ENPC 2
Preparation and traige - answer1.State need for activation of trauma team
2. Prepare for trauma : ped equpment, length-based resuscitation tape and dosing
guidelines
3. State the need to don PPE
Across-the-room Observation - answerAssess for uncontrolled hemorrhage (C), if non
go to ABC
State the three components of pediatric assessment triangle (Appeance/Airway, WOB,
and Circulation
AND categorizes them as sick, sicker or sickest
Airway and Alertness - answer**APVU
If trauma is suspected state need for manual c-spine until collar is placed, AND
demonstrate manual jaw-thrust. If isn't you can do it normally
** Determine patency of airway (four): tongue obstruction, loose or missing teeth,
foreign objects, blood or other secretions, edem, snoring, gurgling or stridor and is there
any bony deformity
Interventions: suction, folded towel, OPA or NPA, indicate need for intubation
4. Across the room observation and then - answerAssess for uncontrolled external
hemorrhage and the need to re prioritize C over ABC
Breathing and Ventilation. - answer** Assess breathing: sponatenous, symmetrical
chest, skin color, open wounds, breath sounds? Subq empysema, JVD or trach
deviation or increased WOB (which would include, grunting, retractions, head bobbing,
nasal flaring)
Interventions: oxygen, ventilation, intubation, chest tube or needle thoracentesis
Circulation and hemorrhage - answerAll of these: inspects of uncontrolled hemorrhage,
palpates central and peripheral pulses, inspect and palpates skins for color, temp and
moisture and assess cap refill
Interventions: control of hemorrhage, initiation chest compression, IV get two, cardiac
monitor if it is a dysrhythmia, fluid bolus 20mlkg - 10 mlkg for neonate or cardiogenic
shock
Disability - answerGCS : verbal, eye and motor
Preparation and traige - answer1.State need for activation of trauma team
2. Prepare for trauma : ped equpment, length-based resuscitation tape and dosing
guidelines
3. State the need to don PPE
Across-the-room Observation - answerAssess for uncontrolled hemorrhage (C), if non
go to ABC
State the three components of pediatric assessment triangle (Appeance/Airway, WOB,
and Circulation
AND categorizes them as sick, sicker or sickest
Airway and Alertness - answer**APVU
If trauma is suspected state need for manual c-spine until collar is placed, AND
demonstrate manual jaw-thrust. If isn't you can do it normally
** Determine patency of airway (four): tongue obstruction, loose or missing teeth,
foreign objects, blood or other secretions, edem, snoring, gurgling or stridor and is there
any bony deformity
Interventions: suction, folded towel, OPA or NPA, indicate need for intubation
4. Across the room observation and then - answerAssess for uncontrolled external
hemorrhage and the need to re prioritize C over ABC
Breathing and Ventilation. - answer** Assess breathing: sponatenous, symmetrical
chest, skin color, open wounds, breath sounds? Subq empysema, JVD or trach
deviation or increased WOB (which would include, grunting, retractions, head bobbing,
nasal flaring)
Interventions: oxygen, ventilation, intubation, chest tube or needle thoracentesis
Circulation and hemorrhage - answerAll of these: inspects of uncontrolled hemorrhage,
palpates central and peripheral pulses, inspect and palpates skins for color, temp and
moisture and assess cap refill
Interventions: control of hemorrhage, initiation chest compression, IV get two, cardiac
monitor if it is a dysrhythmia, fluid bolus 20mlkg - 10 mlkg for neonate or cardiogenic
shock
Disability - answerGCS : verbal, eye and motor
