Recent content by TXpeds16

Percentage of burn? ~35% Using the Parkland Formula, how much fluid would you give this patient? 70kg @ 35%BSA would be around 5L in the first 8 hours. Realistically though, in the prehospital setting, he is going to get as much fluid as he needs to get his pressure up. Dry or wet burn...

Every third beat is proceeded by a p-wave, otherwise they are absent. The underlying rhythm is profoundly bradycardic, with an escape rhythm that is regular in nature, originating from above the ventricles. I would say its a sinus brady with a junctional escape rhythm since it does not appear...

We had 3 separate protocol tests at my previous service. The first was a general protocol test. It was scenario based with with straight knowledge mixed in, I.E. what is your first and second dose of labetalol and how long you wait between doses. The second was similar format but geared...

I read through some of the responses OP, and one piece of advice I can give you; symptomatic does not always = unstable. With the given scenario my first thought would be peri/myo/endocarditis. At my service we would have been 25-35 minutes to a tertiary center with full cardiac support, and...

http://www.pted.org is an excellent resource for congenital heard defects. I've only been doing it about a year, so I am far from an expert. I am trying to soak up everything I can though. Its still pretty amazing to me how little I knew/really still know about pediatrics.

Ill have to talk to my team tomorrow and find out some more about its use. I know for our protocols it is used for PPHN, congenital diaphragmatic hernias(CHD, which causes PPHN) and MAS(which I am not familiar with, i'll have to do some reading later on). I don't know the percentage of...

I cannot speak for adults; however, from what i've learned and experienced, pediatrics tend to do quite well on ecmo. The two I remember particularly were transported on high freq/nitric and were crashed onto ecmo on our arrival to the ICU. Both were decannulated a few days later with full...

I was on my way to being a statistical 3-5 year medic. The culture of the service i was at, and working 80+ hour weeks for 4 1/2 years wore me down. I had started applying to flight positions, but in the mean time decided to make a move to a pediatric transport team. Now I work 36 hours a...

I'm currently working for a pediatric transport team that does RW/FW/ground. CAMTS certified in all modes of transportation. Primary configurations are RN/RT/Medic. There are Medic/Medic teams, however they basically just do BLS calls. Prior to this I did 4 1/2 years in a fairly busy 911...

With a longer transport I would have considered antihypertensives, however that would be something I would want to contact med control about. My logic may be completely flawed, but i've always viewed giving antihypertensives to stroke patients in the field similarly to intubating an asthmatic...

With the report from the fire chief and without having put hands on the patient or vital signs I would be working through CVA/headbleed, glucose, drugs, seizure, sepsis or electrolytes. Once those vitals were obtained I would become highly suspicious of increased ICP, and the unequal pupils...

Anyone on here work for a service that uses it? A recent discussion has me thinking about it. 1) When/why is the determination made to utilize it? 2) How does it affect treatment of the patient, and have your protocols changed to compliment its' use since being implemented? 3) Do you feel that...

Like others have said, it is completely provider preference. While working pre-hospital I preferred a mac 3. Nowadays I work for a pediatric transport team and in most cases a miller 2 does the trick; however, with larger pediatrics and adults I still use a mac 3.