STANDARD COMPETENCIES:

 I.      Describe the Emergency Medical Services for Children (EMSC).

 II.     Describe key growth and development characteristics for each of the following groups : Infants, toddlers, preschoolers, school aged children, adolescents, and children with special health care needs.

 III.    Describe the thee elements of the Pediatric Assessment Triangle (PAT).

 IV.     Describe the special anatomic considerations in the examinations of the child vs. the adult patient.

 V.      Apply appropriate assessment and treatment techniques to pediatric patients with respiratory emergencies.

 VI.     Apply appropriate assessment and treatment techniques to pediatric patients with cardiac emergencies (including shock).

 VII.    Apply appropriate assessment and treatment techniques to pediatric patients with medical emergencies (including seizures and altered levels of consciousness).

 VIII.   Apply appropriate assessment and treatment techniques to pediatric patients with toxic ingestion.

 IX.     Discuss assessment and treatment of pediatric burn patients.

 X       Apply appropriate assessment and treatment techniques to pediatric patients with a variety of trauma situations ¿ including child maltreatment.

 XI.     Describe the various aspects of emergency delivery and stabilization of the newborn.

 XII.    Decide how to manage situations involving legal considerations of the pediatric patient.

 TOPICAL OUTLINE:

 

 I.      Making a Difference

         A.      Introduction

         B.      Emergency Medical Services for Children (EMSC)

         C.      Injury and Illness Prevention

         D.      Prevention: The Pre-hospital Professional`s Role

         E.      Children in Disasters

         F.      Chapter Resources

 II.     Using a Developmental Approach

         A.      Introduction

         B.      Responses to Illness and Injury

         C.      Growth and Development Characteristics and Assessment of:

                 1.      Infants

                 2.      Toddlers

                 3.      Preschoolers

                 4.      School-Aged Children

                 5.      Adolescents

                 6.      Children with Special Health Care Needs

                 7.      Chapter Resources

 III.    Pediatric Assessment

         A.      Introduction

         B.      Assessment Flow Chart

         C.      Pre-arrival Preparation

         D.      Scene Size-Up

         E.      Initial Assessment

         F.      Additional Assessment

         G.      Chapter Resources

 IV.     Respiratory Emergencies

         A.      Introduction

         B.      Respiratory Distress and Failure

         C.      Evaluating the Presenting Complaint

         D.      The ABCDEs

         E.      General Noninvasive Treatment

         F.      Specific Treatment for Respiratory Distress

         G.      Management of Respiratory Failure

         H.      The Transportation Decision: Stay or Go?

         I.      Additional Assessment

         J.      Chapter Resources

 V.      Cardiovascular Emergencies

         A.      Introduction

         B.      Shock

         C.      Hypovolemic Shock

         D.      Cardiovascular Assessment

         E.      Distributive Shock

         F.      Cardiogenic Shock

         G.      Classification of Shock States

         H.      Dysrhythmias

         I.      Cardiopulmonary Arrest

         J.      Chapter Resources

 VI.     Medical Emergencies

         A.      Introduction

         B.      Seizures

         C.      Assessment and Treatment of the Actively Seizing Child

         D.      Assessment of the Post-ictal Child

         E.      Fever

         F.      Altered Level of Consciousness

         G.      Hyperglycemia

         H.      Chapter Resources

 VII.    Toxic Exposures

         A.      Introduction

         B.      Age-Related Differences

         C.      Pre-arrival Preparation and Scene Size-Up

         D.      Assessment of Child with Possible Toxic Exposure

         E.      Toxicological Management

         F.      Role of the Poison Center

         G.      Chapter Resources

 VIII.   Trauma

         A.      Introduction

         B.      Fatal Injury Mechanism

         C.      Unique Anatomic Features of Children: Effect on Injury Patterns

         D.      Mechanism of Injury: Effect on Injury Patterns

         E.      Assessment of the Injured Child

         F.      Special Airway Considerations in Pediatric Trauma

         G.      The Transport Decision: Stay or Go?

         H.      Immobilization and Splinting

         I.      Restraint of Children During Transport

         J.      Pediatric Burn Patients

         K.      Multi-casualty Incidents Involving Children

         L.      Chapter Resources

 IX.     Emergency Delivery and Newborn Stabilization

         A.      Introduction

         B.      Triage of the Patient in Labor

         C.      Preparation for Delivery

         D.      Vaginal Delivery

         E.      Immediate Care of the Newborn

         F.      Depressed Newborn Resuscitation

         G.      Stabilization for Transport

         H.      Chapter Resources

 X       Children with Special Health Care Needs

         A.      Introduction

         B.      Assessment of CSHCN

         C.      Transport

         D.      Technology Assisted Children

         E.      Chapter Resources

 XI.     Sudden Infant Death Syndrome (SIDS) and Death of a Child

         A.      Introduction

         B.      Definition of SIDS

         C.      Common Clinical Presentation

         D.      Epidemiology and Risk Factors

         E.      Actions in Suspected SIDS

         F.      Information Collection

         G.      Potential Responses to an Infant Death

         H.      Critical Incident Stress

         I.      Chapter Resources

 XII.    Child Maltreatment

         A.      Introduction

         B.      Background

         C.      Definition of Child Maltreatment

         D.      Child Protection Services

         E.      Duties of the Pre-hospital Professional

         F.      Communication with the Child and the Caregivers

         G.      Medico-legal Duties

         H.      Chapter Resources

 XIII.   Medico-legal Considerations

         A.      Introduction

         B.      Rationale for Protocols, Policies, and Procedures

         C.      Treatment Protocols

         D.      Pediatric Policies and Procedures

         E.      Chapter Resources

 XIV.    Appendix 1: Community Outreach and Education

 XV.     Appendix 2: Pediatric Survey for State EMS Systems

 XVI.    Appendix 3: Commonly Used Acronyms and Prefixes