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pediatrics.json
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pediatrics
Chapter Introduction
hello and welcome to chapter 35 pediatric emergencies of the emergency care and transportation of the sick and injured 12th edition after you complete this chapter and the related coursework you will understand the anatomy and physiology of the child as compared to the adult you will learn the appropriate assessment an...
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Introduction to Pediatric Care
children differ anatomically physically and emotionally from adults the illness and injuries that children sustained and their responses to them vary based on age and developmental level it's important to remember that children are not just small adults depending on his or her age the child may not be able to tell you ...
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Communication With the Patient and the Family
so first let's start with communicating with the patient and the family caring for an infinite child means that you must care for the patients and caregivers as well family members or caregivers often need emotional support a calm parent usually results in a calm child the parent can often assist you and with the child...
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Growth and Development
growth and development many physical and emotional challenges and changes occur during childhood childhood extends from birth to age 18. the thoughts and behaviors of the children as a whole are often grouped into five different stages so first is the infancy and this is the first year of life then there's the toddler ...
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The Infant
so first let's talk about the infant the infancy is usually defined as the first year of life first month after birth is called the neonatal or newborn period okay so then we're gonna let's break it down a little bit more so zero to two months infants less than two months spend most of their time sleeping and eating an...
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The Toddler
all right so now let's talk about the toddler after infancy until three years so one year to three years of age a child is called a toddler toddlers experience rapid changes in growth and development from 12 to 18 months because they are explorers by nature and not afraid injuries in this group increase because of the ...
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The Toddler Continued
caregiver is unavailable reassure the child using simple words and a calm soothing voice
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The Preschool-Age Child
okay now after the toddlers we're into that preschool aged child and this is ages three to six years old they can have a rich imagination and can be fearful about pain they may believe injury is a result of earlier bad behavior so when i talk about the assessment we can under um they can understand directions and be sp...
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School-Age Years
okay so after the toddler and the school age we're gonna move to the school age and this is six to twelve at this stage children begin to understand death is final but their understanding of death it is and why it occurs is still unrealistic assessment begins to be more like an adult to help gain trust talk to the chil...
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Adolescents
okay and after that we're gonna get into
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Adolescents Continued
the adolescence and this is ages 13 to 18 physically similar to adults but they are still children on an emotional level and time of um this time they're doing experimentation and taking risk behaviors so adolescents can often understand very complex complex concepts and treatment options so allow adolescents to be inv...
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Adolescents Continued Again
female patients can be pregnant so adolescents also have a clear understanding of the purpose and meaning of pain
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Anatomy and Physiology
so let's start to talk about the anatomy and physiology okay so the body is growing and changing rapidly during childhood you must understand the physical differences between children and adults and alter your patient care accordingly
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The Respiratory System
first we're going to talk about the respiratory system so the anatomy of a pediatric airway differs from adults pediatric airway is smaller in diameter and shorter in length and lungs are smaller the heart is higher in the child's chest opening is higher in position more anteriorly and the neck appears to be non-existe...
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The Circulatory System
know the normal pulse ranges when evaluating children an infant's heart
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The Circulatory System Continued
rate can beat 160 times or more in a minute and children are able to compensate for decreased perfusion by constricting the vessels in the skin signs of vasoconstriction include pallor and that's an or an early sign weak distal pulses in the extremities delayed cap refill and cool hands or feet the table on this slide ...
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The Nervous System
all right so let's move on to the nervous system and so the differences are the pediatric nervous system is immature underdeveloped and not well protected head to body ratio of infant and young children is disproportionately larger the occipital region of the head is larger which increases the momentum of the head duri...
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The Gastrointestinal System
the gastrointestinal system okay so abdominal muscles are less developed in pediatric patients this gives them less protection from trauma liver spleen and kidneys are proportionately larger and situated more anteriorly so they are more prone to bleeding and injuries because of minimum direct impact
