Recognition and Assessment of the Sick Child

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Presentation transcript:

Recognition and Assessment of the Sick Child

Standardised Approach Airway Breathing Circulation Disability Exposure History and Observation

Airway Patency Risk Noises Position Adjuncts

Breathing Look, listen and feel Rate SaO2 Work of Breathing Consider O2 therapy

Circulation Heart rate CRT Colour, skin perfusion BP Temperature Urine output Consider IV / IO Fluids

Disability and Exposure Conscious level (AVPU) Pupils Blood Sugar E Rashes Bruising

AIM Identify life threatening problems Identify who to refer and who can go home with a safety net! Useful tool: NICE: Feverish Illness Traffic Light System

Things can will help Presence of parents / guardian PEWS Guidelines Play and Distraction Communication Pain management Antipyretics

PEWS Page 1

PEWS page 2

Summary A to E assessment History Observation Listening skills Use guidelines Documentation Phone a friend! SBAR

Useful Resources Retrieval Team Web Site Spotting the Sick Child Learn pro Care of the Acutely Ill/Injured Child/Young Person PILS and EPLS Courses and Manuals NICE and SIGN Guidelines BASICS RRHEAL Resuscitation Council