[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-572913-105":53,"doc-detail-572913-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","medical-protocols-pediatric-pediatric-icu-destination-determination-quick-reference","Medical Protocols - Pediatric - Pediatric ICU Destination Determination Quick Reference","","Medical guidance for pediatric (under 12) EMS decision-making and interventions, presented as quick-reference tables and structured steps. Includes a legend for EMT/A/A-EMT/Paramedic roles and pediatric vital sign ranges by age group, plus a modified Glasgow Coma Scale and weight-conversion guidance. Provides destination determination logic covering work of breathing, circulation findings, time-sensitive problems, special considerations (e.g., age \u003C1 year, bleeding risks, toxic ingestion, burns), and escalation via medical control for transport to appropriate pediatric ICU-capable facilities.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":11,"@type":70,"position":76},"https://docshare.wps.com/template/presentations/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/medical-protocols-pediatric-pediatric-icu-destination-determination-quick-reference/572913/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/medical-protocols-pediatric-pediatric-icu-destination-determination-quick-reference/572913.png","ImageObject",442,249,{"name":88,"@type":89},"Fahsai","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-19","2026-10-13",true,{"@type":98,"interactionType":99,"userInteractionCount":73},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What are the key steps for pediatric destination determination?","Question",{"text":108,"@type":109},"The protocol uses a stepwise approach: assess work of breathing and abnormal breath sounds, evaluate potential time-sensitive problems, check circulation to the skin, consider altered mental status and significant allergic reactions, then evaluate special patient or system considerations. Transport decisions are made toward the closest appropriate pediatric ICU-capable facility or, when needed, after contacting medical control.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"Which pediatric findings trigger escalation in the protocol?",{"text":113,"@type":109},"Escalation criteria include altered mental status not explained by simple hypoglycemia, significant allergic reactions, impending cardiac or respiratory collapse, and multiple medications administered during transport (including albuterol). Additional attention is given to time-sensitive problems and abnormal clinical indicators during assessment.",{"name":115,"@type":106,"acceptedAnswer":116},"What special patient considerations can affect transport destination?",{"text":117,"@type":109},"Special considerations listed include age under 1 year, anticoagulation and/or bleeding disorder history, significant toxic ingestion/poisoning/overdose with deteriorating vitals or non-response to therapy, burns with specified transport pathways, end-stage renal disease requiring hemodialysis, medically complex patients requesting non-PICU transport, and EMS provider judgment.