• Supplemental oxygen: pulse oximetry increased from 91% to 99%, respiration rate dropped to 60/min
• Transport to regional children’s hospital
• Elliot Williams, Paramedic Woodburn Ambulance
• David M. Spiro, MD, MPH Professor of Pediatrics University of Arkansas Medical Center
• Respiratory distress
• Pneumonia
• Congenital heart disease
• Upper respiratory infection
• Failure to thrive
• Newborn infection (sepsis, UTI, meningitis)
• Vitals
• Supplemental oxygen
• It is important to obtain birth history and prenatal history when evaluating newborns.
It is incumbent upon the EMS professional to evaluate chest excursion as seen in the supplemental video to avoid missing significant distress. This is a truly scary case for most medics. I believe the learning objective is the assessment of what a appears initially to be a peaceful child that is acutely in trouble. I would add in the Pediatric assessment triangle – WOB is increased as shown by retractions. Mental status is depressed because she is not interactive, but circulation is good because she is pink. So she is in respiratory distress possibly progressing to respiratory failure. The color of the child may reduce the chance of a blue baby cardiac diagnosis
– David Tauber, Paramedic Program Director, Yale University
Pediatric pulmonary emergencies
• Gender: Female
• Age: 9 days
• Height: Not Available
• Weight: Not Available
• Temperature: Not Available
• Blood Pressure: Not Available
• Heart Rate: 147
• Respiratory Rate: 64
• Pulse Oximetry: 91%
Increased work of breathing; poor weight gain
• Normal spontaneous vaginal delivery (NSVD)
• Born term
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