comfort measures - cardiac monitor as indicated Vascular access as indicated - oxygen therapy to keep SPO2 94% Pain management as indicated General pediatric assessment 4 correct answers Radio contact for all pediatric patients Transport per pediatric destination criteria -Transport to closest facility for - airway emergencies (inability to adequately ventilate) Sexual assault victims 13 yo correct answers Shall be transported to sunrise hospital Sexual assault victims 13-18 correct answers Shall be transported to sunrise or UMC For sexual assault victims outside a 50 mile radius from the above facilities correct answers Patient shall be transported to the nearest appropriate facility General pediatric trauma assessment 1 correct answers General pediatric assessment - cervical stabilization GCS 8 - ventilation management BVM if O2 94% GCS 8 - oxygen keep SPO2 94% No palpable radial pulse - Vascular access NS or LR 20 ml/kg bolus IV/IO Palpable radial pulse - Vascular access General pediatric trauma assessment 2 correct answers Secondary survey Suspected tension pneumothorax - *Needle thoracentesis Sucking chest wound - apply 3-sided occlusive dressing Control active hemorrhage - *Hemorrhage control tourniquet Obvious fractures - immobilize fractures; assess distal pulse SNHD Pediatric protocols Exam Questions and Answers (2024/2025) Latest Update (with 100% Errorless Answers). Suspected traumatic brain injury - raise head of bed 30 degrees & Capno - ETCO2 35 Open wounds - cover with gauze; wet trauma dressing for abdominal evisceration General pediatric trauma assessment 3 correct answers Pain management Transport & Radio contact to appropriate trauma center based on TFTC General pediatric trauma assessment pearls correct answers Transport should not be delayed for procedures; ideally procedures should be performed enroute when possible BVM is an acceptable method of ventilating and managing an airway if pulse ox can be maintained 90% Ped patients should be evaluated with a high index of suspicion; occult injuries may be present and ped patients can Decompensate quickly Pediatric abdominal pain, nausea/vomiting 1 correct answers General pediatric assessment Pediatric abdominal pain, nausea/vomiting 2 correct answers Hypovolemia or witnessed vomiting Vascular access; NS or LR 20 ml/kg IV/IO; may repeat up to 60 ml/kg Ondansetron 0.15 mg/kg ODT/IM/IV/IO up to max dose 4 mg If 8 years or older Metoclopramide 5 mg slow IV/IO bolus over 1-2 min or IM Reassess - transport to pediatric facility Pediatric abdominal pain, nausea/vomiting 3 correct answers Subjective nausea or vomiting? [no] reassess - transport to pediatric facility [Yes] ondansetron 0.15 mg/kg ODT/IM/IV/IO up to max dose 4 mg OR Metoclopramide 5 mg slow IV/IO bolus over 1-2 min or IM Reassess - transport to pediatric facility Pediatric abdominal pain, nausea/vomiting pearls correct answers Document mental status and vital signs prior to administration of antiemetic & pain management Repeat vital signs after each fluid bolus Consider retroperitoneal palpation for kidney pain Pediatric fluid bolus is 20 ml/kg; may repeat to max of 60 ml/kg If there is suspicion that the patient is in DKA, do not exceed 20 ml/kg NS or LR Morphine is not recommended in children for abdominal pain Consider cardiac and ETCO2 monitoring Pediatric allergic reaction 1 correct answers General pediatric assessment No evidence of airway involvement/breathing difficulties Vascular access Diphenhydramine 1 mg/kg IM/IV/IO; max 50 mg Diphenhydramine PO less than 6 years: 12.5 mg PO; 6-12 yo: 25 mg PO; 12 yo: 50 mg PO Reassess pt q 5 min.