• Scene – assessment and vitals
• En route – axillary temp and assess, blow by O2
• Hospital – unknown
• Unknown
• Elliot Williams, Paramedic Woodburn Ambulance
• David M. Spiro, MD, MPH Professor of Pediatrics University of Arkansas Medical Center
• Altered mental status
• Potential ingestion
• Foreign body esophagus
• Poisoning
• Closed head injury
• Non-accidental trauma
• Caregiver states – She gave pt a small piece of a bean burrito 15 minutes prior to episode
• Physical findings – no choking, but pt did appear agitated or uncomfortable and would move into a sniffing position for awhile.
• Lung sounds were clear, moving good air; did not see any objects in airway, no excessive drooling.
During transport, the paramedic asked an astute question of the mother: “How does he look to you now?” The mother responded that the child does not normally cry “like that.” This is important information from the caregiver who understands that patient’s baseline. The child seems to have mild altered mental status with intermittent cry, although the transport itself with strangers involved can be frightening for a 7 month old child.
-Dr. David Spiro
Pediatric foreign body ingestion
Anticholinergic toxicity
What are common toxidromes?
• Gender: Male
• Age: 7 months
• Height: Not Available
• Weight: Not Available
• Temperature: 98.2 F/36.8 C
• Blood Pressure: Not Available
• Heart Rate: 137
• Respiratory Rate: 40
• Pulse Oximetry: 99% RA
Dry heaves; crying; agitated.
• None • Allergies: None
• Dispatch info: Pale, vomiting, conscious, breathing
• Grandma watches pt during the day, and mom picks him up after work. Pt currently has numerous family members with upper respiratory infections.
• None
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