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The Musculoskeletal System
the muscular skeletal system the child's bones are softer and than those of an adult and open growth plates allow bones to grow during childhood so as a result of open growth plates bones are softer and more flexible making them prone to stress fractures and bone length discrepancies can occur if there is an injury to ...
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The Integumentary System
terry system of the pediatric population differs in a few ways the skin is thinner with less subcutaneous fat composition of the skin is thinner and tends to burn more deeply and easily with less exposure and the higher ratio of body surface area to body mass can lead to a larger fluid loss and heat losses
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Scene Size-up
so let's get into our patient assessment and we're going to start with that scene size up okay so assessment begins at the time of that dispatch remember so prepare mentally for approaching and treating an infant or child plan for pediatric scene size up pediatric equipment and age appropriate patient physical assessme...
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Primary Assessment
okay so next um we're going to talk about the p-a-t and the p-a-t is the pediatric assessment triangle and we're gonna um the objective of this primary assessment is to identify and treat in immediate and potential life threats so we're going to use the pediatric assessment triangle to determine if the patient is sick ...
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History Taking
effects of the illness of or injury on the pediatric patient's behavior and the pediatric patient's activity level recent eating drinking and urine output change in bowel or bladder habits or the presence of vomiting diarrhea abdominal pain and the presence of rashes you want to obtain the name and phone number of the ...
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Secondary Assessment
okay and then your secondary assessment so a secondary assessment of the entire body should be used when pediatric patients have the potential for hidden illness or injuries okay so it may help identify problems that were not as obvious during the primary assessment but over time the presenting signs and symptoms have ...
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Secondary Assessment Continued
infants toddlers and pre-school-aged children who do not have life-threatening illness or injuries should be assessed starting at the feet and ending with the head school-aged children and adolescents can be assessed using the head-to-toe approach as with the adult patients okay so when it comes to that physical exam w...
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Reassessment
and then of course we're going to reassess and uh 15 minutes if they're in stable condition every five if they're in unstable and we of course continually monitor respiratory effort skin color condition and level of consciousness or their interactiveness parents and caregivers may be able to assist you by calming and r...
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Respiratory Emergencies and Management
okay now we're going to get into specific emergencies and management of those types of emergencies okay so specifically to respiratory emergencies it's the leading cause of cardiopulmonary arrest in the pediatric population failure to recognize and treat declining respiratory status will lead to death during respirator...
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Airway Obstruction
blood vomit or other secretions can also cause mild or severe airway obstructions infections including pneumonia croup epiglottitis and bacterial tracheitis can also cause airway obstructions infections should be considered if patient has congestion fever drooling and cold symptoms the figure on this slide shows the ef...
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Airway Obstruction Continued
obstructions by a foreign object may involve the upper or lower airway it may be partial or complete signs and symptoms frequently associated with a partial upper airway obstruction include decrease or absent breath sounds and strider signs and symptoms of a lower airway obstruction include wheezing and or crackles the...
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Pneumonia
okay that was asthma now let's get into pneumonia pneumonia is a general term that refers to an infection of the lungs often a secondary affection it occurs after a pre-existing infection infections such as a cold and it can also occur from chemical ingestion or direct lung injury or a submersion event children with di...
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Croup
okay and then there's croup
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Croup Continued
so croup is an infection of the airway below the level of the vocal cords and usually caused by a virus typically seen in children between six months and three years it's easily passed between children starts with a cold cough and a low-grade fever it develops over two days the hallmark sign of croup is strider and a s...
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Epiglottitis
and then there's epiglottitis so that's an infection of the soft tissue in the area above the vocal cords it's bacterial infection is the most common cause and since the development of a vaccine against one organism that causes epiglottitis the incident of this disease has dramatically decreased in preschool and school...
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Bronchiolitis
and then um bronchulitis okay so specific viral infections of newborns and toddlers often caused by rsv causes inflammation of the bronchioles rsv is highly contagious and spread through coughing and sneezing and viruses can survive on surfaces and virus tends to spread rapidly through schools and child care centers mo...
