2015 Trumbull Memorial Hospital Demo

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EMR EMT AEMT Paramedic Extended
Pediatric Airway
Pediatric Airway
S/S of respiratory
distress or failure
Assess
Respiratory Distress Respiratory Failure
High Flow O2
Transfer to pediatric
center
BVM
Airway Obstruction
BVM Effective?
EGD/ETI
Troubleshoot
 Abdominal thrusts
 Direct laryngoscopy with
Magills
 Intubation last resort
Transport Time Short?
Transfer to
closest facility
Secure with tape
ETCO2
Ineffective BVM:
 Reposition Airway
 Verify mask size
 Check O2 source
 Check Bag/Mask
 Treat gastric distention
Troubleshoot with DOPE:
 Dislodged
 Obstructed
 Pneumothorax
 Equipment failure
Respiratory Distress
 Tachypnea
 Dyspnea / retractions
 Adequate Tidal Volume
 Pallor
Respiratory Failure
 Dyspnea / retractions
 Inadequate Tidal Volume
-and/or-
 Inadequate Rate
 Cyanosis
No
Continued Respiratory
Distress?
No
No
No
Yes
Yes
Yes
Yes
Potential brain
injury?
No
Properly placed?