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Quick Links: PEDReady Website National EMSC Website Florida DOH Website PEARL Archive

April 25, 2019

Focus | Pediatric Equipment & BVM REVIEW YOUR EQUIPMENT: Do you have everything you need to take care of children in all sizes from 2-200 Kilograms?

1. Pediatric Equipment

Having pediatric-appropriate equipment is a key component of pediatric readiness. A national EMSC performance measure is tracking the percentage of EMS agencies that have a process requiring EMS providers to physically demonstrate the correct use of pediatric-specific equipment. Take time to review and practice using your pediatric equipment this week— not during your next pediatric code!  Resources:  EMSCIIC Pediatric Equipment Toolbox Pediatric Readiness in the Emergency Department and Supplementary Data Florida EMS Equipment and Inspections Pediatric Equipment for Ground Ambulances NAEMSP is working on updating the list. Stay tuned for national and state updates on pediatric EMS equipment. Did You Know? Pediatric EMS calls account for only 7–13% of all transports. Studies show that <1% require intubation or advanced airway management, so practice and simulation are key!

2. Pediatric Airway Equipment Chart

View Photo on a Webpage

3. Pediatric Bag-Valve-Masks (BVM)

(Also known as manual resuscitators or self-inflating resuscitation systems) Bags come in 3 different sizes with volumes varying by manufacturer: Adult (1000 + ml) Pediatric/child (450+ ml) Newborn/premie (~250 ml) The minimum bag size for infants and children is 450 mL. Older children may require a 1,000 mL bag.

The key is to watch the chest rise. Be sure to select the correct size face mask for your pediatric patient and obtain a good seal. A common mistake is to press the mask down on the child’s face causing the neck to flex and airway to obstruct. Bring their face into the mask using the E-C clamp position.  Watch these videos for a review of pediatric BMV:  BVM Ventilation in Pediatrics Bag Mask Ventilation Protocols

4. Upcoming PE 2 ARLs and Pediatric Emergency Conferences

Topics identified for upcoming PEDReady PE 2 ARLs include: asthma, disaster preparedness, snakebites, emergency newborn delivery, burns, pediatric DKA, bystander CPR and fluids. What do you want to learn about or share? Don't forget to let us know about pediatric-related conferences or courses in your area!

5. Pediatric Champion of the Week Tell us about your pediatric champions and the PEARL will highlight an individual, agency or ED.  This week’s champion is Raina Davidman, EMT, LPN, MBA from the University of Florida College of Medicine–Jacksonville. Raina has a passion for pediatrics! She helps research and proof content for the weekly PEARL, assembles PEDReady Toolkits, volunteers in the community and much more. Thank you Raina for going above and beyond the call of duty!  Pictured: Raina Davidman at EMSC Day 2018

Thanks for being a Pediatric Champion!

The Florida PEDReady Program www.emlrc.org/flpedready pedready@jax.ufl.edu | 904-244-8617