By Barton D. Schmitt MD
Inside this convenient on-the-spot consultant, you can find the step by step protocols wanted for potent mobilephone triage of universal pediatric symptoms.
Presented logically in algorithmic layout, each one protocol lists the inquiries to ask callers while comparing the urgency in their challenge, and indicates you the way to tell apart instances requiring emergency intervention from these higher addressed via an workplace stopover at or domestic care. you will additionally locate first-aid and residential care directions for fogeys and pointers on alerting mom and dad to power issues warranting a decision back.
In mobilephone triage, accuracy counts...be definite you ask the fitting questions.
- Logical organization takes you from the fundamentals of cellphone triage to precise information on dealing with scientific emergencies, trauma, baby or child concerns, and indicators of either gentle and critical illness.
- Detailed protocols exhibit you what inquiries to ask callers, supporting you elicit the clinically crucial details had to make a correct and speedy assessment.
- Thoroughly up-to-date content assures you of the most up-tp-date and actual mobilephone triage advice.
- Spiral-bound format guarantees you by no means lose your place—perfect for on-the-spot consultation.
Let this source support you...
- Prevent not on time reputation of doubtless emergent pediatric conditions.
- Help callers stay away from the inconvenience and rate of unneeded workplace visits.
- Guide callers within the use of domestic treatments and non-prescription medications for non-emergency cases.
The name comes in—a baby is in scientific distress...Get the phone triage recommendation you must make a short and exact evaluation. Order your replica of Pediatric mobile suggestion, 3rd Edition today!
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Additional info for Pediatric telephone advice
Subcutaneous injection is also effective. ) 2. Antihistamine: Give antihistamine orally as soon as possible if the child can swallow. Use Benadryl or any antihistamine that is available. Give this in addition to the epinephrine. ) 3. Supine position: If the child feels weak, have him or her lie down with the feet elevated. ) 4. Local ice: For bee stings, apply ice to the bite to decrease absorption of the venom. If the stinger is still present, scrape it off with the edge of a knife or credit card.
Kempe A, Dempsey C, Whitefield J, et al. Appropriateness of urgent referrals by nurses at a hospital-based pediatric call center. Arch Pediatr Adolesc Med 2000;154:355–360. Kempe A, Dempsey C, Hegarty T, et al. Reducing after-hours referrals by an after-hours call center with second-level physician triage. Pediatrics 2000;106(1 Pt 2):226–230. Kempe A, Luberti A, Belman S, et al. Outcomes associated with pediatric after-hours care by call centers: a multicenter study. Ambul Pediatr 2003;3:211–217.
If the child cannot breathe, cough, or make a sound, proceed with high abdominal thrusts. • Give a sudden upward thrust at a 45-degree angle to try to squeeze all the air out of the chest and pop the lodged object out of the windpipe. • • Repeat this upward abdominal thrust 10 times in rapid succession until the object comes out. Grasp the child from behind, just below the lower ribs but above the navel, in bear-hug fashion. Make a fist with one hand and fold the other hand over it. If the child is too heavy to suspend from your arms, lay him or her on his or her back on the floor.