2. Pediatric Assessment Pediatric Definitions Assessment of pediatric patient must take into account the characteristics of a and physiology at child’s anatomy each stage of development. Medical For the purpose of this protocol a is defined as a child who fits on the Broselow tape (36 kg or “pediatric patient” 145cm). If longer than the Broselow tape, they are considered an adult. Use of the Broselow tape is recommended if performing invasive procedures on all pediatric patients. While this protocol does not address some emotional and developmental issues, for the most therapies, the use of length-based determination of equipment and medication is evidence based. Use of the Broselow tape is particularly helpful in a situation where there in no confirmed weight or age. Legal *In the case of behavioral of emotional problems, a pediatric patient is defined as any child less than 15 years of age. *The legal definition of a child is one who has not yet reached his/her eighteenth birthday and is not emancipated. *With the exception of life threatening emergencies, EMS personnel are to attempt to contact the parent or child’s legal guardian and or obtain the to treat and transport the child. guardian’s informed consent Interpreting a vital signs and symptoms as though they were an adult may result in an inaccurate child’s assessment and incorrect treatment. Pediatric Ventilation Guidelines Respiration Rate Ventilation Age Too Slow Too Fast Breaths/Minute Newborn < 30 >80 40-60 Infant < 20 > 70 30-40 1-6 Yrs < 16 > 40 20-30 6-12 Yrs < 12 > 30 16-20 12-16 Yrs < 10 > 24 12-16 Pediatric Vital Signs by Age Age Heart Rate Respiration Systolic BP Avg. Range Range Avg. Range Newborn 140 90-170 40-60 72 52-92 1 month 135 110-180 30-50 82 60-104 1 year 120 80-160 20-30 94 70-118 2 years 110 80-130 20-30 95 73-117 4 years 105 80-120 20-30 96 65-117 6 years 100 75-115 18-24 97 76-116 8 years 90 70-110 18-22 99 79-119 10 years 90 70-110 16-20 102 82-122 12 years 85 60-110 16-20 106 84-128 14 years 80 60-105 16-20 110 84-136
2. Pediatric Assessment Pediatric Definitions Assessment of pediatric patient must take into account the characteristics of a child’s anatomy and physiology at each stage of development. Medical For the purpose of this protocol a “pediatric patient” is defined as a child who fits on the Broselow tape (36 kg or 145cm). If longer than the Broselow tape, they are considered an adult. Use of the Broselow tape is recommended if performing invasive procedures on all pediatric patients. While this protocol does not address some emotional and developmental issues, for the most therapies, the use of length-based determination of equipment and medication is evidence based. Use of the Broselow tape is particularly helpful in a situation where there in no confirmed weight or age. Legal *In the case of behavioral of emotional problems, a pediatric patient is defined as any child less than 15 years of age. *The legal definition of a child is one who has not yet reached his/her eighteenth birthday and is not emancipated. *With the exception of life threatening emergencies, EMS personnel are to attempt to contact the child’s parent or legal guardian and or obtain the guardian’s informed consent to treat and transport the child. Interpreting a child’s vital signs and symptoms as though they were an adult may result in an inaccurate assessment and incorrect treatment. Pediatric Ventilation Guidelines Respiration Rate Ventilation Age Too Slow Too Fast Breaths/Minute Newborn < 30 >80 40-60 Infant < 20 > 70 30-40 1-6 Yrs < 16 > 40 20-30 6-12 Yrs < 12 > 30 16-20 12-16 Yrs < 10 > 24 12-16 Pediatric Vital Signs by Age Age Heart Rate Respiration Systolic BP Avg. Range Range Avg. Range Newborn 140 90-170 40-60 72 52-92 1 month 135 110-180 30-50 82 60-104 1 year 120 80-160 20-30 94 70-118 2 years 110 80-130 20-30 95 73-117 4 years 105 80-120 20-30 96 65-117 6 years 100 75-115 18-24 97 76-116 8 years 90 70-110 18-22 99 79-119 10 years 90 70-110 16-20 102 82-122 12 years 85 60-110 16-20 106 84-128 14 years 80 60-105 16-20 110 84-136