By Denise Goodman, Thomas Green, Sharon Unti, Elizabeth Powell
"This is a smart first variation reference, offering counsel and step by step guideline for techniques in pediatrics and pediatric subspecialties. it's very beneficial for college students and housestaff whereas on name and will also be of profit to basic care services and practitioners. three Stars."--Doody's evaluate carrier This crucial consultant to pediatric strategies places all of the most recent concepts correct within the palm of your hand. You wil locate authoritative assurance of greater than 70 pediatric approaches, together with peripheral IV insertion, sedation and soreness administration, blood strain administration, gastric lavage, suturing of lacerations, tympanometry, corneal abrasion and eye patching, local nerve blocks, and extra!
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Additional resources for Current Procedures: Pediatrics (Lange Medical Books)
The central pulse is located by palpating the brachial, femoral, or carotid arteries (Figure 6–1). • The preferred location for checking the pulse depends on the patient’s age as well as the number and skill of the rescuers. • In infants, the brachial pulse is preferred but the femoral pulse can be used alternatively. • In older children and adults, the carotid pulse is preferred but a second or third rescuer may be better able to use the femoral pulse to monitor compressions. • The brachial artery is palpated just above the elbow, medial to the biceps (see Figure 6–1A).
In older children and adults, the carotid pulse is preferred but a second or third rescuer may be better able to use the femoral pulse to monitor compressions. • The brachial artery is palpated just above the elbow, medial to the biceps (see Figure 6–1A). • The femoral artery is palpated just below the inguinal ligament half-way between the anterior superior iliac spine and the pubic tubercle (see Figure 6–1B). Figure 6–1. Locating the central pulse. 28 • Current Procedures: Pediatrics • The carotid artery is palpated just medial to the sternocleidomastoid muscle (between the muscle and the trachea) (see Figure 6–1C).
Sedation can be used sparingly in patients whose agitation may hinder the procedure; however, sedation may cause respiratory depression in patients with an already compromised airway. In emergent situations, there may not be time to administer local anesthesia or sedation. PATIENT POSITIONING ■ ■ ■ Place the patient supine with the head midline. If possible, hyperextend the patient’s neck to expose the anatomic landmarks. Hyperextension is contraindicated in patients with known or suspected cervical spine injury.