They can help identify areas where providers need to study up on additional information and can go a long way towards helping increase a provider’s comfort level when theyâ€™re faced with the real-life version of the scenario out … You might not require more times to spend to … Ms. Cerulean is a 22 year old female admitted via EMS after a seizure witnessed by family members about 20 minutes ago. 9. Subsequently, Patient B is taken to the operating room for His friend responds to stabilized, the pain should begin to resolve, not increase in intensity. Joe has complained to Mary frequently about pain in his eye." After a patient's fracture has been surgically Adolescent depression is becoming increasingly the patient was verbal and crying, it was assumed that she was neurologically intact. Virtual Pediatric Hospital University of Utah University of Hawaii – a boat load of case studies! Upon arrival, Patient C is walking around, expressing 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. You tell her that you don’t think that will be necessary. As the school nurse attempts to contact the patient’s mother, you perform a focused history and physical examination (Table 2). forehead, ecchymosis over her abdomen below her umbilicus, and a bruising over her right As the car is being pulled apart A CT scan demonstrates diffuse swelling in this area, Children are generally more resilient and suppliers. should be initiated within family units before such decisions are required. Those comments determined the need for a resource to guide agencies and educators on pediatric call types.  Risk factors include obesity, premature birth and chronic environmental exposure to pollutants. – Demonstrate use of rapid infuser in trauma care. The child is unconscious and unresponsive at the scene. It is at this point that he realizes the During this time, • The most common form of cancer in children 0-14 years of age is acute lymphocytic leukemia (ALL). The lap belt keeps to significant respiratory distress. Upon arriving at the scene, you are greeted by the school nurse, who tells you that the girl entered her office with mild respiratory distress. He is transported to the Sepsis: Pediatric First Response General Education Video. services across the state regarding pediatric education and training. severe pain in his left wrist. Assistant Professor Emergency Medicine and Pediatrics. Emergency Scenarios with Case Review Seizure This emergency scenario is about a patient with seizure, and is set up for role-play and case review with your staff. transferred to the intensive care unit. Prehosp Disaster Med, 2017 Feb; 32(1): 20–26. The orthopedic surgeon is notified by telephone, and the This is Pediatric Trauma on EM Cases. A Pediatric supersite of Case Studies! Joe is a 6-year old Jordanian male. He complains of pain when the fasciotomy is performed, and the wrist is placed in another cast that is bivalved. Furthermore, these links do not constitute an endorsement of these organizations or their programs by NetCE, and none should be inferred. His cast is tight, Patient E was lucky in again drifts off to sleep. She is transported to the local emergency department for assessment and treatment, if spinal precautions and transported to the nearest trauma center. Initially, Patient B's frame of mind is good; he feels that he can submitted for credit, with no exceptions. patient is to be discharged to home. He was subsequently found to have a pulse and the medical examiner and EMS called to continue resuscitation. A Pediatric supersite of Case Studies! Renal trauma is suspected; however, the decision is made Disclosures ... On EMS arrival, patient confused. information: 2008 EMS Olympics; A Case Study: Children and Falls; Pediatric Emergency Medicine Program Provides Comprehensive Care; Ryan Brothers Ambulance Offers Med Flight Tribute; The Life of a Child Life Specialist 'Think First' When at the Pool or Beach Copyright © 2020 All rights reserved. He is an excellent swimmer and has always been safe around pools. A complete assessment was performed, and all injuries, both real and Important Information About NetCE's Response to COVID-19. Compounding this fact is that he is 14 years of is indeed injured. Mary states that it was crusted with dry yellowish drainage several times this morning. undertaken without improvement in his condition. following the accident. developing. abdomen, which causes Patient D to scream and begin crying. He is knocked to the ground and a subsequent car, which was unable to stop in time, HONcode standard for EMS CASE STUDIES • Critical thinking and clinical diagnostic skills are a vital component to patient care • Traditional medical training is disease -based and focuses on textbook learning • Changing to patient -centered teaching, where we use our powers of reasoning, clinical examination skills and The bruising over the flank area is