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There a few differences with pediatric patients.

Anatomic differences are airways are smaller and more flexible. Tongue is larger proportionately than an adult and can block the airway easier.

Infants can only breath through their noses for at least the first 6 months.

Children may have more anxiety and unable to communicate the problem with you. You have to get on their level and gain their trust.

Lastly depending on the provider, this situation can bring on certain feelings, fear, or additional stress. So you have to come in to it prepared and calm.

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There are many differences when dealing with a pediatric patient.

Starting off with pediatric patients are more likely to get scared from the lights and sirens or might get scared from many EMS personnel on scene trying to get information and helping out with the emergency. Kids don't always know what's going on during an EMS call and if they are the patient getting eye level with then versus towering over them when they are sitting will help then gain your trust and feel more comfortable.

The anatomy of a child vs adult is that children have smaller everything and some parts might be weaker than others. like a tongue on a child is smaller and more narrow than an adult. An infant can only breathe through the nose so when the nose gets clogged with mucus the infant won't be able to breathe. it is important to clear the nose ASAP. A child can lose heat faster than an adult can so it's important to keep them warm.

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The differences we have to take into inconsideration when treating pediatric patients are that the anatomy of a child is unalike of an adult. Notably a child's airway is smaller, their tongue is larger than adults. The airway is more flexible, respiratory change is compensated by increasing efforts of breathing. Infants and children have limited ability to regulate temperature like adults do. As far as trauma goes, we treat the same as adults. Things we need to keep in mind is that we may have to alter equipment we use to a child's size. Also, a child does not show signs of shock as early on as an adult but can advance into sever shock more quickly. When treating we must remain calm, if not that can be transferred to a child and cause fear. We need to show them that we can help them feel better and gain their trust. Communication can be difficult, and we must know that we can rely on the caregiver to help aid in the process.

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Dealing with young children and infants can be a challenge on many levels. We use different techniques and processes to evaluate and care for a young patient. One big thing is staying calm and trying to establish trust, we are strangers even in our good guy uniform. Make sure to lower yourself and if possible offer some type of positive distraction. If an parent or love one is available, make sure to use that individual if it helps the situation. Make sure to get a doorway perspective and monitor ABCs. With younger patients its critical to start CPR cycles quickly, even before starting to call for help. Another important step is to keep a child warm and make sure to monitor vitals and arrange for prompt transport. Care for those little ones and make sure to monitor for any situations that seem out of place. From listening to the chapter chocking is very common, make sure to proper care when witnessing this type of incident.

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Peds- Big Picture!  Lauren Sinkler guest staring Arizona Robbins.

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Peds- Big Picture!  Lauren Sinkler guest staring Arizona Robbins.

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In a big picture...

Pediatric patients (tiny humans) care is waaaaay different than adult care from the Protocol- gaining that constant from a patent unless life or death, Anatomy- air way size is smaller, vitals significantly different or bones being flexible (in infants) to the, Brain development-ability to comprehend and understand the situation they are in, lights and a crowd of EMS, Emotional capacity- they may have a stronger reaction to the trauma. The way we care for them is all going to depend on the situation at hand.

Remembering to tell the truth always (kids will hate you if you lie) && keep Mom or dad close whenever possible, stay cool calm and collected they sense fear like sharks, those things will always do you justice and maybe even a stuffed animal or toy too will help to.

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Dealing with children is way different than with adult patients. Children are scared of random people touching them and talking to them. This can make an assessment more difficult, so you need to stay in front of them and give them a stuffed animal. They can't tell you what's wrong with them because they don't know or can't communicate with you. They also don't like to sit still they like to move.

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they maybe tiny humans, but our bodies start off so different 

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Children are amazing at helping us see things in this world so much differently. We have to remember how their little minds can see the world is not the way we are seeing it, even at the exact moment. Kids can see magic when there isn't any, and they can see monsters from shadows and sounds. Their little minds don't have the experience to understand what is happening around them all the time. Staying calm in a chaotic time in front of a child and their caregivers will have an impact even if it doesn't seem like it immediately.

Infants are delicate and can't maintain body temps properly on their own. Their airways are more flexible and therefore can be closed down much easier if we do not take special care with it. Babies are more cartilage than bone and also do not have as much control over their motor functions.

Young children also are often always on the go, or trying to move, even when sick. Often times a kid will go and go until they can not anymore. Next thing you know, they are laid out flat in the living room sleeping or sick and throwing up. They don't usually show signs of being sick, until they are really sick. We have to remember this in situations that shock would be something we expect to see, but don't necessarily see it on a child. Kids may not show signs of shock until it is at the danger point. Kids with fevers will often times still be playing and acting mostly normal, unless the fever is so severe it has them down.

We have to also remember that because of size, our equipment has to be suited for the smaller bodies. We don't have to make a perfect seal with a mask for oxygen, and often times if we tried to do that a child would fight because of fear of something being placed on their face so tight. "Blow by oxygen" with the mask 2 inches or so away will work for a child to get oxygen most often. Our airway adjuncts have to be sized proper, the way we insert them is even different because of tongue size.

