How to control injuries for children Most children who need emergency medical care at this medical practice, ed.
This requires a community-based approach to emergency care of the child.
Ems-c is a concept that includes the following steps:
1. Prevention
2. prehospital care and transport
3. Ed inpatient
4. Monitoring, including rehabilitation
Primary care providers must be able to recognize a child with altered mental status, shock and respiratory distress or failure.And must be aware of an appropriate action plan for rapid intervention.
1. Staff training and continuing education, including receptionists and medical assistants should be trained in adult and child CPR and First Aid (BLS). In addition, nurses and doctors should be trained in a systematic approach to intensive care and pediatric trauma, through courses standaraized Pals.
2. resuscitation equipment is an essential element of a response emergncy, PICU cart or kit containing medicines, respiratory, fluid and diverse, such as signs of cardiac arrest, sphngnomanometer, splints, sterile bandages, tapes color or preprinted drug doses, a portable defibrillator and ECG monitor. In addition to transport, how, where (destination) with a checklist for patient transport, access to the EMS system and the response / travel time /.
3. The child at risk is summarized in the upper airway obstruction, obstruction of the lower respiratory tract, the state unstable cardiovascular disorders, central nervous system, the artificial and the postoperative period.
4. Evaluation and monitoring is implemented by determining the patient's alertness and response to stimuli. Also to check the cardiovascular condition with various aspects such as pulse and heart rate, blood pressure and organ perfusion. It is also vital to check the respiratory status, respiratory effort, cyanosis, and gas exchange.
5. life support base should be established by determining the lack of response
or difficulty breathing, call for help, airway, breathing and circulation.
6. Advanced life support is to continue to support basic life by mouth to mouth breathing, and closed chest cardiac compression. You must also establish and maintain effective ventilation by artificial airway, ETT and monitoring of oxygen saturation. Although obtaining vascular access (peripheral, central or intraosseous routes). Volume expansion is required, while obtaining serum electrolyte values. Always monitor cardiac status by ECG monitor, pulse, blood pressure, arterial blood gases and pH determinations and confirm the presence of dysrythmia. Defibrillate the patient and provide support pharmacology.
7. Treatable conditions associated with cardiac asystole, peas, vf. Using 4HS (hypovolaemia, hypoxia, hypothermia and Hypo / hyperkalemia) with 4Ts (tension pneumothorax, thrombosis, toxins and packing)
8. care in the ICU Postresuscitation success is achieved by continuing pediatric intensive care is generally required to participate in the potential of post-ischemic syndrome, multiple organ failure and required continuous cardiac inotropic support.
9. If resuscitation failed, attention is naturally focused on comforting the bereaved family.
PS: You can always refer to my website where more of the article are published with several corresponding links on http://www.AbsolutePediatrics.blogspot.com
Posted on February 13, 2010.
