Peds Surge Pocket Guide - Department of Public Health
PEDIATRIC SURGE POCKET GUIDE
Clinical checklists, guides, and just-in-time references to manage a surge of pediatric patients.
Sections Normal Values Triage and Assessment Treatment and Medications
Equipment Decontamination
Mental Health Pediatric Safe Areas
PEDIATRIC SURGE POCKET GUIDE
This Pocket Guide was a collaborative effort by: Los Angeles County Department of Public Health Los Angeles County Emergency Medical Services Agency
Childrens Hospital Los Angeles Pediatric Liaison Nurses of Los Angeles County
Pediatric Disaster Resource Center Long Beach Department of Health and Human Services
Pasadena Public Health Department
This publication was supported by Grant Cooperative Agreement number 5U90TP917012-08 from the U.S. Centers for Disease Control and Prevention (CDC).
Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the CDC.
June 2009
PEDIATRIC SURGE POCKET GUIDE: CONTENTS
Overview: Pediatric Risks During Disasters............................................. 1
Section 1: Normal Values ....................................................................... 2 Using Kilograms ........................................................................................ 3 Normal Pediatric Vital Signs...................................................................... 4 Normal Development ................................................................................ 5 Daily Maintenance Fluid and Electrolyte Requirements ........................... 6 Normal Blood Volume ............................................................................... 7 IV Administration Tips ............................................................................... 8 Appropriate Infant Nutritional Components .................................................. 9
Section 2: Triage and Assessment ..................................................... 10 Pediatric Assessment Triangle................................................................ 11 JumpSTART Field Pediatric Multicasualty Triage System ..................... 12 Treatment Prioritization ........................................................................... 13 Clinical Features of Dehydration ............................................................. 14 Wong-Baker FACES Pain Rating Scale ................................................. 15
FLACC Post-Operative Pain Scale ......................................................... 16 Glasgow Coma Scale.............................................................................. 17 Burn Assessment: Pediatric Rule of Nines ............................................. 18
Section 3: Treatment and Medications ............................................... 19 Fluid Resuscitation.................................................................................. 24 Hypovolemic Shock................................................................................. 25
Analgesics
Acetaminophen, Ibuprofen, Morphine ..................................................................................26 Fentanyl ...............................................................................................................................28 Dilaudid ................................................................................................................................30 Lortab ...................................................................................................................................32
Antibiotics
Doxycycline, Doxycycline for Anthrax ..................................................................................34 Clindamycin..........................................................................................................................36 Vancomycin..........................................................................................................................38 Metronidazole.......................................................................................................................39 Amoxicillin ............................................................................................................................40 Cefazolin ..............................................................................................................................42
Ceftriaxone ...........................................................................................................................44 Ciprofloxacin, Ciprofloxacin for Anthrax ...............................................................................46 Cefotaxime ...........................................................................................................................48
Antipyretics
Acetaminophen, Ibuprofen ...................................................................................................50
Antivirals
Seasonal Flu ........................................................................................................................51 H1N1 Influenza ....................................................................................................................52
Asthma Medications
Albuterol ...............................................................................................................................54 Methylprednisolone, Prednisone..........................................................................................56 Racemic Epinephrine ...........................................................................................................58 Atrovent ................................................................................................................................60 Xopenex (levalbuterol) .........................................................................................................62
Cardiac Medications
Adenosine, Furosemide, Labetalol, Nifedipine.....................................................................64
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