Pediatric Respiratory Distress
Pediatric Respiratory Distress
Theresa Guins, MD
Division of Emergency Medicine Children's Hospital of The King's Daughters
Assistant Professor of Pediatrics Eastern Virginia Medical School
Objectives
Assessment Croup Bronchiolitis Asthma Foreign Bodies Pertussis
Respiratory Distress
Frequent reason for call to EMS/ED visit
Due to higher metabolic demands, less reserve, anatomic and physiologic differences, children decompensate more quickly.
How is Pediatric Airway Management Different?
Anatomy/Physiology Etiology of airway problems Equipment Frequency with which many practitioners
encounter true pediatric airway problems means less experience available
Why be aggressive in Pediatric Airway Management?
Children have limited ability to compensate for respiratory compromise.
Early recognition of any dysfunction and anticipation of respiratory failure is essential.
Pediatric Assessment Triangle
Appearance
Tone Interactiveness Consolability Look/Gaze Speech/Cry
Work of Breathing
Abnormal airway sounds
Abnormal positioning
Retractions Nasal flaring Head bobbing
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