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Pertussis
and then there's pertussis it's a communicable disease caused by a bacterium that is spread through respiratory drop as a result of vaccinations this potentially deadly disease is less common in the united states the typical signs and symptoms are similar to that of a common cold sneezing and a runny nose and as the di...
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Airway Adjuncts
these devices that help maintain the airway or assist in providing artificial ventilation include so they're ops and nps bite blocks or bag valve mass devices
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Airway Adjuncts Continued
so the op it's designed to keep the tongue from blocking the airway and make suctioning easier it should be used for pediatric patients who are unconscious and in possible respiratory failure it should not be used in conscious patients or those who have a gag reflex or who have ingested caustic or petroleum-based produ...
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Airway Adjuncts Continued Again
the nasal pharyngeal it's usually well tolerated and not as likely to cause vomiting it's used in responsive pediatric patients used in association with possible respiratory failure and it's rarely used in infants younger than one year should not be used in pediatric patients with a nasal obstruction or head trauma whe...
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Oxygen Delivery Devices
so when it comes to oxygen delivery devices treating infants and children who require more than the usual 21 of oxygen that's found in the air um there are several options the blow by technique and this is uh um at six liters provides more than 21 oxygen concentration nasal cannula at one to six liters provides 21 or 2...
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Cardiopulmonary Arrest
cardiopulmonary arrest so most often associated with respiratory arrest like we said children are affected differently than adults when it comes to decreasing oxygen concentration we want to focus on effective cpr early use of an aed and transport
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Shock
and then shock so shock it develops when the circulatory system is unable to deliver a significant amount of blood to those vital organs it results in organ failure and eventually cardiopulmonary arrest compensated shock in early stages is when the body can still compensate for that loss and decompensated shock is a la...
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Shock Continued
a severe allergic reaction anaphylaxis or disease of the heart tension pneumo or blood around the heart pediatric patients respond differently to adults than fluid to fluid loss they may respond by increasing their heart rate increasing respirations and showing signs of pale or blue skin signs of shock in children are ...
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Bleeding Disorders
okay so then there's some bleeding disorders and hemophilia is a congenital condition in which the patient lacks one or more of the normal clotting factors most forms are hereditary and are severe predominantly found in the male population bleeding may occur spontaneously and all injuries become serious because of bloo...
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Altered Mental Status
neurologic emergencies is what we're going to talk about next and of course we use that mnemonic aeio tips and this reflects the major causes of altered mental status and we just want to understand normal development or age related changes in behavior and listening carefully to the caregiver's opinion signs and symptom...
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Seizures
the first one we're going to talk about is seizures and of course this is a
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Seizures Continued
disorganized electrical activity in the brain in in a variety of ways depending on the the age of the child seizures and infants are very subtle consisting only of gay sometimes sucking motion or bicycling movements and older children's seizures are more obvious and typically consist of repetitive muscle contractions a...
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Seizures Continued Again
in this slide shows the common causes of seizures once the seizure shot stops the patient's muscles relax becoming more flaccid or floppy and the breath becomes labored during the post-ictal state okay once the pediatric patient regains a normal level of consciousness the post-dictal state is over seizures that continu...
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Meningitis
meningitis meningitis is the inflammation of tissues or meninges that cover the spinal cord and brain they be being able to recognize a pediatric patient with meningitis is very important some are at a greater risk so we have males newborns children with compromised immune systems children who have a history of brain s...
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Gastrointestinal Emergencies and Management
all right so gastrointestinal emergencies never take a complaint of abdominal pain lightly because a large amount of bleeding may occur within the abdominal cavity without any outward signs of shock monitor for signs and symptoms of shock complaints of gastrointestinal origin are common in pediatric patients ingestion ...
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Introduction to Neonatal Care
hello and welcome to chapter 42 neonatal care this chapter reviews the physiologic changes that occur in a newborn during birth the care that should be provided during and immediately after birth and the special needs of premature births and bursts complicated by other factors it also reviews the steps involved in neon...
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The Transition from Fetus to Newborn in Utero
