Where should you generally begin your assessment of a toddler?

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Beginning the assessment of a toddler at their feet is generally the recommended approach. This is primarily due to the natural tendency of toddlers to be wary of strangers, especially those in uniforms or those who appear larger and more intimidating. Starting at the feet can help ease the child into the assessment process since it allows the caregiver to establish a rapport without invading the child's personal space right away.

By initiating the assessment from a non-threatening position, the EMT can build trust, gain a better understanding of the child's condition, and observe non-verbal cues as the assessment progresses. It also allows the caregiver to gradually introduce the examination while the child acclimates to the presence of the EMT.

Other contexts, such as assessing in the ambulance or en route to the hospital, may not provide the ideal environment for building that rapport. Assessing at the head right away might challenge the toddler's comfort level, potentially leading to fear and resistance. Thus, beginning from the feet can create a more effective and gentle approach to evaluation and treatment.

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