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Pediatric assessment triangle
Purpose
assessment of a pediatric individual
The Pediatric Assessment Triangle or PAT is a tool used in emergency medicine to form a general impression of a pediatric patient.[1] In emergency medicine, a general impression is formed the first time the medical professional views the patient, usually within seconds.[2] The PAT is a method of quickly determining the acuity of the child, identifying the type of pathophysiology, e.g., respiratory distress, respiratory failure, or shock and establishing urgency for treatment. The PAT also drives initial resuscitation and stabilization efforts based on the assessment findings.
The PAT is widely taught, among other contexts, in all American advanced pediatric life support courses for all types of providers (doctors, nurses, prehospital personnel) and hence represents both a validated practice and teaching tool.
History of the Triangle
The PAT was originally developed in 1996 by Drs. Ronald Dieckmann, Dena Brownstein and Marianne Gausche-Hill as a novel tool to standardize the initial assessment of infants and children for all levels of health care providers. After the PAT was created and utilized in the first Pediatric Education for Paramedics (PEP) Course, it instantaneously became a popular tool for practice and teaching. With the broad dissemination of the second generation Pediatric Education for Prehospital Professionals (PEPP) Course nationally and internationally by the American Academy of Pediatrics (AAP) in 2000, the PAT became the PEPP “brand” and the ongoing course logo. Then, in 2005, following the enthusiastic adoption of the PAT by PEPP learners, the PAT was established as the recommended assessment model for all American pediatric life support courses in a national consensus meeting sponsored by the Federal Emergency Medical Services for Children (EMSC) Program. The PAT then became the standard approach to assessment of children in all pediatric life support programs, including APLS: The Pediatric Emergency Medicine Resource, the Emergency Nurse Pediatric Course (ENPC) for nurses, the Pediatric Advanced Life Support (PALS) Course, and the NAEMT’s Pediatric Emergency Care (PEC) Course.More recently, the PAT has been widely utilized in general pediatric education.
^"Pediatric Assessment" (PDF). health.ny.gov. New York State Emergency Medical Services. Retrieved January 2, 2016.
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