EMT 259 - Pediatric Education for Pre-Hospital Professionals Refresher

1. Demonstrate the skills associated with medical and trauma emergencies for the newborn and pediatric patient.
2. Identify the methods of patient assessment for pediatric medical emergencies.
3. Identify the methods of patient assessment for pediatric trauma.
4. Demonstrate management of Children with Special Health Care Needs (CSHCN).

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. Synthesize and explain 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. State and 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. Cite 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. Explain 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. Identify and apply the pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the neonate.
10. Synthesize 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. Apply the pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for sudden infant death syndrome (SIDS).
12. Describe and apply the pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for child maltreatment.
13. Explain the Medical-legal considerations in the care for pediatric patients.
14. 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 (PAT)
   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. Child safety restraints
   9. Burns
   10. Multi-casualty incidents
9. Emergency Delivery and Neonatal Management
   1. Triage of the patient in labor
   2. Preparation for delivery
   3. Vaginal delivery
   4. Immediate care of the neonate
   5. Depressed neonatal resuscitation
   6. 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. Child Maltreatment
    1. Background
    2. Defining child maltreatment
    3. Child protective services
    4. Duties of the pre-hospital professional
    5. Communication with the child and caregiver
    6. Medical-legal considerations
13. Medical-Legal Considerations
    1. Rationale for protocols, policies, and procedures
    2. Treatment protocols
    3. Pediatric focus on policies and procedures
14. 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