Decision/Action Points: Any abnormal findings or life-threatening chief complaint such as major trauma/burns, seizures, diabetes, asthma attack, airway obstruction, etc. (urgent) – proceed to Initial Assessment. Contact ALS if not already on scene/enroute. (non-urgent) proceed to Initial Assessment. All findings normal – Initial Assessment (Primary Survey) Breathing Airway & Appearance (Effort / Sounds / Rate / Central Color) (Open/Clear Mental Status) – Continue assessment t throughout transport Abnormal: Cyanosis, mottling, or pallor. Absent or weak peripheral or central pulses; Pulse or systolic BP outside normal range; Capillary refill >2 sec with other abnormal findings. Normal: Color normal. Capillary refill at palms, soles, forehead or central body ≤2 sec. Strong peripheral and central pulses with regular rhythm. Decision/Action Points: Any abnormal findings (C, U or P) Immediate transport with ALS. Open airway & provide oxygen. Assist ventilations, – Start CPR, suction, or control bleeding as appropriate. Check for causes such as diabetes, poisoning, trauma, seizure, etc. Assist patient with prescribed bronchodilators or epinephrine auto-injector, if appropriate. All findings on assessment of child normal (S) Continue assessment, detailed history & treatment at scene or enroute. – Circulation to skin (Color / Obvious Bleeding) Pediatric References Grey/Pink Pink Purple Yellow White Blue Orange Green Green Green Grey 7 kg 3.5 kg 10 kg 15 kg 20 kg 25 kg 30 kg 35 kg 40 kg 45 kg Weight 1.5 kg 15.4 7.7 lbs 22lbs 33lbs 44lbs 55kbs 66lbs 77lbs 88lbs 99lbs 3.3 lbs lbs Age Preemie Term 6 mos. 1 yr. 3 yrs. 6 yrs. 8 yrs. 10 yrs. 11 yrs. 12 yrs. 14 yrs. 120 95 98 110 100 90 90 90 75 75 75 Pulse -180 -145 -145 -120 -110 -100 -100 -100 -80 -80 -80 Respiratory 60+ 35-45 35-45 22-30 20-26 20-24 18-22 18-22 14-20 14-20 14-20 Rate
Decision/Action Points: Any abnormal findings or life-threatening chief complaint such as major trauma/burns, seizures, diabetes, asthma attack, airway obstruction, etc. (urgent) – proceed to Initial Assessment. Contact ALS if not already on scene/enroute. All findings normal (non-urgent) – proceed to Initial Assessment. Initial Assessment (Primary Survey) Airway & Appearance (Open/Clear – Mental Status) Breathing (Effort / Sounds / Rate / Central Color) Circulation to skin (Color / Obvious Bleeding) Continue assessment t throughout transport Abnormal: Cyanosis, mottling, or pallor. Absent or weak peripheral or central pulses; Pulse or systolic BP outside normal range; Capillary refill >2 sec with other abnormal findings. Normal: Color normal. Capillary refill at palms, soles, forehead or central body ≤2 sec. Strong peripheral and central pulses with regular rhythm. Decision/Action Points: Any abnormal findings (C, U or P) – Immediate transport with ALS. Open airway & provide oxygen. Assist ventilations, Start CPR, suction, or control bleeding as appropriate. Check for causes such as diabetes, poisoning, trauma, seizure, etc. Assist patient with prescribed bronchodilators or epinephrine auto-injector, if appropriate. All findings on assessment of child normal (S) – Continue assessment, detailed history & treatment at scene or enroute. Pediatric References Grey Grey/Pink Pink Purple Yellow White Blue Orange Green Green Green Weight 1.5 kg 3.3 lbs 3.5 kg 7.7 lbs 7 kg 15.4 lbs 10 kg 22lbs 15 kg 33lbs 20 kg 44lbs 25 kg 55kbs 30 kg 66lbs 35 kg 77lbs 40 kg 88lbs 45 kg 99lbs Age Preemie Term 6 mos. 1 yr. 3 yrs. 6 yrs. 8 yrs. 10 yrs. 11 yrs. 12 yrs. 14 yrs. Pulse 120 -180 95 -145 98 -145 110 -120 100 -110 90 -100 90 -100 90 -100 75 -80 75 -80 75 -80 Respiratory Rate 60+ 35-45 35-45 22-30 20-26 20-24 18-22 18-22 14-20 14-20 14-20