Utah Pediatric Trauma Network

Action

Normal respiratory effort

Maintain goal sats with O2 therapy
Continuous SpO2 monitoring
End-tidal goal: C02 35-40 mmHg
Repeat neuro assessments

Poor respiratory effort

Consider BMV or advanced airway
Maintain goal sats with O2 therapy
Continuous SpO2 monitoring
End-tidal goal: C02 35-40 mmHg
Repeat neuro assessments

Question

Minimum Systolic Blood Pressure Goals Met?

Child <10 yrs. = 70+ (age x2) mmHg
Child > 10 yrs. = 90 mmHg

*Permissive hypotension does not apply to children

Yes

No

Respiratory Goals Met?

Oxygen saturation 94-99%

AND

0 months - 2 years = 30-60 bpm
2 years - 14 years old= 20-30 bpm
>14 years old = 10-20 bpm

Your Answer: No

Go back to this Question

Place on full monitors

Continuous heart rate monitor
Continuous pulse-oximetry
Blood Pressure every 3-5 minutes
End-todal CO2, if availibile
Place nasal canuala
Maintain spinal precautions
Elevate head of deb 30 degrees

Signs of moderate/severe TBI

GCS < 13 or AVPU-VPU
Signs of skull fracture or boggy cephalohematoma
Post-traumatic seizure
Deteriorating mental status

Your Answer: Yes

Go back to this Question

Utah Trauma Performance
Improvement Regions

View Map

FIND A HOSPITAL

© 2025 Utah Pediatric Trauma Network

(801) 662-2990 Tricia.Boulton@imail.org