Pediatric emergency medicine trisk 0146 0146
Bạn đang xem bản rút gọn của tài liệu. Xem và tải ngay bản đầy đủ của tài liệu tại đây (100.92 KB, 1 trang )
disease and response to interventions. VS abnormalities are sensitive warning signs of
deterioration alerting the clinician team to intervene ( Table 7.4 ).
TEAM COMPOSITION
Ideally, children with critical illness or injury are evaluated and treated by an
organized, practiced team of providers. The physician team leader directs the overall
assessment, interventions, and treatment. She or he receives verbal input from
resuscitation team members, as well as feedback in the form of data from physiologic
monitoring, and laboratory/radiographic findings. Members of the resuscitation team
may include right and left bedside nurses (RN) or technicians, a respiratory therapist,
an RN documenter, and an RN or pharmacist to prepare medications. The roles of
these providers should be explicitly defined to ensure an organized approach. Other
physicians/Certified Registered Nurse Practitioners/Physicians’ Assistants assist with
physical examination, reassessments, and performance of necessary procedures. Child
Life Specialists are helpful in distraction and calming techniques for fully conscious
patients. Social workers or available RNs can accompany the family during the
resuscitation and offer emotional support as well as an explanation of resuscitation
events. A clinical pharmacist is a valuable addition to the resuscitation team, as they
can assist with pediatric weight-based dosing. The literature has demonstrated that
neither parents nor skilled personnel accurately estimate a child’s weight based on
appearance. Therefore, many EDs use published resources or electronic applications
to provide pediatric weight-based doses and recommended equipment size based on
the patient’s height/length or weight (see Figure 9.13 , in Chapter 9 Cardiopulmonary
Resuscitation ). Length of the patient is easily measured, and tapes with precalculated medication doses and resuscitation equipment for various patient lengths
have been clinically validated.
