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PEPP Hadndout

This document provides information for prehospital professionals on pediatric emergencies. It discusses the Pediatric Assessment Triangle (PAT) which evaluates appearance, work of breathing, and circulation to skin. It also describes the TICLS method for initial pediatric assessment focusing on tone, interactiveness, consolability, look and speech. Respiratory distress is differentiated from respiratory failure based on signs such as nasal flaring, retractions, and decreased responsiveness. Common breath sounds and their origins are outlined to aid in identifying problems.

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Diny Febriany Hasanah
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121 views2 pages

PEPP Hadndout

This document provides information for prehospital professionals on pediatric emergencies. It discusses the Pediatric Assessment Triangle (PAT) which evaluates appearance, work of breathing, and circulation to skin. It also describes the TICLS method for initial pediatric assessment focusing on tone, interactiveness, consolability, look and speech. Respiratory distress is differentiated from respiratory failure based on signs such as nasal flaring, retractions, and decreased responsiveness. Common breath sounds and their origins are outlined to aid in identifying problems.

Uploaded by

Diny Febriany Hasanah
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Pediatric Emergencies for Prehospital Professionals (PEPP)

Resource Document

Pediatric Assessment Triangle (PAT):

Pediatric Assessment Triangle Video:


http://www.metacafe.com/watch/1477831/pediatric_assessment_triangle/

PEPP BLS Pretest:


http://www.peppsite.com/course_pretesting_bls.cfm

Pediatric Assessment Initial Appearance (TICLS):


T = Tone : Is the child moving? Is the child pulling away or resisting?
How strongly is the child resisting or moving? What is the
muscle tone like? Limp, strong, listless or flaccid
I = Interactiveness: Is the child alert? Can the attention be drawn to a
distraction such as a person, object, sound? Is the child totally
uninterested?
C = Consolability: Is the child easily consoled by the parent? Does the
child continues to cry or be agitated with reassurance?
L = Look:

Does the child fix the gaze on a face or have a blank stare?

S = Speech: Does the child talk or cry strongly or in a weak, muffled or


hoarse manner?

Respiratory Distress vs. Respiratory Failure


Respiratory Distress =
Respiratory Failure =
Nasal flaring
Cyanosis
Inspiratory retractions
Decreased breath sounds
Decreased level of
Tachypnea (fast
responsiveness
respirations)
Hyperpnea ( deep
Poor muscle tone
respirations)
Tachycardia (fast heart rate)
Head bobbing
Accessory muscle use
Seesaw breathing
Inadequate respirations
( bradypnea slow rate of
Restlessness
breathing.)
Tachycardia ( fast heart
rate)
Grunting
Stridor
Lethargy
Breath Sounds and Origin
Stridor = upper airway obstruction
Wheezing = lower airway
obstruction
Expiratory grunting = inadequate
oxygenation
Inspiratory crackles = fluid,
mucous, blood in the airway
Absent = complete airway
obstruction

Problem causing
Croup, foreign body aspiration
Asthma, bronchiolitis, foreign body
Pneumonia, drowning, pulmonary
contusion
Pneumonia, pulmonary contusion
Foreign body, pneumothorax,
hemothorax, pneumonia, severe
asthma

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