Honesty should be something we practice throughout no matter the patient, but with children it is of the utmost importance. Kids will take with them the experience we give them, and it will stretch even more so across whenever they see other EMS personal and how they respond later in life to them.

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there are allot of differences between adult and pediatric patients.

first is anatomy. with young kids allot of the organs and such are not in their proper places yet, so evaluating them can be difficult in this respect. one example is that for allergic reactions it is more dangerous as it takes allot less swelling of the throat to cut off the airway. another example is that due to their small size, they have significantly less blood so bleeding can be allot more serious than on an adult.

they are also will react stronger to injuries due to lack of understanding especially if a stranger is telling them a bunch of weird words they don't understand. it is important to remain calm and be honest. if possible keep mom and dad close a hand, and if needed try to also distract them to keep them calm.

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Aside from the obvious size and shape differences, when treating a pediatric patient special considerations need to be taken.

Children tend to be more frightened and anxious in a trauma setting. Sometimes, they have an inability to be able to communicate properly compared to a sound of mind adult. Special precautions need to be taken in order to help calm a pediatric patient versus treating an adult.

Children have larger tongues than adults so it’s imperative to maintain an open airway.

Children’s vital signs can change faster than adults so they should be monitored at least every 5 minutes.

You can get a quick impression of a child based on their appearance, work of breathing, and circulation to the skin and can even be done from a distance. Respirator rates must be measured for 30 seconds because children often have irregular breathing patterns.

Pulse rates of children are faster than adults.

Working with pediatric patients is going to potentially be more stressful as we can become emotional so it’s important to manage our stress before, during, and after care.

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There are some big differences when handling an adult patient versus a child patient. To start, their anatomy. Children typically have smaller airway compared to an adult. Children also have a larger tongue which results in a alternative way to clear the tongue from obstructing the airway. Another way children are different from an adult is the way you act on scene. Although there are some aspects that should remain the same such as: treating each patient with respect, honestly and doing the best job you can to keep you and the patient safe. A child would need simple questions to answer. You would want the child to be able to understand what you were asking. In addition, you would want to approach them at the level that the child was on: if they were sitting, standing, laying etc. Even if that meant lowering yourself to be eye level with them. You would want to make them feel like they can talk to you and that they can trust you.

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When it comes to treating children in an emergency situation you have to keep in mind that there are differences between the children and full grown adults. The smaller they are the higher their vital signs should be.
When they're small their airway is also smaller and it takes less swelling or trauma for their airway to become closed off or blocked. Their airway being smaller also takes more of a delicate approach to a head tilt chin lift. The back of their head is proportionally bigger so using a small towel or a pillow under their shoulders may make it easier. Keeping in mind that their tongue is proportionally bigger and may block their airway.

When a baby is first born it only breathes thru its nose for about the first six months of its life...except when that baby takes its very first breath! That very first breath is thru its mouth!

If you get called to treat a child that is old enough to talk make sure to communicate with them. They are shy and bashful but typically they will warm up to you if you treat them kindly, get on their level, use eye contact and have a stuffy and/or blanket for them. There are exceptions to every situation but keep in mind that if the child is alert they maybe scared but they still are watching you.

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Somethings to note about pediatric patients:

-Social and Emotional needs must take a higher priority than with adults.

-Additionally parents and caregivers need to be looped into the care of the patient because they may already know exactly what has happened, what is happening, and what may need to be done for the patient.

-Viral signs are normally higher than that of an adult or juvenile.

-Respiratory anatomy is different than adults making them more prone to respiratory emergencies.

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Out of many differences you have a few big ones like when your introducing and assessing you have to treat them as kids they might need softer words, a stuffed animal or even a few jokes to open their selves up to you. Respiratory problems are a big thing also, staring from newborn to 6 months infants can only breathe through their nostrils, as they continue to grow they get disproportionate. Kids tongues are often bigger then adults so when unconscious they are more likely to block the airway. Sicknesses show differently in kids and can take a toll on kids much faster than an adult.

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Things to note when treating a child verses an adult:

Children will not be able to fully describe (or maybe not even be able to speak at all) the pain or issues that is going on. They also will not know what a lot of things mean. We as EMS responders need to speak with them in a manner that they are better able to understand what you are asking, and probably answer a lot of "why" questions! It may be necessary to speak with parents or guardians to obtain necessary information regarding the symptoms/onset/etc that the child is experiencing.

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Dealing with a pediatric patient has its challenges because usually the patient is unable to speak so getting any signed symptoms or problems have to be from the parent and usually they are freaking out because their child is hurt sick etc. and then you’re also coming down to child as well from the situation that happened and then it’s just memorizing the different vital signs of a pediatric patient from an adult

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To me outside of the obvious things like them not being able to describe what is going on properly other then "it hurts" or being scared of us when we arrive, the treatment is relatively the same. We are still dealing with a patient so we are still going to follow our same steps in assessment it just takes a little more communication skills because you have to not only talk to the patient but we are going to have to include both parents in every step we take so they are equally as comfortable with what we are doing. It is very important that we get down to there level and speak to them not at them and we really use our skills to understand and communicate in a way that all parties will be able to understand what and why we are doing the things we are doing.