EMR Initial | EMS Care Ch EMR- E26 | Pediatrics

EMS Care  EMR Chapter E26 | Pediatrics is the course for handling medical emergencies in the pediatric age group. The younger the child, more sensitive is the context. Understanding their Anatomical and physiological changes, knowing how to handle them, as well as the parents/caregivers plays an important role in the EMR context. The course also delves into handling specific conditions like Shock, seizures and SID and understanding the scene.

The lessons covered are :

    1. Pediatrics
    2. Anatomical and Physiological Differences
    3. Assessment-based Approach
    4. Airway and Respiratory Problems, and
    5. Specific Conditions

An Excerpt from the course on Pediatrics

Decompensated Respiratory failure:

Respiratory failure is when there is insufficient oxygen in the blood and ventilation to meet the demands of body tissues. The child fails to compensate for the impaired respiratory condition and cannot maintain adequate breathing: either inadequate respiratory rate or tidal volume.  Cardiopulmonary arrest – the stopping of the heart and lungs – will occur soon if the child’s oxygenation and ventilation are not corrected quickly.  Cardiopulmonary failure is a combination of inadequate oxygenation, inadequate ventilation, and poor perfusion. 


A child in respiratory failure looks very sick and becomes limp. The breathing rate slows to below 20 breaths/min in an infant and ten breaths/min in a child. A slow heart rate in a child with respiratory failure is a red flag.


  1. Respiratory rate over 60 per minute.
  2. A breathing rate that is initially fast with periods of slowing and then eventually slowing.
  3. A shallow chest rise.
  4. Nasal flaring.
  5. Weak peripheral pulses.
  6. Cyanosis.
  7. Decreased muscle tone.
  8. Retractions.
  9. Altered mental status.
  10. Grunting (may also be present in early respiratory distress).
  11. Head bobbing.
  12. Sleepiness or agitation.
  13. Combativeness.
  14. Cool extremities. Or,
  15. A delayed capillary refill.


Important Notes:

  • If you only want to take the online course for CME credit, you can pay here.  The fee for online-only does NOT include a skills session nor (re)certification.  You will receive a certificate for one CME credit after successful completion of the course.
  • This course is part of the EMT Recertification  curriculum and the Initial EMT Course.  If you sign up for one of those courses, you will be automatically enrolled in this course. Click here for scheduled courses.
  • To get credit for this course, you must watch all the lessons in their entirety, the course review, and pass the quiz at the end with a score of 75% or better.

Course Curriculum

EMR Initial | EMS Care Ch EMR- E26 | Pediatrics

  • Lesson 0 – Chapter Introduction
  • Lesson 1 – Pediatrics
  • Lesson 2 – Anatomical and Physiological Differences
  • Lesson 3 – Assessment-Based Approach
  • Lesson 4 – Airway and Respiratory Problems
  • Lesson 5 – Specific Conditions
  • Lesson 6 – Chapter Review
  • EMR Initial | EMS Care Ch EMR-E26 | Pediatrics | QUIZ

Study Guides

Course Duration: 0

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