fetus to newborn in utero the fetus receives oxygen from the placenta and fetal circulation has three major blood flow deviations or shunts from that of an adult so it has the ductus venus the forman oval the ductus arterious and these shunts begin to close off at birth so the figure on the slide shows fetal circulatio...
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Gestational Time
gestational time so when you talk about pre-term that is less than 37 weeks term is 38 to 42 weeks and post-term is more than 42 weeks so let's talk about the arrival of the
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Arrival of the Newborn
newborn next
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Patient History
you want to obtain the patient history and prepare the environment and equipment with any available time okay so key questions to help determine resuscitation and the needed equipment include the woman's age the length of pregnancy presence and frequency of contractions any pregnancy complications if the membranes have...
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Primary Survey of the Newborn
primary survey of the newborn may be done simultaneously with any treatment interventions you need to note the time of the delivery monitor the abcs assess the airway patency and respiratory rate and effort tone pulse rate and color inspect the skin for abnormalities examine the head for symmetry and abnormalities and ...
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Apgar Score
newborns condition in the first five minutes after birth and it helps paramedics determine specific resuscitation measures needed and their effectiveness so the categories of the apgar are appearance pulse rate grimace activity and respiratory effort each sign is given the value of 0 1 or 2. so you want to record recor...
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The Algorithm for Neonatal Resuscitation
the algorithm for neonatal resuscitation if a problem arises follow current natal resuscitation guidelines to optimize the outcome initial steps so there's reevaluation and beginning ventilation should occur within the first 60 seconds follow the initial steps of bulb syringe suctioning the mouth and nose drying and st...
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Positive Pressure Ventilation
ventilation buy a newborn size bag valve mask be careful not to squeeze the bag too hard in order to avoid delivering too much volume room air is preferred when resuscitating term infants and the addition of supplemental oxygen might be necessary additional oxygen may be necessary if the neonate is not achieved the tar...
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Algorithm for Neonatal Resuscitation
algorithm for neonatal resuscitation so let's talk about drying and stimulation after ensuring airway patency dry and stimulate the newborn nasal suctioning stimulates the newborn to breathe so position the infant on the back or side with the neck in the sniffing position if the airway is not clear suction the head tur...
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Free Flow Oxygen
flow oxygen so if a newborn is cyanotic or pale provide supplemental oxygen provide oxygen to a pale newborn until a pulse ox reading can give an accurate breathing so if positive pressure ventilation is not indicated oxygen can initially be delivered through an oxygen mask or oxygen tubing cupped and held to the nose ...
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Oral Airways
they're usually rarely used on newborns and there are some conditions that require the oral airways however in all these cases an et tube is inserted down a nostril so keep the mouth open to provide adequate ventilation so the pearl robin sequence is a series of development abnormalities and they include a small chin a...
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Signs of Respiratory Distress
distress suggest need for bag valve mass ventilation and they include periodic breathing or intercostal retractions nasal flaring or grunting on expiration
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Three Devices To Deliver Bag Valve Mass Ventilations to Newborns
there are three devices to deliver bag valve mass ventilations to newborns we have self-inflating bag with an oxygen reservoir and that's most likely used in the field and then there's flow inflating bag and that needs a gas source more commonly in surgery and there's a t-piece respirator and that needs a gas source as...
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Back Valve Mass Ventilation
ventilation with 100 oxygen the face mask should uh provide an airtight seal and um the airway should be patent and the head should be in the sniffing position the first few breaths after birth frequently need higher pressures and subsequent breaths should have enough pressure to deliver a visible but not excessive che...
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Congenital Diaphragmatic Hernia
hernia is known and suspected and the respiratory support is necessary so abdominal organs herniate through the opening in the diaphragm into the chest cavity and that's what the congenital diaphragm herme hernia is a prolonged positive pressure ventilation is needed and cranial facial defects impede an inadequate airw...
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Suction Equipment
innovation so suction equipment the laryngoscope blades they want you to use straight and a shoulder roll adhesive tape an e.t tube and a stylet used by some paramedics must be secured to the top of the et tube of course to properly innovate a newborn you're going to refer to skill drill 42-1 in your book
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Complications of the Et2 Placement
and there are complications of the et2 placement and they include oropharyngeal or tracheal perforation esophageal innovation with subsequent persistent hypoxia and then of course right mainstay main stem integration risk can be minimized by ensuring optimal placement of the laryngoscope blade and noting how far the et...
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Vascular Access
