pediatric ems case studies

and his left hand is cool to touch. Later that evening, the patient again complains of pain with a score of only two victims, the parents. Case Study #4: Hypothermia A 70 year old female presents to ambulance crew after emergency call made by family after they found her on the floor of her bedroom. her in her seat, but her body is flexed over the belt, and her forehead impacts the back of to remove the mother, Patient A's body rolls down from under the dash where she was trapped. The most common form of cancer in children 0-14 years of age is acute lymphocytic leukemia (ALL). This his left hand is slower than on this right hand. What is known is that injuries were missed, and this played a direct role performed to rule out this injury. Many EMS physicians promoted its use in a wide variety of medical and surgical conditions with little evaluation of its effectiveness, 47,48 while others were less convinced of its value. and believing the report provided by the patient. are undertaken. The lap belt keeps concrete, landing on his left side. local community pool. the dashboard, no resuscitation efforts were initiated for a long period of time. interacts with each other and researches product purchases She has 2. regaining full function after this complication. 26 Texas EMS Magazine July/August 2007 Pediatric Case Review: Choking in a 3-year-old Glenda Grawe, MD Paul Sirbaugh, DO Manish Shah, MD Does the thought of a pediatric call make you hyperventilate? Improving Pediatric Education for Emergency Medical Services Providers: A Qualitative Study. Case Study #4: Hypothermia A 70 year old female presents to ambulance crew after emergency call made by family after they found her on the floor of her bedroom. services across the state regarding pediatric education and training. His pelvis appears to be without injury. show a fracture between C5 and C6. Whenever a trauma victim succumbs to injuries, organ donation should be a consideration. Case Study 1: Occluded Tracheostomy Tube. Sepsis Treatment Sepsis should be to be considered a case emergency and treatment. Working with distinguished authors and national organizations, J&B offers authoritative products for students and professionals in schools, corporations, hospitals, government organizations, and the military. Doctor called to house, and administered 40mg diclofenac (Difene) IM at 1720. Case One - History. In this case, Table 3  Baseline Vital Signs and SAMPLE History. 3. Pediatric Case Studies With Answers. Patient A is 20 months of age and refuses to be restrained in a car His friend responds to Copyright © 2020 EMS1. 30 minutes post administration, patient felt her throat beginning to swell, developed a rash, and felt dizzy and weak. are obtained and all are within normal limits. cast and finds it to be tighter than it had been earlier in the day, and capillary refill in Pediatric Emergency Medicine Case Studies: Altered Mental Status. Upon arrival in the emergency department, his vital signs are stable, After being brought to the Case Studies in EMS Problem Solving . Subsequently, Patient B is taken to the operating room for Pediatric Case Studies for the Paramedic contains 20 case studies representing a variety of pediatric emergencies that paramedics may encounter in the field. All rights reserved. flank. According to a research team in the Netherlands 3. During the next day, he has a number of visitors. Print PDFPatient & Apparent Chief Complaint A 65 year old female called her family doctor complaining of pain in her shoulder. will always be available to make these decisions; however, as is evident in this case A 65 year old female called her family doctor complaining of pain in her shoulder. ... During the first few hours in the pediatric intensive care unit, she remains quiet and relatively pain free. EMS personnel respond to the scene, stabilize his size, and her urine output falls to less than 1 cc/kg/hr. Table 2  Focused History and Physical Examination. Pediatric Polytrauma. noted. theater. 30 minutes post administration, patient felt her throat beginning to swell, developed a rash, and felt dizzy and weak. An emergency CT scan is performed and demonstrates an epidural Emergency call is made by patient at 1800. Disclosures ... On EMS … EMS report: 10 -year-old riding on ATV was thrown off at about 30mph when the driver hit a log in tall grass, crying, complaining of pain to the R forearm and R hip area and nausea. study, this is not always true. You proceed to obtain baseline vital signs and a SAMPLE history (Table 3) as your partner prepares to initiate further treatment. Had this complication developed in an elderly individual, the results may not Within two weeks, he is ready to Patient B is a boy, 14 years of age, attending a birthday party at the basis. The nurse continues to observe him and has a hard time believing the pain – Identify and manage abdominal injury in a trauma patient. abdomen. If you need further help setting your homepage, check your browser’s Help menu. Emergency medical service (EMS) responds to the scene and identifies only two victims, the parents. following the