Pediatric Education for Prehospital Professionals (PEPP), Fourth Edition is an evidence-based resource of essential medical content for the assessment and management of infants and children in the field. This respected and ground-breaking program paired physicians and EMS providers together to ensure the content reflects current best practices and the realities of the field. Developed by the American Academy of Pediatrics, PEPP is designed to give prehospital professionals the knowledge, skills, and confidence they need to effectively assess and manage pediatric patients.
PEPP combines world-class content with engaging features and an interactive course to truly prepare prehospital professionals to care for pediatric patients.
The Fourth Edition Includes:
A new chapter on Behavioral Emergencies
A top-flight EMS author team working with AAP physician reviewers to ensure exceptional medical content with a focus on how it is applied in the “streets”
New procedures on tourniquet application and intranasal medication administration
Features Include:
The Pediatric Assessment Triangle (PAT) represents the essence of the PEPP patient assessment method, which includes assessing appearance, work of breathing, and circulation to the skin.
The Patient Assessment Flowchart provides students with an easy-to-understand reference of the pediatric patient assessment process.
Case Studies provide an opportunity for students to apply the foundational knowledge presented in the chapter and strengthen their critical-thinking skills.
Procedures provide step-by-step explanations and visual summaries of vital BLS and ALS pediatric care skills.
Flexible Course Options:
PEPP Course Coordinators may offer a 2-day onsite course or a 1-day enhanced hybrid course at the BLS or ALS level.
The onsite course features interactive case-based lectures where students apply their knowledge in a safe environment.
The hybrid course features case-based online modules with engaging interactivities, including rapid skills demonstration videos that students complete before attending the onsite portion for hands-on skill station coaching and small-group discussions.
The BLS-level courses are geared toward emergency responders and EMTs, while the ALS-level courses are geared toward AEMTs and Paramedics.
About the Author
The American Academy of Pediatrics (AAP) has approximately 64,000 members in the United States, Canada, and Latin America. Members include pediatricians, pediatric medical subspecialists, and pediatric surgical specialists. The mission of the AAP is to attain optimal physical, mental, and social health and well being for all infants, children, adolescents, and young adults.
Author(s): American Academy of Pediatrics (AAP)
Edition: 4
Publisher: Jones & Bartlett Learning
Year: 2020
Language: English
Commentary: TRUE PDF
Tags: Pediatrics; Emergency Medicine; Prehospital Medicine
PEDIATRIC EDUCATION FOR PREHOSPITAL PROFESSIONALS
Title Page
Copyright
Brief Contents
Contents
PEPP Steering Committee
Acknowledgments
Foreword
Chapter 1 Pediatric Assessment
Introduction
Summary of Assessment Flowchart
Scene Size-Up
The Pediatric Assessment Triangle
Primary Assessment
Primary Assessment: The Transport Decision: Stay or Go?
Summary of Primary Assessment
Secondary Assessment: History Taking
Physical Examination
Additional Monitoring Devices
Ongoing Reassessment
Summary
Chapter 2 Using a Developmental Approach
Introduction
Pediatric Calls and Response From Family and Providers
Communication With the Child and Family or Caregiver
Vital Signs Through the Ages
Anatomic Changes
Summary of Changes in Vital Signs and Anatomy Through Childhood
Infants
Assessment of the Infant
Toddlers
Assessment of the Toddler
Preschoolers
Assessment of the Preschooler
School-Aged Children
Assessment of the School-Aged Child
Adolescents
Assessment of the Adolescent
Children With Special Health Care Needs
Assessment of a CSHCN
Tips for the EMS Provider
Summary
Chapter 3 Respiratory Emergencies
Introduction
Respiratory Distress and Failure
Prearrival Preparation
Scene Size-Up
General Assessment: The PAT
Primary Assessment: The ABCDEs
General Noninvasive Treatment
Summary of General and Initial Respiratory Assessment and General Noninvasive Treatment
Specific Treatment for Respiratory Distress
Summary of Specific Treatment for Respiratory Distress
Management of Acute Respiratory Distress: CPAP
Management of Respiratory Failure
Summary of Management of Respiratory Failure
Primary Assessment: The Transport Decision—Stay or Go?
