EMT 252 - Pediatric Advanced Life Support

1. Perform a pediatric assessment.
2. Identify techniques for airway management in respiratory emergencies, cardiovascular emergencies, and neonatal emergencies.
3. Identify techniques in managing children with special healthcare needs.
4. Define Sudden Infant Death Syndrome (SIDS).

1. Describe the emergency medical services for children in association with common illnesses and injuries and prevention strategies.
2. Explain the physiological, psychological, and social changes throughout human growth and development with assessment and communication strategies for patients of all ages.
3. State the steps for pre-arrival preparation of a pediatric emergency, the scene size-up, and the assessment flow integrating the patient assessment triangle (PAT).
4. Apply the pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the pediatric patient with airway complications and respiratory difficulties.
5. Apply the pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the pediatric patient with a cardiovascular emergency.
6. Differentiate and apply the pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the pediatric patient with common medical emergencies.
7. Describe and apply the pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the pediatric patient experiencing a toxic exposure.
8. Synthesize and apply the pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for common trauma emergencies involving the pediatric patient.
9. Describe and apply the pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the neonate.
10. Review and apply the pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for children with special healthcare needs.
11. State and apply the pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for sudden infant death syndrome (SIDS).
12. Explain the Medical-legal considerations in the care for pediatric patients.
13. Demonstrate the ability to integrate roles and responsibilities by formulating a field impression and implementing simulated patient care following guidelines, protocols, and standing orders.

1. Introduction
   1. Emergency Medical Services for Children
   2. Injury and illness prevention
   3. The pre-hospital professional’s role in prevention
   4. Children in disasters
2. Human Growth and Development
   1. Responses to illness
   2. Growth and developmental characteristics and age-specific assessment considerations.
3. Pediatric Assessment
   1. Assessment flow chart
   2. Pre-arrival preparation
   3. Scene size-up
   4. Initial assessment
   5. Additional assessment
4. Airway Management and Respiratory Emergencies
   1. Respiratory distress and failure
   2. Evaluating the presenting complaint
   3. General noninvasive treatment
   4. Specific treatment
   5. Management of respiratory failure
   6. The transport decision
   7. Additional assessment
5. Cardiovascular Emergencies
   1. Shock
   2. Hypovolemic shock
   3. Cardiovascular assessment
   4. Distributive shock
   5. Cardiogenic shock
   6. Classifications of shock
   7. Dysrhythmias
   8. Cardiopulmonary arrest
6. Medical Emergencies
   1. Seizures
   2. Altered levels of consciousness
   3. Hyperglycemia
7. Toxic Exposures
   1. Age-related differences
   2. Pre-arrival preparation and scene size-up
   3. Assessment flow
   4. Toxicological management
   5. Role of poison control centers
8. Pediatric Trauma
   1. Fatal injury mechanisms
   2. Unique anatomical features
   3. Mechanisms of injury
   4. Assessment flow
   5. Special airway considerations
   6. Transport decisions
   7. Immobilization and splints
   8. Burns
   9. Multi-casualty incidents
9. Neonatal Management
   1. Immediate care of the neonate
   2. Depressed neonatal resuscitation
   3. Stabilization for transport
10. Children with Special Healthcare Needs
    1. Assessment considerations
    2. Transport considerations
    3. Technology assisted children
11. Sudden Infant Death Syndrome (SIDS) and Death of a Child
    1. Defining SIDS
    2. Common clinical presentation
    3. Epidemiology and risk factors
    4. Actions in suspected SIDS
    5. Information collection
    6. Potential responses to child and infant death
12. Medical-Legal Considerations
    1. Rationale for protocols, policies, and procedures
    2. Treatment protocols
    3. Pediatric focus on policies and procedures
13. Procedures
    1. Communications
    2. Airway management, ventilation, and oxygen therapy (advanced and basic skills)
    3. Vascular access, fluid resuscitation, and medication administration
    4. Cardiopulmonary management and resuscitation (advanced and basic skills)
    5. Immobilization and splints