[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-361815-105":59,"doc-detail-361815-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","training-scenarios-for-pediatric-patients","Training Scenarios for Pediatric Patients","","Training scenarios for pediatric emergency care focus on structured assessment and expected actions in two trauma cases. The first scenario addresses severe head injury with multisystem risk, emphasizing primary survey priorities, airway/oxygenation support, rapid escalation of vascular access, procedural management, intracranial pressure considerations, ongoing sedation or paralysis, and appropriate transport diagnostics while maintaining spinal precautions. The second scenario covers pediatric ATV trauma with limb injury, shock versus pain assessment, analgesia and antiemetic symptom control, retrieval activation, and targeted imaging and secondary survey findings.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/training-scenarios-for-pediatric-patients/361815/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/training-scenarios-for-pediatric-patients/361815.png","ImageObject",300,407,{"name":92,"@type":93},"\tCallum ","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-28","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",16,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What should clinicians prioritize during the primary survey in pediatric trauma scenarios?","Question",{"text":113,"@type":114},"Focus on protecting and assessing airway and breathing, ensuring oxygenation and circulation with capillary refill and pulses, and rapidly identifying neurologic status and responsiveness to pain.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How is vascular access handled when IV access is difficult in these scenarios?",{"text":118,"@type":114},"Attempt IV access first, but progress rapidly to intraosseous access if difficulties occur, including site considerations such as tibia or humerus depending on age and stability.",{"name":120,"@type":111,"acceptedAnswer":121},"What imaging and monitoring steps are recommended during transport preparation?",{"text":122,"@type":114},"Perform focused diagnostics if time allows (e.g., ultrasound, CXR, pelvis X-ray, cervical spine imaging), send copies of images with the transport team, maintain spinal precautions, and reassess vitals for shock and evolving respiratory status.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},361815,1790193816,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":29,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145},137451211410,"https://ap-avatar.wpscdn.com/avatar/2000bb0a9246f588df?x-image-process=image/resize,m_fixed,w_180,h_180&k=1786362646172706240","Training Scenarios for Pediatric Patients  \nPurpose  \nUse these scenarios at your health care facility to discuss pediatric care. Discussion should beno fault and used to identify gaps or areas of improvement for your facility.  \nScenario 1  \nEMS report: 5-year-old boy riding his bike was hit by a car. He was unresponsive on arrival of first responders with pupils 5mm and sluggish bilaterally. No response to pain. He had good respiratory effort. Blood was suctioned from the mouth and nose; oxygen was applied by mask. No IV access was able to be obtained. PMH/Allergies unknown.  \nPrimary Survey:  \nA – minimal blood to nares, patent, breathing spontaneously  \nB – clear lungs bilaterally, oxygen saturations 98% on O2, during transition to ED O2 fell to 90% C – capillary refill intact, color good, heart sounds normal, peripheral pulses palpable  \nD – no response to pain x4 – GCS 1 + 1 + 1 = 3, pupils 4mm L, 6mm R sluggish VS – 100/70, 128, 16, 98% on mask O2  \nInitial Assessment and Expected Actions:  \n▪ Recognize severe head injury and potential for multi-system injury  \n▪ Activation of referral process / rotor-wing or other retrieval unless at definitive care center  \n▪ Call for additional help  \n▪ Obtain IV access – rapid progression to IO if any difficulties – discuss sites including tibia (proximal and distal), distal femur and humeral head  \n▪ Intubation – talk through equipment, size of blade/tube, doses of medications (sedation – e.g. ketamine or etomidate for sedation, paralysis – succinylcholine or rocuronium – avoid propofol due to potential for hypotension)  \n▪ Ongoing sedation and/or paralysis  \n▪ Management of increased intracranial pressure – consider mild hyperventilation  \n▪ (temporary) and administration of (e.g. hypertonic saline 3% at 2ml/kg or mannitol 1g/kg)  \n▪ Re-assessment and evaluate for signs of shock (persistent tachycardia, poor color, signs of poor perfusion)  \n▪ Further diagnostics and evaluation – ultrasound, CXR, pelvis XR, cervical spine xray – to be done if there is time while waiting for transport. Please be sure to send copies of all images with the transport team.  \n▪ Spinal precautions maintained throughout – regardless of any CT findings  \n▪ OG placed  \n▪ Indwelling urinary catheter  \n▪ Dosing for analgesics  \n▪ Consideration of anti-epileptic medications (fos-phenytoin 18mg/kg)  \n▪ Packaging for transport  \n▪ Labs – emphasize importance of checking glucose on all critically injured/ill children (very little reserve), Hgb, serum CO2 value / base deficit  \nSecondary Survey:  \n▪ Possible abdominal firmness to palpation  \n▪ Abrasions R shoulder and upper back  \n▪ Swelling and tenderness R wrist  \nSecondary Considerations:  \n▪ Discuss if pupils do not equalize consider CT head on-site if available and if will not delay transport (especially if will intervene on-site)  \n▪ Discuss seizure management including use and dosing of IM benzodiazepines (midazolam  \n0. 1mg/kg, for example) and IM fos-phenytoin if IV access not easy to obtain. Use intranasal versed 0.4mg/kg for seizures if no IV access – can use as both of the initial 2 doses of benzodiazepines in the status pathway.  \nScenario 2  \nEMS report: 10-year-old riding on ATV was thrown off at about 30mph when the driver hit a login tall grass, crying, complaining of pain to the R forearm and R hip area and nausea. BP 100/p, HR 120, deformity and laceration to R mid forearm noted – bandaged and splinted. C-collar and long board. No IV access obtained in field. Father reports asthma medical history, albuterol inhaler prn, no drug allergies.  \nPrimary Survey:  \nA – protecting airway, crying, breathing spontaneously  \nB – clear lungs bilaterally, oxygen saturations 98% on room air  \nC – capillary refill intact, color slightly pale skin, heart sounds normal, peripheral pulses palpable D – awake, alert, anxious and crying, moving all extremities, neuro intact x4, pupils normal  \nVS – 100/70, 128, 16, 98% on room air  \nInitial Assessment and Expected ","cbCailPRfW4krTlA","https://ap.wps.com/l/cbCailPRfW4krTlA","pdf",146689,"English","# Purpose\n# Scenario 1\n## Primary Survey\n## Initial Assessment and Expected Actions\n## Secondary Survey\n## Secondary Considerations\n# Scenario 2\n## Primary Survey\n## Initial Assessment and Expected Actions\n## Secondary Survey\n## Secondary Considerations","[{\"question\":\"What should clinicians prioritize during the primary survey in pediatric trauma scenarios?\",\"answer\":\"Focus on protecting and assessing airway and breathing, ensuring oxygenation and circulation with capillary refill and pulses, and rapidly identifying neurologic status and responsiveness to pain.\"},{\"question\":\"How is vascular access handled when IV access is difficult in these scenarios?\",\"answer\":\"Attempt IV access first, but progress rapidly to intraosseous access if difficulties occur, including site considerations such as tibia or humerus depending on age and stability.\"},{\"question\":\"What imaging and monitoring steps are recommended during transport preparation?\",\"answer\":\"Perform focused diagnostics if time allows (e.g., ultrasound, CXR, pelvis X-ray, cervical spine imaging), send copies of images with the transport team, maintain spinal precautions, and reassess vitals for shock and evolving respiratory status.\"}]","Training Scenarios for Pediatric Patients | PDF",1790145652,15]