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},572913,1792428283,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":8,"category_name":11,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":73,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":141},549768702563,"https://ap-avatar.wpscdn.com/avatar/8000c4aa63b76e948b?x-image-process=image/resize,m_fixed,w_180,h_180&k=1786536092046926083","| \u003Cbr>Legend Quick Reference – Peds (\u003C12 y/o) \u003Cbr>EMT \u003Cbr>A \u003Cbr>A-EMT \u003Cbr>P \u003Cbr>Paramedic \u003Cbr>M \u003Cbr>Medical Control \u003Cbr>Vital Signs In Children \u003Cbr>Age \u003Cbr>Heart Rate (Beats Per Minute) \u003Cbr>Age \u003Cbr>Respiratory Rate (Breaths Per Minute) \u003Cbr>Age \u003Cbr>Minimum Systolic Blood Pressure \u003Cbr>Newborn – 3mos 3mos – 2years 2years – 10years >10years \u003Cbr>Awake Rate 85-205 100-190 60-140\u003Cbr>60-100\u003Cbr>Sleeping Rate 80-160 75-160 60-90 50-90 \u003Cbr>Infant Toddler Preschooler School-Aged Child Adolescent \u003Cbr>30-60 24-40\u003Cbr>22-34 18-30\u003Cbr>12-16 \u003Cbr>Term Neonates (0-28days) Infants (1-12mos) Children 1-10years Chilcren >10years \u003Cbr>>60 >70 >70 + (age in years x 2)>90 \u003Cbr>Modified Glasgow Coma Scale for Infants and Children \u003Cbr>Wisconsin EMSC Recommended Weight Conversion\u003Cbr>(2.2lbs = 1kg -OR- 1lb = 0.45kg) \u003Cbr>Child \u003Cbr>Infant \u003Cbr>Score \u003Cbr>Lbs. \u003Cbr>Kgs. \u003Cbr>Lbs. \u003Cbr>Kgs. \u003Cbr>Lbs. \u003Cbr>Kgs. \u003Cbr>5 lbs \u003Cbr>2 kgs \u003Cbr>20 lbs \u003Cbr>9 kgs \u003Cbr>35 lbs \u003Cbr>16 kgs \u003Cbr>Eye Opening \u003Cbr>Spontaneous To Speech\u003Cbr>To Pain None \u003Cbr>Spontaneous To Speech\u003Cbr>To Pain None \u003Cbr>4321 \u003Cbr>6 \u003Cbr>3 \u003Cbr>21 \u003Cbr>10 \u003Cbr>36 \u003Cbr>16 \u003Cbr>7 \u003Cbr>3 \u003Cbr>22 \u003Cbr>10 \u003Cbr>37 \u003Cbr>17 \u003Cbr>8 \u003Cbr>4 \u003Cbr>23 \u003Cbr>10 \u003Cbr>38 \u003Cbr>17 \u003Cbr>9 \u003Cbr>4 \u003Cbr>24 \u003Cbr>11 \u003Cbr>39 \u003Cbr>18 \u003Cbr>10 lbs \u003Cbr>5 kgs \u003Cbr>25 lbs \u003Cbr>11 kgs \u003Cbr>40 lbs \u003Cbr>18 kgs \u003Cbr>Best Verbal Response \u003Cbr>Oriented, Appropriate Confused Inappropriate Words Incomprehensible Sounds None \u003Cbr>Coos and Babbles Irritable, Cries Cries in Response to Pain Moans in Response to Pain None \u003Cbr>54321 \u003Cbr>11 \u003Cbr>5 \u003Cbr>26 \u003Cbr>12 \u003Cbr>41 \u003Cbr>19 12 5 27 12 42 19 \u003Cbr>13 \u003Cbr>6 \u003Cbr>28 \u003Cbr>13 \u003Cbr>43 \u003Cbr>20 \u003Cbr>14 \u003Cbr>6 \u003Cbr>29 \u003Cbr>13 \u003Cbr>44 \u003Cbr>20 \u003Cbr>15 lbs \u003Cbr>7 kgs \u003Cbr>30 lbs \u003Cbr>14 kgs \u003Cbr>45 lbs \u003Cbr>20 kgs \u003Cbr>Best Motor Response \u003Cbr>Obeys Commands Localizes Painful Stimulus Withdraws in Response to Pain Flexion in Response to Pain Extension in Response to Pain None \u003Cbr>Moves Spontaneously and Purposely Withdraws in Reponse to Touch Withdraws in Response to Pain Abnormal Flexion Posture to Pain Abnormal Extension Posture to Pain None \u003Cbr>654321 \u003Cbr>16 \u003Cbr>7 \u003Cbr>31 \u003Cbr>14 \u003Cbr>46 \u003Cbr>21 \u003Cbr>17 \u003Cbr>8 \u003Cbr>32 \u003Cbr>15 \u003Cbr>47 \u003Cbr>21 \u003Cbr>18 \u003Cbr>8 \u003Cbr>33 \u003Cbr>15 \u003Cbr>48 \u003Cbr>22 \u003Cbr>19 \u003Cbr>9 \u003Cbr>34 \u003Cbr>15 \u003Cbr>49 \u003Cbr>22 \u003Cbr>[www.chawisconsin.org](www.chawisconsin.org) \u003Cbr>50 lbs \u003Cbr>23 kgs Equipment \u003Cbr>GRAY 3-5kg \u003Cbr>PINK Small Infant\u003Cbr>6-7kg \u003Cbr>RED Infant 6-9kg \u003Cbr>PURPLE Toddler 10-11kg \u003Cbr>YELLOW Small Child 12-14kg \u003Cbr>WHITE Child 15-18kg \u003Cbr>BLUE Child 19-23kg \u003Cbr>ORANGE Large Child 24-29kg \u003Cbr>GREEN Adult 30-36kg \u003Cbr>Resuscitation Bag \u003Cbr>Infant/Child \u003Cbr>Infant/Child \u003Cbr>Child \u003Cbr>Child \u003Cbr>Child \u003Cbr>Child \u003Cbr>Child \u003Cbr>Adult \u003Cbr>Oxygen Mask\u003Cbr>(NRB) \u003Cbr>Pediatric \u003Cbr>Pediatric \u003Cbr>Pediatric \u003Cbr>Pediatric \u003Cbr>Pediatric \u003Cbr>Pediatric \u003Cbr>Pediatric \u003Cbr>Pediatric/ Adult \u003Cbr>Oral