so vascular access emergent access is necessary for fluid administration to support circulation and iv resuscitation medication and therapeutic drugs the umbilical vein can be catheterized with an umbilical vein line so you need to clean the cord with an antiseptic drape at the area with sterile towels keeping the stum...
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Transport of a High-Risk Newborn
transport of a high-risk newborn should include the following steps a physician at the referring hospital initiates a request for transport and a mode of transport is chosen depending on the distance availability and weather conditions the transport team is immobilized and the equipment is assembled and of course the i...
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Apnea with Newborns
so let's talk about apnea with newborns and it's common it delivered before 32 weeks of gestation and it's rarely seen in the first 24 hours defined as respiratory pause of greater than 20 seconds and it can lead to hypoxia and bradycardia often follows hypothermia other causes include maternal or infant narcotic expos...
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Bradycardia
followed by apnea and bradycardia secondary apnea is if hypoxia continues during primary apnea the newborn will gasp and go into secondary phase and the positive pressure ventilation by bag valve mask is gonna be necessary so we talked about apnea now we're gonna talk about bradycardia so the most it most frequently oc...
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Pneumothorax
occur if the infant inhales meconium or lung is weak by infection and positive pressure ventilation is going to be
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Signs of Significant Pneumo
needed so signs of significant pneumo is severe respiratory distress unilateral breath sounds and shift of heart sounds if the pneumo is on the left side so it's going to push you want to clear the area with alcohol around the second intercostal space mid-clavicular and you're going to
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Prepare the Equipment
prepare the equipment so a 22 gauge through a stopcock and a 20 ml syringe you have to palpate the upper edge of the second rib and insert the needle above it at the same time you're going to pull back on a syringe slowly advancing the needle until the air is recovered if the syringe fills with air turn the stopcock of...
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Newborn Stress before or during Delivery
or during delivery if the newborn passes stool before birth they may inhale the meconium stained amniotic fluid so the airway may become clogged or plugged causing hypoxia so this may um cause a delayed drop in pulmon pulmonary vascular resistance which can cause right to left shunting causing the patient to persistent...
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Standard Interventions
interventions if depressed use of positive pressure ventilation positive pressure ventilation is ineffective than innovating suction may be required to remove any obstructions if the newborn is not responding well to the care outlined in the neonate resuscitation algorithm suspect airway occlusion or pneumo and takes t...
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Low Blood Volume
is the low blood volume so fluid resuscitation may be needed if the newborn has significant depletion due to some conditions such as abrupto placenta or twin to twin transfusions or placenta previa or septic shock so signs of hypovolemia occur include pallor persistent low pulse rates weak pulse or no improvement in ci...
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Diaphragmatic Hernia
is a diaphragmatic hernia it's an abnormal opening in the diaphragm that causes the umbilical contents to herniate into the chest cavity causes the heart and the mediastinum to shift to the contralateral side of the hernia so postnatal signs include respiratory distress heart tones which are shifted decreased breath to...
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Respiratory Distress and Cyanosis
and then there's respiratory distress and cyanosis so it's the single most common cause in the neonate is prematurity so respiratory causes include airway obstruction aspiration pneumonia pneumothorax or congenital diaphragmatic hernia or also immature lungs so other causes are any process resulting in a delay in the d...
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Premature and Low Birth Weight Infants
and low birth weight infants so
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Premature Newborns
premature newborns are delivered before 37 weeks and if idiopathic but maternal conditions associated with preborn labor and delivery include maternal infection or maternal illness leading to dehydration placental insufficiency preeclampsia and pregnancy-induced hypertension in addition to increased mortality and numbe...
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Factors Contributing to Premature Delivery
and factors contributing to premature delivery include genetic factors infection abruption multiple gestations previous delivery of premature infants drug use and trauma other chronic factors um contributing to low birth weight include um maternal hypoten or hypertension placenta abnormalities and smoking also chromoso...
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Risk of Seizures in the Newborn
newborn and it strongly suggests the presence of a neurologic disorder most common and premature newborns the following are often mistaken for
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Seizures
seizures though so normal movements when a newborn is drowsy or sleep and jitteriness so that's most common seen in hypoglycemia or drug withdrawal seizures are usually related to an underlying abnormality and seizures may interfere with cardiopulmonary function feeding metabolic function and prolonged seizures may cau...
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Tonic Seizures
