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What are the ABCDE of emergency care?
What as AVPU when assessing for disability?
- responds to Voice, Pain, Unresponsive
What do you do after the initial ABCDE assessment?
- Full vitals
- Give comfort
- Head to toe assessment
- Inspect back
What are the weights for a 1, 5, and 10 yr old?
10, 20, 30kg.
In the head to toe assessment, you use the SAMPLE method to get a brief hx. What is it?
- Signs and symptoms
- Prior hx and injury
- Last meal
- Events surrounding injury
Most common cause of pulmonary arrest in children?
What are Waddell's triad of injuries?
Injury to femur, intra-abdominal, head.
Significant internal bleeding. Might want to remember that when you see one of the signs, might expect the others; even when they don't present.
What is the "silent event" that is 2nd in accidental death in children?
Submersion injury (drowning or near drowning).
What is diff between drowning and near drowning?
Drowning - asphyxia and death w/in 24 hours
Near-drowning - if they live beyond 24 hours. regardless of outcome.
Where is the most common place children drown?
swimming pools. next is bathtubs
What age of infants do you have to worry about separation anxiety d/t hospitalization?
What are the signs of separation anxiety in an infant?
- 1st: Protest
- 2nd: Despair (develomental regressions)
- 3rd: Detachment (lack of interaction between unfamils people)
What is the erikson's stage for toddlers? What age are toddlers?
2-3 years. Autonomy vs shame and doubt.
remember they have hard time understanding directions, tx, everything that's going on.
What is erikson's stage for preschoolers?
Initiative vs guilt
What are are preschoolers?
What is a common problem for hospitalized preschoolers?
they feel like they caused the problem. (initiative vs guilt)
Will you let a preschooler handle equipment to have them better understand the situation?
Should you tell a preschooler that it's "ok to cry"?
What age are "school-age" children?
What erikson stage are school-age children?
industry vs inferiority
School-age children can begin to understand cause and effect?
school-age children fears what?
loss of control.
what do school age children worry about when being in the hospital?
being separated from friends. "i'm different".
What stage are adolescents?
identity vs role confusion
What is the best way to approach school-age and adolescents?
What kind of play would you do with a infant?
soft toys, noise toys, large blocks, toys that break apart.
what play would you do with a toddler?
cloth books, large crayons, push and pull toys, large piece puzzles
what play would you do with a preschooler?
draw, paint, jump, run, educational tv/videos
what play would you do with school-age and adolescents?
solitaire, game room, arts and crafts, instruments.
Remember that parents are most important. if parents refuse, children have problems.
What are the goals of terminal care?
What are signs of an impeding death?
- loss of sensation
- feel heat
- lossof senses
- confusion, LOC, slurred speech
What are "raccoon eyes"?
pariorbital ecchymosis. basal skull fracture.