Steps to Replace: *Lidocaine jelly can be used to decrease the pain of insertion but there is no literature about the safety or efficacy of its use for this purpose.* ** If a G-tube has been out for several hours, its stoma may have already started to close. If this occurs, a smaller G-tube can […]
Tracheostomy Replacement Guide
Steps to Replace: ** If unable to obtain a tracheostomy of appropriate size, can use 6.0 endotracheal tube cut down to 12 cm; insert no more than 1 cm past the cuff** VISUALIZE with Videos! CHANGING A TRACHEOSTOMY – OPENPediatrics TRACHEOSTOMY TROUBLE SHOOTING – OPENPediatrics
Intraosseous IO Insertion Guide
✅ When to Use an IO Indications (Emergent situations when IV access is delayed or impossible): Consider IO when: ✅ Equipment Needed: ✅ Common IO Insertion Sites: Site Landmark & Notes Proximal Tibia (Most Common) 2 cm below the tibial tuberosity, medial flat surface Distal Femur (Infants) 2–3 cm above the patella, midline Distal Tibia […]
Pediatric Peripheral IV (PIV) Insertion Guide
✅ Common Peripheral IV Sites in Pediatrics Site Notes Dorsum of hands Often easiest, visible veins, easy to secure Forearm / Antecubital (AC) Fossa Good flow, easier in older kids Wrist veins May be superficial and visible Scalp veins (infants) Use vein above the ear or temporal veins (last resort) Feet / Saphenous vein (ankle) […]
Monitor/Defibrillator (Zoll)
Key Operational Features of ZOLL Defibrillators: Steps for Defibrillation: Steps for Synchronized Cardioversion: Steps for External Pacing: Using the ZOLL Defibrillator in AED Mode ✅ Purpose: When set to AED mode, the ZOLL defibrillator analyzes the patient’s heart rhythm and prompts the user to deliver a shock only if indicated—ideal for BLS providers or during […]