Assessment
Facilitate appropriate initial assessment and treatment on scene for minor complaints/injuries. Recognize more serious complaints/injuries and transition to EMS protocols/transport/refusal as appropriate.
| Pediatric Pearls: | Signs & Symptoms: | Differential: |
| □ Use approved reference document for medication dosing, electrical therapy, and equipment sizes. □ Always start with uninjured areas first to build trust □ Never lie to a child | □ Falls, scrapes □ Overheating □ Allergies □ Headaches □ Stomach aches □ Acid reflux |
Clinical Management Options
| EMT-B |
| • Demonstrate professionalism and courtesy • Vital signs as needed • Assist the patient with over-the-counter medications for common complaints o Headache- offer Tylenol or ibuprofen o Stomachache- offer maalox o Acid reflux- offer Maalox, antacids o Allergies- offer Benadryl o Scrapes, minor wounds-clean and bandage wound o Sprains-ace-wrap/splint as appropriate o Overheating- offer cooling tent, icepacks, water o Mild-to-Moderate intoxication-discharge to care of an adult • Document patient’s name, age, complaint, and treatment provided on a short form |
| Paramedic |
| • IV / IO access as appropriate for patient condition • Place and monitor EtCO2 as indicated • 12 lead ECG acquisition and 4 lead ECG placement • Document a full chart in ESO |
Pearls
- BLS interventions can be documented on a short form (in general). ALS interventions should be documented in ESO.
- For complaints not listed above, please follow the complaint specific protocol.
- Children should have their parent’s signature for treatment
- Treatment can only be offered to patients in the direct care of the EMS team (ie. Cannot have someone get Tylenol for a friend).
- Anyone who has a more serious complaint should have a chart opened in ESO. Follow your complaint specific protocols for these complaints. A patient signature and refusal of transport needs to be documented if the patient is not transported.
- Mild-to-moderate intoxication requires the patient to be able to walk without assistance.