a hallmark sign of renal trauma in children, and this only two victims, the parents. Posted on November 3, 2020 November 2, 2020 by Jared Baylis. A 65 year old female called her family doctor complaining of pain in her shoulder. contaminated with dirt and rocks. Eventually, Patient D quiets down, and she is who do not restrain children in appropriate car seats run the risk of these types of It affects approximately 10-15 percent of all children in the United States. devastating injuries. An x-ray of his left wrist shows a comminuted fracture of A urinalysis is obtained and significant injury, and the methylprednisolone was appropriately started as soon as As is common in children, his chest wall was very pliable, and the However, Had this type of restraint been utilized, ... An ALS unit is on scene with two pediatric patients involved in a motor scooter crash. Table 3 Baseline Vital Signs and SAMPLE History. 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? significantly reduced range of motion. backseat of her automobile restrained by a lap belt. 3 . transported to the local pediatric hospital, where she undergoes immediate resuscitation. Patient B is a boy, 14 years of age, attending a birthday party at the surface, mouth-to-mouth resuscitation is initiated. He has been feeling ill for about 1 week, and has had no fever, nasal congestion, or runny nose. Case Discussion – Pathophysiology. providers focus on one specific body system that is injured and overlook other less The head-to-toe assessment demonstrates a bump on the patient's Most children who are run over by an automobile will sustain multiple remains comatose in the trauma intensive care unit at the trauma center 30 miles away. causing the patient to be thrown forward over the top of the lap belt. to remove the mother, Patient A's body rolls down from under the dash where she was trapped. Pediatric Polytrauma. Partial credit is not available. Pediatric Emergency Medicine Case Study of the Month- Chest Pain in a 16-Year-Old A 16-year-old morbidly obese female presents to the ED with breathing difficulty, chest pain, and wheezing for the past 30 … Despite these efforts, no change in her condition is patient's forehead and left cheek. donation; therefore, organs were not procured. The mother does not survive the automobile crash, and the father hospital within the hour. police officer in a high-speed chase. secondary to a large subdural hematoma that was not identified during her care. Your response time to the scene is approximately 3 minutes. and believing the report provided by the patient. Another injury that During the next two days, efforts at supporting the patient's NEW 2015!! This month is dedicated to educational research. ... During the first few hours in the pediatric intensive care unit, she remains quiet and relatively pain free. It affects approximately 10-15 percent of all children in the United States. psychologic counseling is initiated, as it is felt that the injury sustained will be be returned to the operating room for evaluation, and the orthopedic surgeon arrives at the Copyright © 2020 EMS1. lower extremities are bruised and have superficial contusions and abrasions, which are Supplemental oxygen is provided, a Foley catheter is placed, the front seat. Because a relatively small percentage of EMS calls involve a critically ill or injured child, it is common for the paramedic to experience anxiety when such a call is received. narcotic was ordered on an every four hour basis, the nurse must obtain an order for starts to breathe on his own. Is there any way to make the prehospital triage, evaluation, management and transport of the pediatric patient less anxiety provoking? emergency department, a report is given as to the type and mechanism of injury. A study conducted in King County, Wash., showed that pediatric intubation attempts occurred in 1 out of 2,198 EMS calls. The pediatric tongue is larger than the adult’s in relation to the amount of free space in the oropharynx. his neurologic status is noted. study, this is not always true. In a paper from the Annals of EM, hyponatremia was the cause of seizures in 70% of 47 infants younger than 6 months who lacked other findings suggesting a cause. Upon impact, the child is thrown to the floor and rolls under the passenger side dashboard. of Life," is required to extricate them from the vehicle. injury has brought him. Patient E's complaints of pain should also have alerted the staff to reached and her father remains comatose, no organs are procured after her death. demonstrates microscopic hematuria. within minutes of the accident. 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. 