A 6-year-old male has a decreased level of consciousness. His mother states that the family does not have health insurance, so they did not take him to the hospital last week when he started vomiting and had copious amounts of diarrhea. She reports that he has not had anything to eat or drink since then. The patient has snoring respirations that are rapid and inadequate. His radial pulse cannot be located, and his carotid pulse is rapid and weak. His capillary refill is 5 seconds and his skin is cool to the touch. What would your first intervention in caring for this child be?

EMT (Emergency Medical Technician) services for pediatric patients may include assessing, stabilizing, and transporting them safely.  Some common pediatric emergencies include: Respiratory distress Circulation and shock Seizures and neurological emergencies Allergic reactions and anaphylaxis Traumatic injuries Dehydration  When assessing a child, EMTs should consider: Behavior changes, Vomiting/diarrhea, Urinary frequency, Medication/Allergies, and Medical history.  If the child's condition is urgent, EMTs should focus on the basics: circulation, airway, and breathing.  Pediatric... Show more

EMT (Emergency Medical Technician) services for pediatric patients may include assessing, stabilizing, and transporting them safely. 

Some common pediatric emergencies include:
Respiratory distress
Circulation and shock
Seizures and neurological emergencies
Allergic reactions and anaphylaxis
Traumatic injuries
Dehydration 

When assessing a child, EMTs should consider: Behavior changes, Vomiting/diarrhea, Urinary frequency, Medication/Allergies, and Medical history. 
If the child's condition is urgent, EMTs should focus on the basics: circulation, airway, and breathing. 
Pediatric vital signs for EMS include: Heart rate, Blood pressure, Temperature, and Respiration rate. 
Vital signs vary with age. For example, a child's heart rate is taken using the brachial pulse until they are about 6 years old.
 
Here are some tips for taking pediatric vital signs:
Count respirations for 30 seconds and double the number
Watch the rise and fall of the abdomen for respirations in children under 3
Take a pediatric pulse for a full minute and document the quality and regularity

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