An important question to ask the Mom or Dad would be

Has he been urinating normally?

Has he eaten peanuts in the last hour?

What is his favorite television program?

Important things to evaluate during your assessment include

Presence and strength of distal pulses, skin color, heart rate and capillary refill.

Skin color, weight, cardiac monitor, palpation of the abdomen.

Blood pressure, pupillary response, lung sounds and heart rate.

Past Medical History, pupillary response, lung sounds.

You have difficulty waking him up. His skin color is very pale. You feel no radial pulses. Capillary refill is 6–7 seconds. He is breathing 42/min and his heart rate is 178. Pulse Oximetry is 99%. You do not see any readily available veins for IV access. The best way to quickly achieve IV access in this patient is

Have your partner assist in finding an available vein for cannulation.

Insert a central line via the subclavian route.

Proceed to the hospital without IV access.

The most important treatment for this patient is

Treatment should not be started in the field for this patient.

PALS prehospital

You are called to the home of a 2-year-old little boy whose parents are concerned because he "isn't acting right". When you arrive, the parents inform you that he has been sick with a fever, diarrhea and vomiting for the past 48 hours. The child is lying on the couch.

about 3–5 minutes

PALS prehospital

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