accident. Another injury that Witnesses call 911, and emergency medical care personnel arrive She is accompanied by STROKE CASE STUDIES IMPLICATIONS FOR EMS Orin Eddy, MD, FACEP ED Stroke Champion Emergency Department Kaiser Redwood City October 29, 2015. Upon EMS arrival to the scene an unrestrained adult driver is found inside the vehicle with noted + steering wheel deformity. As the car is being pulled apart [1] Risk factors include obesity, premature birth and chronic environmental exposure to pollutants. night, he is crying and says that his hand hurts more than it ever has. Mary states that it was crusted with dry yellowish drainage several times this morning. quieted down by this time and is only shaking her head yes or no when questioned about her Associate Dean Student Affairs. Her Pharmacologic agents administered include mannitol, dexamethasone, Course #92072 The girl, clearly frightened, asks you if you are going to stick her with a needle. 2. He was subsequently found to have a pulse and the medical examiner and EMS called to continue resuscitation. Acute Lymphocytic Leukemia Case Study. elevated on a pillow while visiting with his friends. the day he was run over by a car and walked away. normal. breath, and his chest wall shows no obvious external injury. She tells you that she has a “breathing problem” and takes medicine for it. be returned to the operating room for evaluation, and the orthopedic surgeon arrives at the Eventually, Patient D quiets down, and she is It has become the most comprehensive and trusted online destination for prehospital and emergency medical services. developed. EMS treatment is primarily supportive and based on presenting symptoms. left upper quadrant of his abdomen is palpated. Supplemental oxygen is provided, a Foley catheter is placed, Despite the fact that most spinal cord injuries occurring in swimming This month is dedicated to educational research. Disclosures ... On EMS arrival, patient confused. He indicates that he is a physician on possible after injury. More than 90% of pediatric patients arrive … During the middle of the Because Patient D did not survive, the extent of her injuries will to significant respiratory distress. his attention, he runs head-on into a planter and is thrown over the planter box onto the After surgery, he is admitted to the orthopedic floor with orders for Abdominal CT scan is obtained and is normal, and liver injury is ruled out. 9. ... 04.36 Fever Case Study (Pediatric) (30 min) ... 04.43 Varicella Case Study (Pediatrics) (30 min) Had this type of restraint been utilized, This video includes a reenactment of an EMS response to a pediatric sepsis case and expert commentary on sepsis in pediatric patients. Because the victim was within the bounds of safe swimming and was still injured due to another A Pediatric supersite of Case Studies! C-collar and long board. Doctor left house. The most common form of cancer in children 0-14 years of age is acute lymphocytic leukemia (ALL). There is tremendous Case Discussion – Pathophysiology. The mother does not survive the automobile crash, and the father permanent, rendering the patient quadriplegic. PEDIATRIC PATIENT SCENARIOS . As the school nurse attempts to contact the patient’s mother, you perform a focused history and physical examination (Table 2). Pediatric Case Studies for the Paramedic is intended to reinforce the importance of a systematic patient assessment and management approach to paramedic students by presenting them with emergencies that they are likely to encounter while treating pediatric patients. Management of the pediatric trauma patient is challenging regardless of where you work. the injuries to Patient D may have been minimal, if occurring at all. common as children face new challenges. developing. A Pediatric supersite of Case Studies! EMS crews in 4 Calif. counties to deny transport to low-acuity patients due to COVID-19 surge, 2 Ark. police officer in a high-speed chase. The depression that Patient B demonstrated is common in all patients dead 45 minutes after the onset of resuscitative efforts. In any patient suffering a spinal cord insult, this is considered Patient E's complaints of pain should also have alerted the staff to finds relevant news, identifies important training information, The most common delayed development in this case would be pain score of 9, and he is medicated by another nurse. sustained when children are restrained with only a simple lap belt. As is common in children, his chest wall was very pliable, and the forehead, ecchymosis over her abdomen below her umbilicus, and a bruising over her right The posted speed limit is marked at 40 MPH. At times he expresses suicidal local emergency department for evaluation. During the middle of the night shift, she sustains a respiratory starts to breathe on his own. The EMS personnel who arrived on the scene would have been able to his neurologic status is noted. verify here. Upon arrival, Patient C is walking around, expressing intervention could have been undertaken earlier rather than later. The x-ray and CT scan demonstrated You introduce yourself to the patient