1. Emergency Care Vital signs : Respiration &Pulse Prepare by: Assist. Prof. Dr.Amira Yahia Teacher :Naglaa Hassan

2. Learning outcomes  By the end of this session the student will be able to:  Identify level of consciousness  Practice taken respiration &pulse properly  Explain normal range of respiration &pulse

3. Introduction  Vital sign refers to that which is vital to the continuation of life.  In emergency there are five specific vital commonly observe & measure (Respiration, pulse,blood pressure,skin sign & pupils)

4. Level of consciousness  Commonly evaluated by using the AVPU scale:  A - mean ….Alert  V- mean….Verbal,responsiveness to verbal stimuli  P- mean…..Pain,responsive only to painful stimuli  U- mean…Unresponsive,unconscious or completely Unresponsive

5. Respiration  Is the act or process of breathing and in(inhaling ) and out (exhaling)

6. Assessment observationCommon problem Rapid,shallowShock, heart problems, diabetic emergency &pneumonia Deep gaspingAirway obstruction,chest injury Slowed breathingHead injury, chest injury certain drugs SnoringFracture skull, alcohol abuse WheezingAsthma,airway obstruction Coughing bloodChest wound,chest infection,fracture ribs

7. Normal rate Normal respiratory rate /minute Adult12 to 20 above 24 serious &below10 serious Adolescent(11 -14 years)12 to 20 School age (6-10 years)15 to 30 Preschool age (3-5 years)20 to 30 Toddler (1-3 years)20 to 30 Infant (6-12 month)20 to 30 Infant (0-5 month)20 to 30 Newborn30 to 50

8. Pulse  Heart rate Normal pulse rate /minute Adult60 to 100 Adolescent(11 -14 years)60 to 106 School age (6-10 years)70 to 110 Preschool age (3-5 years)80 to 120 Toddler (1-3 years)80 to 130 Infant (6-12 month)80 to 140 Infant (0-5 month)90 to 140 Newborn120 to 160

9. Assessment Pulse qualityCommon problem RapidAnxiety,pain,dehydration,blood loss & shock SlowHead injury,drugs,some poisons,some heart problem & lack of oxygen in children IrregularAbnormal heart electrical activity Absent(no pulse)Cardiac arrest