Children face unique emergency situations requiring specialized knowledge and response.
Fever and Febrile Seizures:
Understanding Pediatric Fever:
- Part of immune response
- Height less important than child's appearance
- Under 3 months: Any fever is emergency
- Fever phobia common in parents
Febrile Seizure Response:
1.
Stay calm - Usually harmless
2.
Time seizure - Most <5 minutes
3.
Position on side
4.
Don't restrain
5.
Call 911 if: First seizure, >5 minutes, difficulty breathing after
6.
Cool gradually after seizure
Poisoning:
Statistics: Leading cause of injury in young children
Immediate Response:
1.
Call Poison Control: 1-800-222-1222
2.
Don't induce vomiting unless directed
3.
Save container/substance
4.
Note time and amount
5.
Follow Poison Control directions exactly
Prevention Reminders:
- Lock all medications
- Store cleaners high
- Use cabinet locks
- Keep products in original containers
- Post Poison Control number
Drowning and Near-Drowning:
Unique Pediatric Risks:
- Can drown in 2 inches of water
- Often silent (not splashing)
- Diving reflex may protect brain
- Secondary drowning possible
Response Protocol:
1.
Remove from water (protect spine if diving)
2.
Check breathing
3.
Begin CPR if needed
4.
Call 911 always
5.
Prevent hypothermia
6.
Hospital evaluation required even if seems fine
Severe Allergic Reactions:
Pediatric Considerations:
- May not recognize symptoms
- Can't verbalize throat closing
- Behavior changes may be first sign
- Weight-based medication dosing
EpiPen Jr. Guidelines:
- For 33-66 pounds
- Same technique as adult
- May need adult dose if larger
- Always call 911 after use
Head Injuries:
Why More Concerning:
- Larger head proportion
- Weaker neck muscles
- Developing brain
- May not show symptoms immediately
Red Flags Requiring 911:
- Loss of consciousness
- Vomiting repeatedly
- Confusion
- Unequal pupils
- Clear fluid from nose/ears
- Seizure
- Can't wake normally