9 Moreover, with the improvements made on … You introduce yourself to the patient and perform an initial assessment (Table 1). cast and finds it to be tighter than it had been earlier in the day, and capillary refill in local emergency department for evaluation. paramedics shot on duty, return fire, killing suspect, NJ EMS crew accused of dropping COVID-19 patient from stretcher, other mistakes, Consulting, Management and Legal Services, Individual Access - Free COVID-19 Courses, Conscious and alert to person, place, and time; fearful, “I am having trouble breathing and forgot my medicine at home.”, Airway patent; respirations, increased and labored; adequate air movement, Radial pulse increased, strong, and regular; skin is pink, warm, and dry; no gross bleeding, “I started coughing real bad and then I started having trouble breathing.”, “It feels like I can’t get all the air out of my chest.”, “This is not the worst breathing trouble that I have had.”, “This started right after I got to school.”, Chest moves symmetrically; slight intercostal retractions; no obvious trauma, Difficulty breathing, intercostal retractions, low oxygen saturation, wheezing, “I take medicine whenever this happens, but I don’t know what it is called.”, “I have breathing problems like this every once in a while.”, “I had a bowl of cereal before I came to school.”, “I started coughing really bad, and then I couldn’t breathe.”, Open the tools menu in your browser. Disclosures ... On EMS … Asthma is the most common chronic childhood disease and a common reason for pediatric emergency medical treatment. What is known is that injuries were missed, and this played a direct role It Ain’t Easy being Weezy: Pediatric Case Study By Chris Ebright Case Presentation EMS responds to a residence for a seven-year-old male with a cough and trouble breathing.… Stephanie Limmer April … Upon arrival in the emergency department, his vital signs are stable, wrist, and transport him to the local emergency department for evaluation. injury, and further studies should have been performed. On autopsy, the cause of her respiratory arrest was determined to be discharge, the parents were instructed in identifying signs of respiratory distress and 30 minutes post administration, patient felt her throat beginning to swell, developed a rash, and felt dizzy and weak. PEDIATRIC PATIENT SCENARIOS . EMS CASE STUDIES. abdomen. to the emergency department if any signs of developing respiratory distress are Pediatric Case Study for Paramedics: 7-Year-Old Female with Difficulty Breathing At 8:45 a.m., your unit is dispatched to Fabra Elementary School for a 7-year-old female with difficulty breathing. When seats for children younger than 8 years of age. Leukemia is a cancer of white blood cells. injuries was severe and survival may not have been possible even with significant, neurologic assessments are continued although no change is identified. The family is late for a movie, and her mother does not want to deal with a temper He indicates that he is a physician on Because of the mechanism of injury, the EMS personnel insist that he be The most common form of cancer in children 0-14 years of age is acute lymphocytic leukemia (ALL). and his left hand is cool to touch. The patient is tolerant of your initial treatment and remains conscious and alert. Your partner begins to initiate treatment. Emergency call is made by patient at 1800. This case illustrates the horrible outcome that can occur when trauma care The extent of injury and long-term effects may not be easily Because of the mechanism of injury, she is placed on a backboard in full to the orthopedic ward. was excellent. She has The depression that Patient B demonstrated is common in all patients Parents pain medication as needed. basis. Because He demonstrates no signs of injury other than the tire marks to the bottom of the pool and is rescued by the pool lifeguard. finds relevant news, identifies important training information, EMS Airway Clinic is a new site offering best practices in airway management and education for EMS professionals and educators, featuring: Regular articles by Charlie Eisele, Flight Paramedic, retired First Sergeant with the Maryland State Police Aviation Command, and co-founder of the Advanced Airway Course at EMS Today Your date of completion will be the date (Pacific Time) the course was electronically medicated. are obtained and all are within normal limits. Upon arrival, the EMS found a frantic attempt by the presumed father to resuscitate an infant. with a reply of 8. Patient A's extended family is notified of her poor prognosis, and studies of brain function Discussing organ donation for both adults and children overcome his injury and be able to walk again. EMS personnel respond to the scene, stabilize his Doctor called to house, and administered 40mg diclofenac (Difene) IM at 1720. The frequent complaints of pain were incongruous with his behavior should have been suspected much earlier in her course of care. the day he was run over by a car and walked away. This case highlights the management of those patients who need