EMS World

MAR 2018

EMS World Magazine is the most authoritative source in the world for clinical and educational material designed to improve the delivery of prehospital emergency medical care.

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44 MARCH 2018 | EMSWORLD.com For More Information Circle 29 on Reader Service Card EXCELLENCE IN PEDIATRIC CARE more or less than the IV dosing? And what's the weight of the child in kilograms when mom only knows the pounds and ounces? And you need to figure out how to dilute the drug based on the concentration. And don't forget to convert the dose in milligrams to the proper volume in milliliters. And yes, it's still 0400. Feeling the stress? But wait—you have a smartphone or tab- let! With a few simple clicks on the screen, you have all your answers. You can take care of your patient instead of stressing about the math. And what about the dreaded drips? You have the same choice: lots of math and stress, or a few clicks and the information is at your fingertips. Dosing, mixing, pump rate—it's all right there. Real-life experiences—All too often we find that even though we think we know how to use the tools and toys, we really don't. Even when we know what information is on the tapes or cards or computer screen, getting to that information isn't as quick as it should be. We stumble with the equipment or technology. The bottom line, now and in the future: The resources are out there, and most are incredibly easy to use as long as you take a few minutes to prepare and practice first. Take whatever cheat sheets, books, cards, tapes, or apps you have and regularly take a few minutes to actually play with them. Try to find the most common things you need (ETT size, epi dose, etc.) and then try to find those many other things you don't need as often. That way you know where stuff is, what it's called, and how to find it quickly and easily. Preparation plus practice produces profi- ciency. Your patients deserve nothing less! The authors wish to thank Peter Antevy, MD, James Broselow, MD, Bonnie Lundblom, RN, and Robert Luten, MD, for their invaluable insights in the preparation of these articles. A B O U T T H E A U T H O R S Scott DeBoer, RN, MSN, CPEN, CEN, CCRN, CFRN, EMT-P, is an international pediatric seminar leader and nurse consultant with more than 25 years of nursing experience. He retired from flight nursing in 2015 following more than 20 years with the University of Chicago Hospital UCAN flight team. He is the founder and primary seminar leader for Pedi-Ed-Trics Emergency Medical Solutions. Emily Dawson, MD, is a pediatric emergency medicine and critical care attending physician at Advocate Children's Hospital, Oak Lawn, Ill. Lisa DeBoer is president and cofounder of Pedi-Ed- Trics Emergency Medical Solutions. Julie Bacon, MSN-HCSM, RNC-LRN, NE-BC, CPN, CPEN, C-NPT, has more than 25 years of experience in emergency transport medicine, with expertise in pediatric and neonatal transport and critical care. She is program manager and chief flight nurse for Johns Hopkins All Children's Life Line, St. Petersburg, Fla. Michael Seaver, RN, BA, is a healthcare informatics consultant based in Chicago. Safe Transport of Children by EMS INTERIM GUIDANCE RECOMMENDATIONS BY THE NATIONAL ASSOCIATION OF STATE EMS OFFICIALS (NASEMSO) THE QUANTUM ACR-4 EXCEEDS THE ABOVE CRITERIA The Ambulance Child Restraint provides the safe and effective transport of infants and children in an ambulance, covering weight ranges from 4lbs to 99lbs. In addition to the Small (11-26lbs), Medium (22-55lbs) and Large (44-99lbs) sizes, the ACR-4 now comes in an Extra Small (4-11lbs) and are all colour coded for easy selection. L 44-99lbs M 22-55lbs S 11-26lbs XS 4-11lbs AMBULANCE AMBULANCE W: www.quantum-ems.com E: sales@quantum-ems.com T: 516.321.9494 b. EMS agencies should have appropriately-sized child restraint system(s) readily available on all ambulances that may transport children. Additionally, personnel should be initially and recurrently evaluated and trained on the correct use of those restraint systems; i. e device(s) should cover, at minimum, a weight range of between five (5) and 99 pounds (2.3 - 45 kg), ideally supporting the safest transport possible for all persons of any age or size; MORE ONLINE! For the first part of this three-part article series, "From Notes to Wheels to Tapes," visit www. emsworld.com/article/219580. For Part 2, "The Handtevy System—The Next Generation," visit www.emsworld.com/article/219788.

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