Airway\u003Cbr>(mm) \u003Cbr>50 \u003Cbr>50 \u003Cbr>60 \u003Cbr>60 \u003Cbr>60 \u003Cbr>70 \u003Cbr>80 \u003Cbr>80 \u003Cbr>Laryngoscope Blade\u003Cbr>(Size) \u003Cbr>1 Straight \u003Cbr>1 Straight \u003Cbr>1 Straight \u003Cbr>2 Straight \u003Cbr>2 Straight \u003Cbr>2 Straight OR Curved \u003Cbr>2 Straight OR Curved \u003Cbr>3 Straight OR Curved \u003Cbr>Endotracheal Tube\u003Cbr>(mm) \u003Cbr>3.5 Uncuffed\u003Cbr>3.0 Cuffed \u003Cbr>3.5 Uncuffed\u003Cbr>3.0 Cuffed \u003Cbr>4.0 Uncuffed\u003Cbr>3.5 Cuffed \u003Cbr>4.5 Uncuffed\u003Cbr>4.0 Cuffed \u003Cbr>5.0 Uncuffed\u003Cbr>4.5 Cuffed \u003Cbr>5.5 Uncuffed\u003Cbr>5.0 Cuffed \u003Cbr>6.0 Cuffed \u003Cbr>6.5 Cuffed \u003Cbr>King Airway \u003Cbr>Size 0 (Clear) \u003Cbr>Size 1 (White) \u003Cbr>Size 1 (White) \u003Cbr>Size 1 (White) \u003Cbr>Size 2 (Green) \u003Cbr>Size 2 (Green) \u003Cbr>Size 2.5 (Orange) \u003Cbr>Size 3 (Yellow) \u003Cbr>Size 3 (Yellow) \u003Cbr>LMA \u003Cbr>NA \u003Cbr>\\#1 \u003Cbr>\\#1 \u003Cbr>\\#1 .5 \u003Cbr>\\#2 \u003Cbr>\\#2 .5 \u003Cbr>\\#3 \u003Cbr>\\#3 .5 \u003Cbr>\\#4 \u003Cbr>Suction Catheter\u003Cbr>(French) \u003Cbr>8 \u003Cbr>8 \u003Cbr>10 \u003Cbr>10 \u003Cbr>10 \u003Cbr>10 \u003Cbr>10 \u003Cbr>10-12 \u003Cbr>BP Cuff \u003Cbr>Neonatal \\#5/ Infant \u003Cbr>Infant/Child \u003Cbr>Infant/Child \u003Cbr>Child \u003Cbr>Child \u003Cbr>Child \u003Cbr>Child \u003Cbr>Child \u003Cbr>Small Adult \u003Cbr>IV Catheter (ga) \u003Cbr>22-24 \u003Cbr>22-24 \u003Cbr>20-24 \u003Cbr>18-22 \u003Cbr>18-22 \u003Cbr>18-20 \u003Cbr>18-20 \u003Cbr>16-20 \u003Cbr>IO (ga) \u003Cbr>18/15 \u003Cbr>18/15 \u003Cbr>15 \u003Cbr>15 \u003Cbr>15 \u003Cbr>15 \u003Cbr>15 \u003Cbr>15 \u003Cbr>NG Tube (French) \u003Cbr>5-8 \u003Cbr>5-8","cbCailF9tYsxFXUA","https://ap.wps.com/l/cbCailF9tYsxFXUA","pdf",849201,25,"English","# Destination Determination\n## Work of Breathing and Time-Sensitive Problem Assessment\n## Circulation to the Skin and Escalation Criteria\n## Special Patient and System Considerations\n## Transport Guidance and Medical Control","[{\"question\":\"What are the key steps for pediatric destination determination?\",\"answer\":\"The protocol uses a stepwise approach: assess work of breathing and abnormal breath sounds, evaluate potential time-sensitive problems, check circulation to the skin, consider altered mental status and significant allergic reactions, then evaluate special patient or system considerations. Transport decisions are made toward the closest appropriate pediatric ICU-capable facility or, when needed, after contacting medical control.\"},{\"question\":\"Which pediatric findings trigger escalation in the protocol?\",\"answer\":\"Escalation criteria include altered mental status not explained by simple hypoglycemia, significant allergic reactions, impending cardiac or respiratory collapse, and multiple medications administered during transport (including albuterol). Additional attention is given to time-sensitive problems and abnormal clinical indicators during assessment.\"},{\"question\":\"What special patient considerations can affect transport destination?\",\"answer\":\"Special considerations listed include age under 1 year, anticoagulation and/or bleeding disorder history, significant toxic ingestion/poisoning/overdose with deteriorating vitals or non-response to therapy, burns with specified transport pathways, end-stage renal disease requiring hemodialysis, medically complex patients requesting non-PICU transport, and EMS provider judgment.\"}]","Medical Protocols - Pediatric - Pediatric ICU Destination Determination Quick Reference | PDF",1791930080,9]