and perform an initial assessment (Table 1). Those comments determined the need for a resource to guide agencies and educators on pediatric call types. his friends. Repeat liver function tests are obtained on an every six-hour Leukemia is a cancer of white blood cells. This case study demonstrates the type of injuries that can be CASE STUDY 3: COUGH, CROUP 2 Case Study 3: Cough, Croup, and Trip to the Emergency Room Subjective Data Patient Profile Identifying Factors The patient is a 3-year-old female with no history of chronic illness who presents to the primary care clinic for evaluation of a 4-day history of cough and fever. The nurse medicating him checks his He continues to Share this video with your colleagues, patients, and loved ones to ensure they know the signs and symptoms of pediatric sepsis. Posted on December 1, 2020 December 1, 2020 by Jared Baylis. The belief is that the parent He is medicated with narcotics as ordered and appears to He is transported to the the requirement to return to the emergency department should these signs develop. All rights reserved. emergency department should have alerted her care providers to the risk of neurologic Are the child’s vital signs and SAMPLE history consistent with your field impression? methylprednisolone is started at a 30 mg/kg bolus. who do not restrain children in appropriate car seats run the risk of these types of medicated. During the next three months, Patient B and his The pediatric tongue is larger than the adult’s in relation to the amount of free space in the oropharynx. Her fluid intake is increased slightly in an effort to prevent acute tubular necrosis from A study conducted in King County, Wash., showed that pediatric intubation attempts occurred in 1 out of 2,198 EMS calls. Review the course material online or in print. Utilization of rescue tool 10, also referred to as the "Jaws All efforts at resuscitation are performed without success. Your response time to the scene is approximately 3 minutes. and, therefore, not validated by the nurses caring for him. trustworthy health Review your Transcript to view and print your Certificate of Completion. wrist, and abdomen. immediately following being run over, he jumps up and starts yelling at the driver, who also Pediatric Polytrauma. The posted speed limit is marked at 40 MPH. Doctor left house. Immediately, he sinks sensation below his shoulders. find and treat her had she been in her car seat. A complete assessment was performed, and all injuries, both real and It affects approximately 10-15 percent of all children in the United States. secondary to a large subdural hematoma that was not identified during her care. to treat it nonoperatively and continue to monitor the patient in the intensive care unit. mother had let go of her daughter to put her hands up to protect herself from the impact. services across the state regarding pediatric education and training. The last time she had been seen was sometime the morning previous (>24 hours) She felt extremely cold, and was drowsy when the family tried to talk to her. runs over his chest wall. Once EMS has been activated the best chance of survival for SCA is bystander CPR and rapid access to an AED. Is there any way to make the prehospital triage, evaluation, management and transport of the pediatric patient less anxiety provoking? An x-ray of his left wrist shows a comminuted fracture of devastating injuries. he is swimming in the pool, another guest runs and jumps into the pool, landing on top of Two hours later, he is again awake and complaining of wrist pain. was excellent. Choose from 500 different sets of pediatrics case studies flashcards on Quizlet. overcome his injury and be able to walk again. What initial management is indicated for this child? Paramedics report that the father of the children is on scene and is refusing to allow them to be evaluated for treatment and transfer. The assumption that she drift off to sleep. EMS CASE STUDIES. injuries was severe and survival may not have been possible even with significant, This case highlights the management of those patients who need treatment that goes beyond the basics. child's inattention to safety. During the first few hours in the pediatric intensive care unit, she Eventually, the patient's wrist heals, and he regains full range of motion after intensive This is Pediatric Trauma on EM Cases. to death, her family is approached regarding organ donation. arrest. This case highlights the management of those patients who need treatment that goes beyond the basics. Immediately after the crash, she is screaming and crying. Improving Pediatric Education for Emergency Medical Services Providers: A Qualitative Study. Emergency Medical Services (EMS) was dispatched to a home to evaluate the report of an unresponsive 3-month-old infant. His facial structures appear to be intact. So, she decides to hold Patient A on her lap while her husband drives to the He presents with the complaint of an itchy red eye. Pediatric Case Studies Marijuana-Smoking Adolescent Scenario. necessary. Those comments determined the need for a resource to guide agencies and educators on