Confessions of an EMS Newbie

65 Defenses and Pediatrics


Listen Later

(45:41) Lots of stuff on pediatrics and the body’s defenses. Let’s try a slightly different version of the show notes. Here’s my actual outline from the show.

From last week’s episode

Laryngospasm

Article about post op laryngospasm and management
1. succacoline does stop laryngospasm
2. ultimately they used lidocaine and did a “bilateral superior laryngeal nerve block”

What I Did this week
Medical Emergencies

Review of system defenses, mostly at the cellular level

Antigens and antibodies
Why you get a fever. An increase in temp makes bacteria unable to replicate their cell walls.
Anaphylaxis

Special Populations

Pediatrics

Continuing education: PALS, PEPP, APLS, PPC
Have you heard that sugar has a sedative effect on neonates?
“Don’t give them a glove to play with”
What do you talk to preschoolers about?
“Promote a sense of control, but don’t negotiate” – Kelly Grayson
PAT and TICLS
CUPS “We’re all good at extremes. A skilled provider is finding the middle and stopping it before it gets worse.”
EDD is contraindicated in pedi intubations
DOPE – what to check with ET isn’t working, Displacement, Obstruction (secretions), Pneumothorax, Equipment Failure
Do you use a Buratral
Foreign Body Airway Obstructions
Give St John’s a break. You do do back blows in pedi FBAO. (Responsive Infants – this isn’t under 15 months)

Clinicals

No babies being born

Kelly rants about L&D nurses.
Benydrill as a local anesthetic

Starting to review for Med Emergency exam on Monday

Tips on learning drugs and doses

Out of Side Kicks

Mentions:

Peter Gabriel – Sledgehammer video

St John’s Popcorn Video
The Management and Treatment of Recurrent Postoperative Laryngospasm (Full Text PDF)
KidO’s Bear
NIC the Dragon
Pediatric Advanced Life Support (PALS)
PEPP
APLS
ENPC – Emergency Nursing Pediatric Course
PPC appears to now be EPC
The Sexual Assault Nurse Examiner – SANE

Listener Questions

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Confessions of an EMS NewbieBy Ron Davis and Kelly Grayson