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How should you start the exam if assessing a conscious child victim?

  1. At the head to reassure them

  2. At the shoulders for clarity

  3. At the toes so the child can see what is happening

  4. Wherever you feel comfortable

The correct answer is: At the toes so the child can see what is happening

Starting the assessment of a conscious child victim at the toes is effective for several reasons. This approach allows the child to visually see where you are and what you are doing, which can provide them with reassurance and help alleviate any anxiety they may be experiencing. Children might feel frightened or vulnerable during an emergency, and knowing what is happening to their body can create a sense of control and safety. Beginning the assessment at the toes also aligns with the general practice of moving from distal (far) to proximal (near) areas of the body when performing a head-to-toe assessment. It allows for a systematic evaluation of the child’s condition while keeping them engaged and calm. This method helps in building rapport and trust, which is particularly crucial when dealing with young patients. While other methods may have their own merits, starting at a point where the child can see and understand the actions being taken is a compassionate and effective way to conduct an assessment.