Pediatric Respiratory Emergencies
Assessment and triage
Stop, Look and listen
RSV
Video with supportive care info
Sick breath sounds
Common respiratory issues
CHOP Pathways
Medication matters
Helpful tips
Look at your patient and focus on appearance, circulation and work of breathing.
Assessing respirations and retractions means removing clothing.
Treatment of RSV
Supportive care includes suctioning and oxygen. Infants with prolonged work of breathing may require hi-flow O2 and hospitalization. You should be able to easily visualize patient's chest to assess for retractions.
breath sounds
Wheezing & Asthma
Asthma and reactive airway are usually treated with nebulized albuterol. Sicker patients may require corticosteroids and/or magnesium sulfate.
link to CHOP Pathway
Stridor
Stridor may be caused by upper airway inflammation or foreign body. Inflammatory processes are treated with racemic epinephrine and oxygen, if necessary. Croup often causes stridor. Monitor closely.
link to CHOP Pathway
Croup
Typically viral in nature and resolves with supportive care. Patient with fever or decreased oxygenation may require medical intervention.
link to croup information
Medication matters
Use your resources when caring for pediatric patients!
Pediatric medications can be given IV, IM or IO. Using the push-pull method to administer an IV bolus is safe and effective.
Knowing the normal vital sign parameters for pediatric patients is essential for their care. Increased respirations and work of breathing are potential warning signs for decompensation.
Pediatric Respiratory Emergencies
Monica Costello
Created on November 5, 2025
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Transcript
Pediatric Respiratory Emergencies
Assessment and triage
Stop, Look and listen
RSV
Video with supportive care info
Sick breath sounds
Common respiratory issues
CHOP Pathways
Medication matters
Helpful tips
Look at your patient and focus on appearance, circulation and work of breathing.
Assessing respirations and retractions means removing clothing.
Treatment of RSV
Supportive care includes suctioning and oxygen. Infants with prolonged work of breathing may require hi-flow O2 and hospitalization. You should be able to easily visualize patient's chest to assess for retractions.
breath sounds
Wheezing & Asthma
Asthma and reactive airway are usually treated with nebulized albuterol. Sicker patients may require corticosteroids and/or magnesium sulfate.
link to CHOP Pathway
Stridor
Stridor may be caused by upper airway inflammation or foreign body. Inflammatory processes are treated with racemic epinephrine and oxygen, if necessary. Croup often causes stridor. Monitor closely.
link to CHOP Pathway
Croup
Typically viral in nature and resolves with supportive care. Patient with fever or decreased oxygenation may require medical intervention.
link to croup information
Medication matters
Use your resources when caring for pediatric patients!
Pediatric medications can be given IV, IM or IO. Using the push-pull method to administer an IV bolus is safe and effective.
Knowing the normal vital sign parameters for pediatric patients is essential for their care. Increased respirations and work of breathing are potential warning signs for decompensation.