Quote from germsjackson
So I'm working in an adult only ED, and feel like I'm missing out on some very important basic Peds for ER type stuff.
Can anyone give me a bunch of hints/tips?
Like what are some serious emergencies and how do you manage them?
Meds and doses for seizures and the like....
how the heck you get a tiny IV in that tiny vein.
1- serious emergencies
There is a wide variety of emergencies, what I see most often is respiratory issues (croup, asthma), sepsis and trauma. We manage them very similarly to adult emergencies with the exception that we stabilize and transfer to the local kids hospital when the case warrants (this is where the peds ICU is located).
2- meds and dosages
The broselow tape is the best friend of the critical care pediatric nurse. It has weight based dosages for ACLS and second line meds as well as volumes for bolus and maintenance fluids, equipment sizes etc.
3- tiny IVs and veins
Very similar to putting a large IV in a large vein... Make sure you have lots of help to hold/soothe the child, use an appropriately sized catheter, remove the tourniquet as soon as possible and flush slowly. Wrap that arm up securely and use an arm board.
I highly recommend taking ENPC for complete answers to these questions as well as very important info on how to assess pediatric patients.
As an adult only site do you still get children at times? Just my own curiosity about your curiosity