Additional Assessment
Chapter 4 Shock
Introduction
Prearrival Preparation
Scene Size-Up
General Assessment: The Pediatric Assessment Triangle
Primary Assessment: The ABCDEs
Additional Assessment
Summary of Cardiovascular Assessment
Using the Assessment to Identify Shock
Hypovolemic Shock
Distributive Shock
Cardiogenic Shock
Obstructive Shock
General Noninvasive Treatment of Suspected Shock of All Types
Specific Treatment of Hypovolemia
Treatment of Septic Shock
Specific Treatment of Hypotensive (Decompensated) Distributive Shock
Treatment of Cardiogenic Shock
Primary Assessment: Transport Decision
Summary of Shock States
Chapter 5 Resuscitation and Dysrhythmias
Introduction
Prearrival Preparation
Scene Size-Up
General Assessment: The PAT
Primary Assessment: The ABCDEs
Additional Assessment
Summary of Cardiovascular Assessment
Dysrhythmias
Summary of Dysrhythmias
Cardiac Arrest
Presenting Cardiac Arrest Rhythm and Treatment
Summary of Cardiac Arrest
Congenital Heart Disease
Drowning
Chapter 6 Medical Emergencies
Introduction
Medication Dosing
Seizures
Assessment and Treatment of the Actively Seizing Child
Assessment of the Postictal Child
Summary of Seizures
Altered Mental Status (AMS)
Diabetes Mellitus
Hypoglycemia
Congenital Adrenal Hyperplasia
Cortisol Deficiency
Panhypopituitarism
Summary of Altered Mental Status and Endocrine Disorders
Fever
Summary of Fever
Nausea, Vomiting, and Diarrhea (Gastroenteritis)
Sepsis and Meningitis
Heat-Related Emergencies
Summary of Heat-Related Emergencies
Cold-Related Emergencies
Summary of Cold-Related Emergencies
Bites and Stings
Summary of Bites and Stings
Chapter 7 Trauma
Introduction
Fatal Injury Mechanisms
Unique Anatomic Features of Children: Effect on Injury Patterns
Mechanism of Injury: Effect on Injury Patterns
Assessment of the Injured Child
The General Assessment
The Primary Assessment
Summary of Primary Assessment
Special Airway Considerations in Pediatric Trauma
The Primary Assessment
Additional Assessment
Summary of Additional Assessment
Spinal Motion Restriction and Splinting for Transport
Pediatric Burn Patients
Summary of Burns
Chapter 8 Toxic Emergencies
Introduction
Age-Related Differences
Summary of Age-Related Differences
Prearrival Preparation and Scene Size-Up
Role of the Poison Center
Assessment of the Child with a Possible Toxic Exposure
Summary of Assessment of the Child With a Possible Toxic Exposure
Toxicologic Management
Organophosphates
Summary of Toxicologic Management
Medicolegal Issues
Chapter 9 Behavioral Emergencies
Introduction
Common Pediatric Psychiatric and Behavioral Conditions
Suicide Attempt/Intentional Ingestions or Exposures
Adverse Reactions of Psychiatric Medications
Assessment and Transport of the Child with a Behavioral Emergency
Chapter 10 Children with Special Health Care Needs
Introduction
Cognitive and Physical Disabilities
Assessment of CSHCN
Summary of Assessment of CSHCN
Transport
Summary of Transport
Children Assisted by Technology
Summary of Children Assisted by Technology
The Medical Home for CSHCN
Additional EMS Considerations for CSHCN
Chapter 11 Child Maltreatment
Introduction
Background, Cost, and Definition
Definition of Child Maltreatment
High-Risk Groups
Duties and Communication by the Prehospital Professional
Communicating With the Child and Caregivers
Patient Assessment
Summary of Duties, Communication, and Assessment in Suspected Maltreatment
Legislation, Principles, and Protocols
Pediatric Human Trafficking
Chapter 12 Emergency Delivery and Newborn Stabilization
Introduction
Obstetric Delivery in the Prehospital Setting
Complications During Pregnancy
Triage of a Patient in Labor
Summary of Triage of Patient in Labor
Preparation for Delivery
Performing the Delivery
Summary of Vaginal Delivery
Immediate Care of the Newborn
General Principles of Newborn Resuscitation
Specific Newborn Complications
Summary of Resuscitation of the Newborn
Transport Considerations
Summary
Chapter 13 Sudden Unexpected Infant Death and Death of a Child
Introduction
Definition of SUID
SUID Epidemiology
Common Clinical Presentation of SUID
Actions in Suspected SUID
Summary of SUID
Definition of Brief Resolved Unexplained Event
Common Clinical Presentation of BRUE
Actions in Suspected BRUE
Summary of BRUE
Responses to an Infant Death
Critical Incident Stress
Chapter 14 Children in Disasters
Children in Disasters
What Is a Disaster?
Roles of the Prehospital Professional in a Disaster
Pediatric Response Considerations
Vulnerable Pediatric Physiologic and Psychologic Characteristics in Disasters
Effects of Chemical, Biologic, Radiation, Nuclear, and Explosive Disasters on Children
Summary
Chapter 15 Medicolegal and Ethical Considerations
Introduction
Consent
Summary of Consent
Confidentiality
Respect for Cultural or Religious Differences
Patient Rights and Advocacy
End-of-Life Issues
Pediatric Policies and Procedures
Medical Control for Pediatrics
Summary of Rationale for Protocols, Policies, and Procedures
Chapter 16 Transportation Considerations
Pediatric Transport
How to Begin Transport
Taking Caregivers in the Ambulance
Child Restraint Systems in Ambulances
Transport Mode
Transport Destination
Multiple Patients
Summary of Transport Mode and Multiple Patients
Chapter 17 Making a Difference
Introduction
Emergency Medical Services for Children
Summary of EMSC
Public Health Interface
Prevention and Injury Control
Summary of Prevention and Injury Control
The Medical Home
Summary of the Medical Home
Quality and Safety in EMSC
Data and Information Management
Summary of Quality, Safety, Data Collection, and Information Management
Prevention: The Prehospital Professional’s Role
Summary of Roles in Prevention
Call to Action: Advocacy for EMSC
Procedures
1 Field Reporting
2 Length-Based Resuscitation Tapes
3 Oxygen Delivery
4 Suctioning
5 Airway Adjuncts
6 Foreign Body Obstruction
7 Bronchodilator Therapy
8 Bag-Mask Ventilation
9 Pulse Oximetry
10 Orogastric and Nasogastric Tube Insertion
11 Endotracheal Intubation
12 Confirmation of Endotracheal Intubation and End-Tidal Capnography
13 Advanced Airway Techniques
14 Intramuscular Injections
15 Intranasal Medication Administration
16 Intravenous Access
17 Intraosseous Needle Insertion
18 Cardiopulmonary Resuscitation
19 AED and Defibrillation
20 Endotracheal Tube Drug Instillation
21 Rectal Administration of Benzodiazepines
22 Spinal Motion Restriction
23 Needle Thoracostomy
24 Removing and Replacing a Tracheostomy Tube
25 Tourniquet Application
Medication Formulary
Glossary
Index
