tMEY. DEPARTMENT PEDIATRIC ASSESSMENTfJ*\'!!?tMEY. DEPARTMENT HEALTH SENIOR SERVICES PEDIATRIC...

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SENIOR SERVICES PEDIATRIC ASSESSMENTNORMAL VITAL SIGNS

FOR CHILDREN OF VARIOUS AGE GROUPS

Age Group Respiratory Heart Systolic BloodRate Rate BIP

New Born 30-60 100-160 >60*

Infant (1- 12 months) 30-60 100-160 >60*

Toddler (1-3 yrs) 24-40 90-150 >70*

Preschooler (3-5 vrs) 22-34 80-140 >75

School Age (6- 12 yrs) 18-30 70-120 >80

Adolescent (13+yrs) 12-16 60-100 >90

-Inlonts & Children 3yrs or younger, evaluate the central pulses instead of measuring bloodpressure

GLASGOW COMA SCALEInfant Child/Adult

Eye4 Spontaneously 4 Spontaneously3 To speech 3 To command

Opening 2 To pain 2 To pain1 No respa nse 1 No response

Best 5 Coos, babbles 5 Oriented4 Irritable, cries 4 Confused

Verbal 3 Cries to pain 3 Inappropriate wordsResponse 2 Moons, grunts 2 Incomprehensible1 No response 1 No response

6 Spontaneous 6 Obeys command

Best 5 Localizes pain 5 Lacalizes pain

Motor 4 Withdraws from pain 4 Withdraws from pain

Response 3 Flexion (decorticate) 3 Flexion (decorticate)2 Extension (decerebrate) 2 Extension (decerebrate)

__ 1 No response 1 No response

__ = Total -- = Total

RESPONSELevel of Response Infant Child

A - Alert Curious AlertRecognizes Parents Aware of Surroundings

V - Responds to Voice Irritable, Cries Opens Eyes

P - Responds to Pain Cries to Pain Withdraws

U - Unresponsive No Response No Response

6/05

t/ ABCst/ Distal pulsest/ Extremity and core

temperature/colort/ Capillary refill

(normal <2 seconds)t/ Level of consciousnesst/ Recognition of parents

by child

BURN CHART(% burn surface area)

Adolescent

Infant

An infant's or child's hand isapproximately 1% of its totalbody area.

Emergency MedicalServices for Children

EQUIPMENT

Age & Airway/Breathing CirculationWeight O2 Oral Bag-Valve Suction BP(kg) Mask Airwavs Mask Cuff

Premie Premie Infant Infant 6-8 F Premie1-1.5 kg Newborn Newborn

Newborn Newborn Infant Infant 8F Newborn0-6 mos Small Infant3.5-7.5 kg6-12 mos Pediatric Small Pediatric 8-10 F Infant7.5-10 kg Child1-3 yrs Pediatric Small Pediatric 10 F Child10-15 ka4-7 yrs Pediatric Medium Pediatric 14 F Child17.5-23 kg

~ 8 yrs Adult Medium Pediatric 14 F Child> 25 kg Large Adult Adult

NEWBORN RESUSCITATION

Dry, Warm, Position, Suction, Tactile Stimulation

If RR <40 or HR <80 or Central Cyanosisadminister blow by oxygen

If no change and airway is clear, administer100% Oxygen via B-V-M @ 40-60bpm

Request MICU------------------------

H5371

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