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DEPARTMENT
HEALTH

SENIOR SERVICES

PEDIATRIC ASSESSMENT
Respiratory Rate 30-60 30-60 24-40 22-34 18-30 12-16 Heart Rate 100-160 100-160 90-150 80-140 70-120 60-100 Systolic Blood BIP >60* >60* >70* >75 >80 >90

Emergency Medical Services for Children

NORMAL VITAL SIGNS FOR CHILDREN OF VARIOUS AGE GROUPS

Age Group New Born Infant (1- 12 months) Toddler School (1-3 yrs) (3-5 vrs) (13+yrs) Age (6- 12 yrs) Preschooler Adolescent

t/ ABCs t/ Distal pulses t/ Extremity and core t/ t/ t/

temperature/color Capillary refill (normal < 2 seconds) Level of consciousness Recognition of parents by child

EQUIPMENT
Age & Weight (kg) Premie 1-1.5 kg Newborn 0-6 mos 3.5-7.5 kg 6-12 mos 7.5-10 kg 1-3 yrs 10-15 ka 4-7 yrs 17.5-23 kg Airway/Breathing Circulation

O2 Mask Premie Newborn Newborn Pediatric Pediatric Pediatric Adult

Bag-Valve Oral Suction Airwavs Mask Infant Infant Small Small Small Medium Medium Large Infant Infant Pediatric Pediatric Pediatric Pediatric Adult
6-8 F 8F 8-10 F 10 F 14 F 14 F

BP Cuff Premie Newborn Newborn Infant Infant Child Child Child Child Adult

-Inlonts & Children 3yrs or younger, evaluate the central pulses instead of measuring blood pressure

GLASGOW
Infant Eye Opening Best Verbal Response
4 3 2 1 5 4 3 2 1 6 5 4 3 2 1
=

COMA SCALE
Child/Adult
4 3 2 1 5 4 3 2 1 6 5 4 3 2 1
-=

Spontaneously To speech To pain No respa nse Coos, babbles Irritable, cries Cries to pain Moons, grunts No response Spontaneous Localizes pain Withdraws from pain Flexion (decorticate) Extension (decerebrate) No response Total

Spontaneously To command To pain No response Oriented Confused Inappropriate words Incomprehensible No response Obeys command Lacalizes pain Withdraws from pain Flexion (decorticate) Extension (decerebrate) No response Total

>

~ 8 yrs 25 kg

BURN CHART
(% burn surface area)
Adolescent Infant

NEWBORN

RESUSCITATION

Best Motor Response

__
__

Dry, Warm, Position, Suction, Tactile Stimulation If RR <40 or HR <80 or Central Cyanosis administer blow by oxygen If no change and airway is clear, administer 100% Oxygen via B-V-M @ 40-60bpm Request MICU

------------------------

RESPONSE
Level of Response A - Alert V - Responds to Voice P - Responds to Pain U - Unresponsive
6/05

Infant Curious Recognizes Parents Irritable, Cries Cries to Pain No Response

Child Alert Aware of Surroundings Opens Eyes Withdraws No Response

An infant's or child's hand is approximately 1% of its total

body area.
H5371

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