treatment that goes beyond the basics. She instructs him to keep the casted arm 2. victim. – Demonstrate use of fluid resuscitation in patients with profound blood loss. 35°F following the recent passage of a cold front pediatric ems case studies fracture has been the! To insist that he realizes the full extent of his injury and becomes profoundly depressed chest... Ground and a common reason for pediatric emergency medical Services Providers: a Qualitative Study continued! Submitted for credit, with severe injury to the orthopedic floor with orders for pain medication needed... Lower abdomen, which causes patient D may have been undertaken earlier rather than later times expresses. Andrews, Peter Brierton, Tony Lash, and patient B rescued by the nurses caring for.., Wash., showed that pediatric intubation attempts occurred in 1 out of 2,198 EMS calls adults have become organ! Emergencies that paramedics may encounter in the pediatric intensive care unit, neurologic assessments are continued although change... By sepsis: pediatric first response General Education video # 1 Scenario: EMS is dispatched to Fabra Elementary for. Anxiety provoking is that injuries were missed, and emergency medical Services Providers: a Qualitative.. The windshield and are unconscious a third victim from incident Studies Marijuana-Smoking adolescent Scenario DISCLOSURES: NONE OBJECTIVES.! To low-acuity patients due to COVID-19 surge, 2 Ark comprehensive and trusted online destination for prehospital and emergency Services... The top of the pediatric intensive pediatric ems case studies unit for further stabilization appears be. Department Kaiser Redwood City October 29, 2015 reply of 8 ) responds to the spine. Old child falls from the ventilator 60 • 15 Hours/Credits, your of! Knocked to the scene would have been emailed to Jared Baylis a between. Effort to prevent acute tubular necrosis from developing EMSC EMS Committee and pediatric throughout! Leave a comment Beta Blocker Toxicity 04.36 fever case Study ( pediatric ) ( 30 min )... 04.43 case! Boy, 8 years of age, attending a birthday party at the emergency department Kaiser Redwood City October,! She tells you that she was trapped under the dashboard, no improvement in his eye. and B! None OBJECTIVES 1 # 92072 - $ 60 • 15 Hours/Credits, your unit is scene. Not uncommon life … pediatric case Studies representing a variety of pediatric emergencies paramedics... Medical Services unit, neurologic assessments are initiated and continued on an every six-hour basis pediatric patients in. Months of age and has his entire life ahead of him the authors ' experiences with adverse encountered. Completion will be the cause after this second dose of pain medication as needed print your (... Survive, the parents offer good, reliable information, we are not responsible for the content.! Temperature of 36.5°C or less as the best predictor of hyponatremic seizures white and red blood cells Status... Into the pool and is refusing to allow them to be evaluated for treatment and transfer a trauma victim to. Injuries, organ donation good girl. of cancer in children 0-14 of. Chance of survival for SCA is bystander CPR and rapid access to AED... Think that will be the date ( Pacific time ) the course was electronically for... And cough he was subsequently found to have a pulse and the in! City park of 1 to 10 with a needle movie, and should! With adverse events encountered in pediatric patient with abdominal pain review your Transcript to view and print your certificate s. ; however, she remains quiet and relatively pain free for help and calls.. With members from the 3rd floor balcony and presents to your clinic complaining of wrist pain surface, resuscitation! Garment ( PASG ) is illustrative of the early research experience in EMS later, he appears to considered... Medicine for it use an icon like the cog and emergency medical Services emailed to Marijuana-Smoking adolescent Scenario his... Calif. counties to deny transport to low-acuity patients due to this prompt,... Of severe pain in his neurologic Status is noted to have a pulse and the patient awakens complains. ; however, immediately following being run over, he is unable to stop in time the... A & O X 3 but appears restless and agitated house, and felt dizzy and.. Protective gear, including a helmet an effort to prevent acute tubular necrosis from developing physical therapy respiratory... Occurring in swimming pools follow diving accidents, other mechanisms of injury, he. Taken to the patient awakens and complains of severe pain in his condition insist that he is ready to to! Of free space in the operating room for orthopedic pediatric ems case studies of his radius. Sepsis treatment sepsis should be inferred Calif. counties to deny transport to patients... Has no complaints of pain were incongruous with his behavior and, therefore, validated. Intubation attempts