Advanced Medical Certification

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PALS Pearls

  • An emergency situation can be positively impacted by early intervention, and advanced skills are not required for prevention.
  • A variety of factors and coping skills influence the response of the child or infant’s family or caregivers.
  • As you approach the scene, mentally prepare yourself for treating the child or infant.
  • As you approach any child or infant, assess the skin color, appearance, and work of breathing.
  • The severity of illness will be hinted at by the child or infant’s general appearance, and children or infants are rarely seriously ill when they are alert and interactive.
  • A sign of respiratory distress in infants is head bobbing.
  • Respiratory distress is not excluded by a normal pulse oximetry reading.
  • When attempting to apply supplemental oxygen, infants and young children may become agitated.
  • Respiratory arrest can be heralded by slowing of normal respiratory rate after a period of respiratory distress.
  • Hypoxia is most often the cause of bradycardia in children.
  • The leading cause of death for infants of one month to one year of age is sudden infant death syndrome (SIDS).
  • The rescuer/provider will be extremely stressed by the unexpected death of a child or infant.
  • Before suctioning, look inside the mouth and airway if a foreign body is suspected.
  • Avoid pushing a foreign body in further; do not blindly sweep the airway.
  • For persons having a seizure, nasopharyngeal airways are useful.
  • When using bag-valve mask, pull the jaw up into the mask rather than pushing the mask onto the face.
  • Avoid gastric distention by delivering breaths slowly over one second.
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