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The speaker talks about using PD-nates to transport babies and small children in ambulances. They mention the different types of PD-nates available, including ones for neonates and regular ones for newborns up to 40 pounds. They discuss the option of using the parent's car seat if possible, but note that it should not be used if it has been involved in a motor vehicle crash, unless there is visible damage. They also mention securing the car seat to the captain's chair or stretcher. The speaker briefly mentions spinal mobilization and the use of proper pads for children on backboards. They mention that if a child is in cardiac arrest, all bets are off and CPR is performed. They address the question of whether or not to take a child out of the car seat for spinal mobilization, stating that different services may have different protocols. The speaker emphasizes the importance of securing and protecting the pediatric patient during transport and advises against transporting a child in the way up, and you attach the PD-nate, and then you strap the baby into the PD-nate. We actually have neonate PD-nates, it's got just a head, it's got like a foam head block system on it as well, so the kid's head can go on it, because babies' heads can flop around. So for any, so we have two, we have the neonate and the regular PD-nate, so we can go anywhere from newborn, even premature, to 40 pounds. After that, five years old, older than five years old, older than 40 pounds, you can put them on the stretcher and strap them in, they're big enough to go on the stretcher. But I always like to use the parent's car seat if possible. Number one, because it's fit to them, is their car seat. Number two, because the parent's got to get them home, bring the car seat with you. They say you're not supposed to use the car seat if it's involved in a motor vehicle crash, and if I'm in a motor vehicle crash and I'm taking a child to the hospital, I'm going to use the car seat. Unless it's physically damaged. Unless you can see damage to it, you can put them in the car seat. Follow me to Patrick's instructions to secure it to the captain's chair. You can secure it to the captain's chair, you can secure it to the stretcher. We actually have some of our ambulances, actually the seat has a child's car seat in it, and you just drop the cushion, there's a cushion that, like here's the seat here, and this cushion folds down, and there's a car seat right here. Patients who require spinal mobilization are mobilized on a longboard, or on other suitable immobilization devices. Some services have what we call Peppoo sports. They're kind of like longboard systems for smaller children. If you want to put a child on a backboard, you can, you just have to use the proper pad. Children with cardiopulmonary arrest use a device that can secure it to the stretcher. At this point, if they're in cardiac arrest, all bets are off. We're doing CPR to resuscitate them. So you had said, you know, leave the kid in the car seat, even when you want to do spinal mobilization, there's a kind of pad around it. That kind of contradicts what the book says, so I guess the question is, what's going to be on the national pad? Hold on a second. The book says take them out of the car seat. They won't have that question on the national, a question like that on a national exam, do we take them out of the car seat or not, because different services will do different things. It depends on your service. Most of the services I know will leave them in the car seat. So that won't be a question. I'm surprised the book said that. I really got embarrassed. I'm surprised that it said that, because we've always taught to leave them in the car seat if the car seat is not. It makes sense to me. I think they're thinking if the car seat is damaged, then I would take them out of the car seat, or if the child was unresponsive, I would take them out of the car seat, because I have to assess them, right, I have to treat them. If the child is conscious and crying and no injuries that I can see, it's better to keep them in the car seat. Yeah, I remember seeing that in here for spinal mobilization. I can't find it right now. So I wouldn't worry too much about a question like that. Okay. The goal is to secure and protect the pediatric patient for transport in the ambulance. Never, ever, ever, ever, ever transport a child in mom or dad's arms. Don't ask me if I've done that. Yeah. Don't. Don't. If you can at all avoid it, please do. Because it's not your partner, it's every other asshole on the road that decides to cut the ambulance off. You know what babies and small children do in the back of an ambulance in a motor vehicle crash? They become pinballs. Bing, bing, bing, bing, all over the place. So never, ever do it. Have I done it, especially in like a delivery, like a baby was just delivered type of thing, or a newborn, we don't have a car seat, I have done it, I don't recommend it. Especially for long-distance transport. You get a car seat. Or you request. We have car seats for newborns. You get a car seat. This is what I recommend. History taking. Your approach to history depends on the age of the patient. And actually, you know what? Let's take a break here for a second. Let's take a break. Um, let's go sign.