8. !
Paediatric Mission Profile
All ages
Interhospital as well as pre-hospital
Not just trauma
9. !
Trauma case
A four year old boy is run over by a 4 x 4
‘Unconscious at scene’
List your preparations
10.
11. Weight estimation in paediatrics: a comparison of the APLS formula and the formula ‘Weight=3(age)+7’
Emerg Med J. 2010 Jul 20. [Epub ahead of print]
12. !
Trauma case
A four year old boy is run over by a 4 x 4
Unconscious with hypoxia, asymmetric chest
movement with subcutaneous emphysema,
shock, and a closed femur fracture
List your interventions
13.
14. !
Trauma case
Pre-oxygenation NP + BVM / O2 mask
iv or io access + fluid bolus
RSI
thoracostomy
pelvic splint
CT-6
collar
consider blood
23. !
Trauma case
Pre-oxygenation NP + BVM / O2 mask
iv or io access + fluid bolus
RSI
thoracostomy
pelvic splint
CT-6
collar
consider blood
24. • 1-puberty: wt = 3(age) + 7
• < 1: wt = (age in months / 2) + 4
• ETT uncuffed = (age/4) + 4
• length = age/2 + 12 cm (oral)
• 2 x UETT - NG / foley
• 3 x UETT = length of ETT@lips
• 4 x UETT = intercostal catheter
• ETT cuffed = (age / 4) + 3
• Fluids = 10-20 ml/kg
• adrenaline = 0.1 ml/kg 1:10 000
25. !
Trauma case
Pre-oxygenation NP + BVM / O2 mask
iv or io access + fluid bolus
RSI
thoracostomy
pelvic splint
CT-6
collar
consider blood
26.
27.
28.
29. Asthma
A six year old boy has been intubated for
acute severe asthma in Auburn ED
Has had steroids, iv salbutamol, magnesium
High airway pressures +++
30. Oxylog 3000 Plus
I:E range 1:100 to 50:1
Dedicated paediatric circuit
Minimal tidal volume 50 ml
31. Maternal arrest
27 year old 38/40 pregnant female collapses
after c/o abdominal pain
Develops PEA rapidly followed by asystolic
arrest
Resuscitative hysterotomy completed by
retrieval doctor within 5 minutes of arrest
Maternal ACLS managed by HEMS paramedic
Newborn infant is pale and apnoeic
