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Coughing Child
Joan is visiting a pediatric primary care clinician with her 2-year-old son Aiden to get help for his persistent cough, wheezing, and runny nose.
Pediatric Intraosseous Infusion
Pediatric intraosseous infusion is initiated when vascular access is required emergently but is difficult to achieve via peripheral vain. Compared to adults, the level of care required is greater for pediatric patients.
Pediatric DKA
Anna is in the ED unwell with abdominal pain and vomiting. She has received a 20cc/kg bolus for initial hypotension and an insulin bolus of 8 units. EMS lost the IV en route, and the patient is now more somnolent in the ED.
Pediatric Anaphylaxis
Kevin, 7, is known to be allergic to peanuts. Ten minutes after eating a cake, he developed wheeze, shortness of breath and rash. His mother administered his epinephrine auto-injector and called EMS.
Pediatric Septic Shock
Olivia, 4, is in ED as she is lethargic and “not herself”. She has had a fever and cough for the past three days. On arrival she looks toxic, has delayed capillary refill, a glazed stare, tachypnea, and tachycardia.
Pediatric SVT
Jerry, a 12-month-old infant, and has been brought into the ED by his parents. He has been fussy, crying all night, not been feeding well, and vomited once. Jerry is found to have a significantly elevated heart rate.
Pediatric Bronchiolitis
Seven month old Tania’s older sibling developed a cold four days prior and next day Tania had a running nose and a cough. Yesterday she did not eat or drink much and this morning she had some noisy breathing.
Pediatric Asthma Exacerbation
Charlie Jansen, 7-year-old, has a known case of asthma. His three-days old cough is accompanied by wheezing and a worsening shortness of breath. The puffer is not helping and Charlie’s condition is getting worse.
Airway Management – TCCC
Due to an injury in combat, a soldier is suffering from an obstructed airway. Immediate measures must be taken to restore airway patency. As part of the team, take necessary steps towards airway management.