What is the first step in the pediatric assessment triangle (PAT)?

The first step in the pediatric assessment triangle (PAT) is to observe the child's appearance. This initial observation is critical because the child's appearance provides immediate insights into their overall condition. It allows healthcare providers to quickly assess whether the child is alert, vigilant, or displaying signs of distress, which can indicate the severity of their illness or injury. The appearance assessment encompasses aspects such as the child's level of consciousness, muscle tone, and overall coloration, which are essential in forming an initial impression of the child's health.

Promptly evaluating the appearance helps to prioritize further assessments and interventions. Following this step, other components of the PAT, such as assessing the child's breathing and circulation, are key to informing the healthcare provider's next actions. However, the observation of appearance is foundational, as it can directly correlate with critical life support needs, enabling a more directed approach in emergency situations.