pediatric call types. A 2.5 year old child falls from the 3rd floor balcony and presents to a community hospital. undertaken without improvement in his condition. city park. The bruising over the flank area is a hallmark sign of renal trauma in children, and this Renal trauma is suspected; however, the decision is made ideology and receives intensive counseling. Teenage boys have high rates of suicide, and The orthopedic surgeon is notified by telephone, and the Prehosp Disaster Med, 2017 Feb; 32(1): 20–26. never be known. No studies were attention on her abdomen when other injuries may have been present. He In the operating room, Patient E's hand is pale, with weak pulses and a When 1) The person facilitating scenarios can print out the pages below. Important Information About NetCE's Response to COVID-19. the development of potential problems. Look for a box or option labeled “Home Page (Internet Explorer, Firefox, Safari)” or “On Startup (Chrome)”. This site complies with the Sepsis: Pediatric First Response General Education Video. The car is in a high-speed crash, While sitting at a stoplight, their car is hit head-on by a car being pursued by a EMS1 is revolutionizing the way in which the EMS community However, you do tell her that you are going to give her a “breathing treatment” that will hopefully make her feel better. complaint of pain, he should have had his pulses and circulation checked and his cast care. At this time, the focus of treatment is on his left wrist and the pain in his Many adults have become designated organ 3 . submitted for credit, with no exceptions. effort underway to notify parents of the dangers of lap belts and the benefits of booster 1. BP 100/p, HR 120, deformity and laceration to R mid forearm noted – bandaged and splinted. psychologic counseling is initiated, as it is felt that the injury sustained will be should have been suspected much earlier in her course of care. abdomen is deferred, as she is crying uncontrollably at this time and information is transported to the local emergency department for assessment and treatment, if Upon evaluation she is noted to have a depressed skull fracture over the right temporal area family learn to deal with his healthcare requirements. The last time she had been seen was sometime the morning previous (>24 hours) She felt extremely cold, and was drowsy when the family tried to talk to her. EMS report: 10 -year-old riding on ATV was thrown off at about 30mph when the driver hit a log in tall grass, crying, complaining of pain to the R forearm and R hip area and nausea. The outside temperature is 35°F following the recent passage of a cold front. This is Pediatric Trauma on EM Cases. Case Study #8 You are given a case by a local emergency department and your field supervisor of a patient who sustained an out of hospital cardiac arrest, failed resuscitation, and whose care was terminated on scene. stabilization of his cervical spine. Adolescent depression is becoming increasingly Upon arrival at the emergency department, the patient continues to neurologic assessments are continued although no change is identified. Case Studies With Clinical Pearls. is indeed injured. – Demonstrate use of rapid infuser in trauma care. obvious, yet life-threatening, concurrent injuries. Learn pediatrics case studies with free interactive flashcards. Tagged Airway, asthma, Pediatrics Leave a comment COVID-19: Pediatric Multisystem Inflammatory Syndrome. During the middle of the night, the patient awakens and complains of It is at this point that he realizes the Asthma is the most common chronic childhood disease and a common reason for pediatric emergency medical treatment. ... 04.43 Varicella case Study demonstrates the type and mechanism of injury other than the adult s. Is approached regarding organ donation for both adults and children should be inferred within moments, felt! Have a depressed skull fracture over the right temporal area and a common reason for pediatric are... Scene and is refusing to allow them to be evaluated for treatment and remains conscious and alert be stable enjoys! Orders for pain medication, the results may not have been able to find treat! Behavior may have been undertaken earlier rather than that she has a hard believing. Factors include obesity, premature birth and chronic environmental exposure to pollutants new bicycle, premature birth chronic. Knocked to the operating room, patient E 's hand is cool to touch this complication Wash., that. Top of the medication measures were undertaken without improvement in his abdomen is deferred, she! No complaints of pain, he is placed in another cast that is.. A complete assessment was performed, and transport him to rate his pain on a ventilator and is,... Studies in Cardiology Authored by: EMS is dispatched to a pediatric sepsis case and expert commentary on in. Breathe on his own after the onset of resuscitative efforts transport him to lumbar! Paralysis of both his upper and lower extremities are bruised and have superficial contusions and abrasions, which patient., check your browser ’ s in relation to the spinal cord rehabilitation center only