3. Emergency Care for Fever
Ensure BSI
Begin passive cooling
– Remove clothing/coverings
– Damp towels
No ice
No alcohol
No cold water baths
pediatrics
4. Febrile Seizures
common in children 6 months to 6
years
caused by high fever
history of infection
generalized grand mal seizure
less than 15 minutes
pediatrics
6. Dehydration
Dry lips and gums
Fewer wet diapers
Sunken eyes
Poor skin turgor
Sleepy or irritable
Sunken fontanels
pediatrics
7. Care for Dehydration
Assess the ABCs
Obtain baseline vital signs
ALS backup may be needed for
IV administration
pediatrics
8. Airway Obstruction
Croup
– An infection of the airway below the
level of the vocal cords, caused by a
virus
Epiglottitis
– Infection of the soft tissue in the area
above the vocal cords
Foreign body Aspiration
pediatrics
13. Foreign body aspiration
Partial
Blockage
– coughing
– accessory
muscle use
– nasal flaring
– wheezing
pediatrics
Complete
Blockage
-
no sound
no cry
stridor
cyanosis
loss of
consciousness
20. Signs and Symptoms of
Meningitis
Fever
ALOC
Headache
Seizure
Nuchal
rigidity
pediatrics
Vomiting
Photophobia
Irritability
Bulging
fontanel
21. Treatment
BSI (Body substance Isolation)
ABC’s
protect patient
high flow oxygen
passive cooling for fever
monitor for shock
Transport
Call ALS for backup if unstable
pediatrics
22. Submersion Injury
Drowning or near drowning
Second most common cause of
unintentional death
ABC’s
May be in respiratory or cardiac
arrest
C-spine precautions?
Be ready to suction
Keep warm
pediatrics
23. Poisoning
Poisoning is common in children
Ask specific questions of caregivers
Focus on the ABCs
Give oxygen
Provide transport
Child’s condition could change at any
time
pediatrics
25. SIDS
Definition - unexplained death of
an apparently healthy infant.
7500+ cases per year in U.S.
Leading cause of death in infants
<1 year old
more cases in winter months
pediatrics
26. Sudden Infant Death
Syndrome (SIDS)
Several known risk factors:
–
–
–
–
–
pediatrics
Mother younger than 20 years old
Mother smoked during pregnancy
Low birth weight
Putting babies to sleep on stomach
Siblings of SIDS babies
27. Child Abuse
Any improper or excessive action that
injures or harms a child or infant
physical, sexual, emotional abuse and
neglect
More than 2 million cases reported
annually
Be aware of signs of child abuse and
report it to authorities
pediatrics
34. Emergency Medical Care
ABCs
Transport if you suspect child
abuse
Do not make accusations
EMT-Bs must report all
suspected cases of child abuse
pediatrics
35. Sexual Abuse
Children of any age or either gender
can be victims
Limit examination
Do not allow child to wash, urinate, or
defecate
Document carefully
Transport
pediatrics