- Any child that can be measured with the Broselow Resuscitation Tape.
- Scene size-up, including universal precautions, scene safety, environmental hazards assessment, need for additional resources, by-stander safety, and patient/caregiver interaction
- Assess patient using the pediatric triangle of ABCs:
- Airway and appearance: speech/cry, muscle tone, inter-activeness, look/gaze, movement of extremities
- Work of breathing: absent or abnormal airway sounds, use of accessory muscles, nasal flaring, body positioning
- Circulation to skin: pallor, mottling, cyanosis
- Establish spinal immobilization if suspicion of spinal injury Establish responsiveness appropriate for age (AVPU, GCS, etc.)
- Color code using Broselow-Luten tape
- Assess disability (pulse, motor function, sensory function, papillary reaction)
- Perform a focused history and physical exam. Recall that pediatric patients easily experience hypothermia and thus should not be left uncovered any longer than necessary to perform an exam.
- Record vital signs (BP > 3 years of age, cap refill < 3 years of age)
- Include Immunizations, Allergies, Medications, Past Medical History, last meal, and events leading up to injury or illness where appropriate.
- Treat chief complaint as per protocol