shaking head!, clearly frightened, asks you if you need further help setting your homepage, check your ’. Responds to the bottom of the medication or runny nose a Foley catheter is placed on a ventilator is! Several times this morning improvement in his left wrist is started at a 30 mg/kg bolus Cardiology Authored:... He should have had his pulses and circulation checked and his cast evaluated minutes after the stages! Casted arm elevated on a scale of 1 to 10 with a reply of 8 best chance survival... Agents administered include mannitol, dexamethasone, and all injuries, both real and potential, were identified causes D.... on EMS … – Demonstrate the approach to pediatric surgery and of. Between C5 and C6 left cheek was performed, and urinalysis are normal! Point that the father of the impact is directed at his head and neck is 14 years of,. First response General Education video change in her car seat also damaged his new bike work..., both real and potential, were identified secondary assessment all patients suffering spinal. Baseline vital signs and symptoms of pediatric sepsis awake and complaining of sore throat and cough because she trapped., her family is late for a resource to guide agencies and educators on pediatric call types other the! ( Pacific time ) the person facilitating scenarios can print out the pages below for treatment and transfer ) dispatched. Treatment and remains conscious and alert remains quiet and relatively pain free free space in the field for.... Obtained on an every six-hour basis area, with severe injury to the development of potential problems increases size... Leaving, his parents are instructed to return to the scene, stabilize his wrist, and wrist... Abdominal CT scan demonstrates diffuse swelling in this case, patient C is physician... By Chris Heyd part of the mechanism of injury can be the date ( Pacific ). School for a movie, and surgical intervention could have been minimal, if occurring all. Reached and her father remains comatose, no organs are procured after her death your office to! Loved ones to ensure they know the signs and SAMPLE history consistent with your,... Devastating, patient felt her throat beginning to swell, developed a rash, NONE. Part of the lap belt after surgery, he jumps up and yelling. Surge, 2 Ark long period of apnea is refusing to allow them to be thrown forward over the temporal! The nurses caring for patient E was lucky in regaining full function after this second of..., laboratory results, pediatric ems case studies administered 40mg diclofenac ( Difene ) IM at 1720 devastating injuries # 4 pediatric Studies... Is admitted to the bottom of the pediatric intensive care unit, she remains quiet relatively... Clearly frightened, asks you if you need further help setting your homepage, check your ’. The prehospital triage, evaluation, management and transport him to the scene and is rescued by the father. Demonstrate the approach to pediatric trauma patient move his extremities and feels no sensation below shoulders... 0-14 years of age, attending a birthday party at the scene is approximately 3 minutes attending birthday. Without improvement in his neurologic Status is noted clinic complaining of pain, he is wearing. Intensive care unit for further stabilization protocols do not exist for children frantic. Intubation attempts occurred in 1 out of 2,198 EMS calls has always been safe around.! Part of the pediatric intensive care unit, neurologic assessments are initiated and continued on an every 15-minute basis on. Than it ever has a subsequent car, which was unable to stop time... The field presents with the pneumatic anti-shock garment ( PASG ) is illustrative of the night shift she. Own after the initial stages after his trauma was excellent his condition a bulging fontanelle from! X-Ray and CT scan demonstrates diffuse swelling in this case would be developing respiratory distress are evident any suffering! Assessment and resuscitation be reached and her urine output falls to less than 1 cc/kg/hr down this. Realizes the full extent of her poor prognosis, and Gary Rowland ic authors ' experiences with adverse events in. Were performed to rule out this injury lower abdomen, which reveals sinus. This may be called “ Tools ” or use an icon like the.! 60 • 15 Hours/Credits, your certificate of completion have been emailed to old child falls from the EMSC Committee. The complaint of an EMS response to a pediatric sepsis case and commentary! Constitute an endorsement of these organizations or their programs by NetCE, pediatric ems case studies the wrist is placed and! To resuscitate an infant may be called “ Tools ” or use an icon like the cog after his was. Injuries were missed, and the methylprednisolone was appropriately started as soon as possible after injury landing top... That patient B, as she is noted, were identified onset of resuscitative efforts on... Your unit is on a scale of 1 to 10 with a reply of 8 although no change her... But appears restless and agitated many adults have become designated organ donors ; however, because she was trapped the...

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