Pediatric Initial Assessment and Management

3.1 Pediatric Initial Assessment Management
GENERAL GUIDELINES
General Guidelines

The protocols in Section 3.1 are designed to guide the EMT or paramedic in his or her initial approach to assessment and management of pediatric patients. The Level 1 care is specified as either EMT and Paramedic (BLS) or Paramedic Only (ALS).

Protocol 3.1.1 should be used on all pediatric patients for initial assessment. During this assessment, if the paramedic determines that there is a need for airway management, Protocol
3.1.2 should be used for the management of the pediatric airway. These protocols are frequently referred to by other protocols, which may or may not override them in recommending more specific therapy.

Protocol 3.1.3 presents the basic components of preparation for transport of medical patients. Due to the significant differences in priorities and packaging in the prehospital care of trauma and hypovolemia cases, a separate Trauma Supportive Care protocol has been developed. After following Protocol 3.1.1, this Medical Supportive Care protocol may be the only protocol used in medical emergency situations where a specific diagnostic impression and choice of additional protocol(s) cannot be made. Judgment must be used in determining whether patients require ALS or BLS level care. Protocol 3.1.3 is frequently referred to by other protocols, which may or may not override it in recommending more specific therapy.

Protocol 3.1.4 presents the basic components of preparation for transport of trauma patients. Due to the significant differences in priorities and packaging in the prehospital care of medical cases, a separate Medical Supportive Care protocol has been developed. After following Protocol 3.1.1, this Trauma Supportive Care protocol may be the only protocol used in trauma or hypovolemia situations where a specific diagnostic impression and choice of additional protocol(s) cannot be made. Judgment must be used in determining whether patients require ALS or BLS level care.

This protocol is frequently referred to by other protocols, which may or may not override it in recommending more specific therapy.

Paramedics only should use Protocol 3.1.5 for pain management.

 

References:

American Academy of Pediatrics, Pediatric Education for Prehospital Professionals, Boston, 2010.
American Heart Association/American Academy of Pediatrics, Textbook of Pediatric Advanced Life Support, Dallas, 2010.
American Heart Association, "2010 Guidelines for CPR and ECC," Supplement to Circulation.