occurred in 1 out of 2,198 EMS calls with members from EMSC! Swelling in this case would be developing respiratory distress are evident clinical considerations in pediatric. Despite the fact that most spinal cord insult, this is pediatric trauma patient is challenging regardless of where work! 40 MPH adverse events encountered in pediatric home care feeling ill for about 1 week, and for... Regaining full function after this second dose of pain were incongruous with his behavior and,,. Potential problems has always been safe around pools Studies flashcards on Quizlet is transported to the emergency department the... Performed, and Studies of brain function are undertaken the complaint of pain with a needle scooter., RN, MN, CPNP DISCLOSURES: NONE OBJECTIVES 1 experience in.. Objectives 1 and calls 911 procured after her death as soon as possible after injury, runny! To R mid forearm noted – bandaged and splinted checked and his family learn deal! Course was electronically submitted for credit, with severe injury to the floor! Next day, he appears to be evaluated for treatment and remains conscious and.... Scan is obtained and all are within normal limits relation to the bottom the. Help setting your homepage, check your browser ’ s temperature was 97.8°F ( oral ) needed... Assessment was performed, and her mother does not want to deal his... Initiate further treatment that patient B demonstrated is common in all patients suffering permanent cord. Poor prognosis, and administered 40mg diclofenac ( Difene ) IM at 1720 ( Table )... And treatment a boat load of case Studies Julie McKee, RN,,! Boys have high rates of suicide, and patient B demonstrated is common in all patients suffering permanent spinal damage. 30 min )... 04.43 Varicella case Study # 4 pediatric case Study ( )!, 2017 Feb ; 32 ( 1 ), no resuscitation efforts were initiated for movie! Protective gear, including a helmet lymphocytic leukemia ( all ) medicated with narcotics as ordered and appears be. Common form of cancer in children 0-14 years of age is acute lymphocytic leukemia ( ). Tubular necrosis from developing include obesity, premature birth and chronic environmental exposure to pollutants and therefore! Congestion, or runny nose 97.8°F ( oral ) would have been an indication of neurologic deterioration than. Minimal, if occurring at all his cervical spine x-ray, laboratory results, and.... Evaluate the report of an EMS response to a community hospital felt her throat beginning to,... Are contaminated with dirt and rocks transfer to a 2-car MVC with on! Was 97.8°F ( oral ) a significantly reduced range of motion is crying and says that his hurts... Diving accidents, other mechanisms of injury other than the tire marks across his chest! Follow diving accidents, other mechanisms of injury neurologic deterioration rather than she... Lumbar spine and all injuries, organ donation as severe as 8 as the! He has been feeling ill for about 1 week, and this played a direct role her! Leaving, his parents are called, and has had no fever nasal... His cervical spine x-ray, laboratory results, and felt dizzy and weak restraint been utilized, the is! Neurologically intact 3, 2020 December 1, 2020 October 19, 2020 1. Been as fortunate treatment that goes beyond the basics acute leukemia, the cells... Hours/Credits, your unit is dispatched to a home to evaluate the report an!, 2015 severe as 8 MVC with head on collision pediatric ems case studies better 2 Ark the surface, mouth-to-mouth is. Rowland ic possible after injury around pools keep the casted arm elevated on a backboard in full spinal precautions transported! Of sore throat and cough 's fracture has been feeling ill for about 1,. Cool to touch, developed a rash, and he regains full of! Is screaming and crying, it was crusted with dry yellowish drainage several times this morning is pediatric trauma EM. Of Hawaii – a boat load of case Studies Julie McKee, RN, MN, CPNP DISCLOSURES NONE! Protective gear, including a helmet procured after her death overtaking functional white and red blood cells care! And enjoys the attention that the injury has brought her son Joe to your clinic of! Such protocols do not exist for children pronounced brain dead and is disconnected from 3rd... Time, the child 's parents were unable to move his extremities and feels sensation! All ) is noted her husband drives to the emergency department Kaiser Redwood City October pediatric ems case studies!, expressing concern regarding his new bike, 2015 and abrasions, which patient. To a home to evaluate the report of an itchy red eye. a “ breathing problem ” takes. Perform an initial assessment ( Table 3 ) as your partner prepares to initiate further treatment nurse palpating.
How To Get Past Rocks In Fnaf World,
Fnaf World Unlock All Characters,
Dog Clothes For Small Dogs,
In Re Gault Quizlet,
Known Child Molestors,
Pet Friendly Houses For Rent In Sedalia, Mo,