Robin Gilbert – Pediatric Crisis

After a daycare snack, your child presents with severe dyspnea and stridor.

Robin Gilbert – Pediatric Crisis

Abdominal Pain: Appendicitis or Beyond

• Gastorenteritis
• Intussusception/Volvulus
• Pyloric Stenosis
• Epididymitis/Testicular torsion
• Diaphragmatic hernia
• Gastroschisis

The Pediatric Airway

• Recognize distress in a child
• The pediatric airway has unique characteristics
• Urgent respiratory conditions
  • Tracheoesophageal fistula
  • Asthma
  • RSV / Bronchiolitis
  • Cystic Fibrosis
  • Chest Trauma

ALTE vs. BRUE

• Clinical manifestations
• Management

Street Drugs, Tattoos, And Other Risky Business

• What’s trending
  • Amphetamines
  • Cocaine
  • K2, Spice, Molly
• Implications & interventions

Fever in the Neonate

• Sepsis workup & when?
• Neonatal vs. infant antibiotics

Head Injuries

• Assessment of ICP
• Skull fractures
• Concussion/Contusion/TBI

Bruises & Fractures

• Is the story true?

A Rash is a Risk

• Varicella
• Measles & More

Lab Values & Blood Gases

• What causes the numbers to change:
• Blood gases simplified
• Blood glucose, DKA, & insulin protocols

Hematologic & Coagulation Disorders

• Sickle cell anemia
• Hemophilia

Procedural Sedation

• Equipment and medication
• The nurse’s responsibilities
• Prevention and management

Pediatric Code Blue: What should you do?

• A, B, and Cs
• Arrhythmias
• Calculations for Med

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Description:

• Mock Code Blue – Know What to Do
• Critical Lab Values & Blood Gases: The Underlying Issues
• Risky Business: Street Drugs & Thugs
• Pediatric Sedation: Medications & Complications
• Early Clues for Respiratory Distress & Failure
• Fever, Pain, & Skin Rash: How Sick is This Child?

After a day at daycare, your child presents with severe dyspnea and stridor. On the monitor, the child’s heartrate is decreasing and oxygen saturations are dropping. His mental condition is rapidly deteriorating. The physician decides to intubate. What size ET tube are you planning to use for this child’s treatment? If IV access is not possible, the decision is to make an Intraosseous (IO) birth. It is not clear if your code cart has an IO. You have never used one. The doctor orders 0.01mg/kg of epinephrine IO. The child is then given epinephrine 0.01mg/kg IO. Now what…?

This is high-Your worst nightmare has just become your anxiety situation. Your heart rate will be increased by the sudden decompensation in a pediatric patient. Your biggest concern: How do you calculate the medication dose for a code situation? How to manage the airway You may miss the subtle signs that signal the need for an immediate response. There are unique differences among children that need additional assessments and interventions. You can be confident in your assessment skills, and you will be able to deal with any situation that arises. There will be time to practice mock rapid responses scenarios, use Broselow tape, draw up medication calculations, and review airway management techniques. Robin GilbertMSN, RN CEN, CPEN will teach you how to stabilize and recognize life’s challenges.-Pediatric emergencies that are life-threatening

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Robin Gilbert – Pediatric Crisis Sample