there's tonic seizures and that's characterized by focal or generalized spasms um that could be a single brief sun movement resulting in a tick or a jerk or mono monoclonic seizures and that's focal monofocal or generalized and it could be just a flexation of an arm or generalized and bilateral jerking or flexation of ...
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Blood Glucose Measurement and Dextrose Administration
measurement and dextrose administration should occur obtain baseline vital signs and provide oxygen assist ventilation blood pressure evaluation and iv access is necessary if blood glucose is less than 40 give iv bullish of 10 dextrose solution and recheck in 30 minutes iv administration of dexter should uh often needs...
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Hypoglycemia
but now we're going to talk about hypoglycemia itself and it's considered a blood glucose level of less than 45 milligrams uh in full term or pre-term newborns and an imbalance between glucose supply and utilization with low glucose levels due to inadequate intake or increased glucose utilization so now remember that m...
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Assessment and Management of Symptoms
assessment and management of symptoms may be non-specific but including cyanosis apnea irritability poor sucking or feeding limpnessness irregular respirations or eye rolling symptoms may be associated with lethargy tremors or seizures coma tachycardia tachypnea or vomiting so check blood glucose levels in all sick new...
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Vomiting
now we're going to talk about vomiting and it's common in newborns it ranges from spit up to severe bloody or projectile vomiting so persistent vomiting is a warning sign though and can cause excessive fluid loss dehydration and electrolyte imbalances so persistent vomiting in the first 24 hours may be may indicate upp...
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Common Causes in Newborns
so there are common causes in newborns they seen with excessive frothing soon after birth or possible choking when trying to feed gastroesophageal reflux it may vomit either immediately or a few hours after feeding so in infants and young children it persists as typical and or atypical crying apnea poor appetite it cou...
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Assessment and Management
management you wanna the stomach may be distended due to vomiting and suspect infection if the newborn has a fever it may also indicate temperature instability apnea or abdominal tenderness or guarding or minimal or absent bowel sounds you want to start management with the
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The Abcs
abcs of course the airway keep the face turned on the side to prevent aspiration suction the airway with a catheter or suction bulb consider a nasogastric or oral gastric tube to depress the stomach do not administer antibiotics in the field the newborn may need fluid resuscitation of normal saline the signs point to d...
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Dehydration
and some of those uh signs of dehydration include dry mucosa tachycardia or sunken fontanelles place a newborn on the sign when transporting to a facility that can manage a high-risk newborn and then of course diarrhea so five to six stools a day is normal especially when breastfeeding and diarrhea is excessive loss of...
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Neonatal Jaundice
jaundice the results from immaturity of the liver to get rid of the bilirubin in the first week it's considered pathologic when clinically visible in the first 24 hours and basically clinical jaundice persists for more than one week in full term infants or more than two weeks in preterm and it can result in red blood c...
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The Thermoregulation
the thermoregulation and it's limited in newborn but average normal temperature of a newborn is 99.5 degrees it ranges between about 97.9 and 99 degrees and the production of heat by metabolism is the newborn's primary source of heat production so brown fat is unique in newborns and heat loss occurs when the heat is lo...
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Fever
of course we're gonna talk about fever next fever is a rectal temperature greater than a hundred point four degrees fahrenheit or an oral temp of one fahrenheit lower than a rectal temp on average auxiliary temp is a 1.1 degrees celsius or 2 degrees lower than rectal temp a newborn may not always present with a fever i...
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Assessment of Management
assessment of management so you're going to examine for the presence of rashes especially petechiae or pinpoint pink or red lesions obtain a careful history and note increased respiratory rate and work of breathing obtain the vital signs and provide free flow supplemental oxygen and chest compressions if necessary and ...
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Assessment
assessment okay so you're gonna hypothermic newborns may be cool to the touch or pale may present with decreased respiratory effort apnea bradycardia cyanosis weak cry or lethargic
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Preventative Measures
preventative measures include warming your hands before you touch them drying thoroughly after birth placing a pre-warmed cap on the head and placing the newborn skin to skin with the mom if the newborn is hypoglycemic administer d10 um warm fluids can assist in rewarming once stabilized it is ideal if possible to plac...
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Common Birth Injuries in the Newborn
injuries in the newborn so birth trauma comes from injuries resulting in mechanical forces during the delivery process most are self-limiting with a favorable outcome so newborn injuries can occur because of the newborn size or the position during the labor and delivery conditions associated with a difficult birth incl...
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EMS-Knowledge

