*\'!!?tMEYDEPARTMENT fJ. HEALTH SENIOR SERVICES Emergency Medical PEDIATRIC ASSESSMENT Services for Children

NORMAL VITAL SIGNS FOR CHILDREN OF VARIOUS AGE GROUPS Age Group Respiratory Heart Systolic Blood t/ ABCs EQUIPMENT Rate Rate BIP Age & Airway/Breathing Circulation t/ Distal pulses Weight Bag-Valve BP New Born 30-60 100-160 >60* O2 Oral Suction (kg) Mask Airwavs Mask Cuff Infant (1- 12 months) 30-60 100-160 >60* t/ Extremity and core Premie Premie Premie Infant Infant 6-8 F Toddler (1-3 yrs) 24-40 90-150 >70* temperature/color 1-1.5 kg Newborn Newborn Preschooler (3-5 vrs) 22-34 80-140 >75 Newborn Newborn Newborn Infant Infant 8F 0-6 mos Small Infant School Age (6- 12 yrs) 18-30 70-120 >80 t/ Capillary refill 3.5-7.5 kg 6-12 mos Infant Adolescent (13+yrs) 12-16 60-100 >90 Pediatric Small Pediatric 8-10 F (normal <2 seconds) 7.5-10 kg Child -Inlonts & Children 3yrs or younger, evaluate the central pulses instead of measuring blood 1-3 yrs Pediatric Small Pediatric 10 F Child pressure t/ Level of consciousness 10-15 ka 4-7 yrs Pediatric Medium Pediatric 14 F Child GLASGOW COMA SCALE t/ Recognition of parents 17.5-23 kg Infant Child/Adult Medium Pediatric Child by child ~ 8 yrs Adult 14 F 4 Spontaneously 4 Spontaneously > 25 kg Large Adult Adult Eye 3 To speech 3 To command Opening 2 To pain 2 To pain 1 No respa nse 1 No response 5 Coos, babbles 5 Oriented Best 4 Irritable, cries 4 Confused Verbal 3 Cries to pain 3 Inappropriate words Response 2 Moons, grunts 2 Incomprehensible 1 No response 1 No response BURN CHART NEWBORN RESUSCITATION 6 Spontaneous 6 Obeys command (% burn surface area) Best 5 Localizes pain 5 Lacalizes pain Dry, Warm, Position, Suction, Tactile Stimulation Motor 4 Withdraws from pain 4 Withdraws from pain Adolescent Response 3 Flexion (decorticate) 3 Flexion (decorticate) If RR <40 or HR <80 or Central Cyanosis 2 Extension (decerebrate) 2 Extension (decerebrate) Infant administer blow by oxygen __ 1 No response 1 No response If no change and airway is clear, administer __ = Total -- = Total 100% Oxygen via B-V-M @ 40-60bpm Request MICU ------RESPONSE Level of Response Infant Child A - Alert Curious Alert Recognizes Parents Aware of Surroundings V - Responds to Voice Irritable, Cries Opens Eyes An infant's or child's hand is P - Responds to Pain Cries to Pain Withdraws approximately 1% of its total body area. U - Unresponsive No Response No Response

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