EMS-Knowledge is a lightweight, retrieval-friendly dataset distilled from Emergency Medical Services (EMS) reference materials.
Each row contains a short section of text paired with its file name, topic, and section title, making it easy to build search / RAG pipelines, create study aids, or ground QA systems. See more on our project page.

This repository includes:

  1. A tabular split (single split named train) with the following columns:

    • file — source filename (e.g., anatomy.json)
    • source — folder label (here: knowledge)
    • topic — coarse topic derived from file stem (e.g., anatomy, trauma)
    • section — section/heading within the file
    • text — the normalized section text
  2. The original JSON files under raw/ for direct use:

    • airway, respiratory, ventilation.json
    • anatomy.json
    • assessment.json
    • cardiovascular.json
    • ems_operations.json
    • medical.json
    • others.json
    • pediatrics.json
    • pharmacology.json
    • terminology.json
    • trauma.json

💡 The JSON files are heterogeneous collections of (section → text) entries. The table view flattens these into uniform rows for easier indexing and filtering.


Dataset Structure

Split: train (tabular)

Columns

  • file (string)
  • source (string)
  • topic (string)
  • section (string)
  • text (string)

Cardinality: depends on the number of sections parsed from the JSONs.
(Each JSON entry becomes one row.)


Citation

If you use EMS-MCQA in your work, please cite:

@misc{ge2025expertguidedpromptingretrievalaugmentedgeneration,
  title         = {Expert-Guided Prompting and Retrieval-Augmented Generation for Emergency Medical Service Question Answering},
  author        = {Xueren Ge and Sahil Murtaza and Anthony Cortez and Homa Alemzadeh},
  year          = {2025},
  eprint        = {2511.10900},
  archivePrefix = {arXiv},
  primaryClass  = {cs.CL},
  url           = {https://arxiv.org/abs/2511.10900},
}

Quick Start

from datasets import load_dataset

# Load table (single split named "train")
ds = load_dataset("Xueren/EMS-Knowledge", split="train")
print(ds)
print(ds[0])

# Filter by topic
anatomy = ds.filter(lambda x: x["topic"] == "anatomy")

# Simple keyword search over section text
needle = "spinal cord"
hits = ds.filter(lambda x: needle.lower() in x["text"].lower())
print(len(hits), "matches for", needle)

# Group sections by file/topic (example)
by_file = ds.to_pandas().groupby("file").size().sort_values(ascending=False)
print(by_file.head())
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Paper for Xueren/EMS-Knowledge