Management of Surgical Emergencies Part 1 : Critical Care Paediatric Resuscitation: Special aspects Copyright UKCS #284661815

To understand differences Introduction lecture 2003 03/01/2019 Aims To understand differences in paediatric resuscitation Copyright UKCS #284661815

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Children are different P P P P Physical Physiology Psychology Pathology Copyright UKCS #284661815

Physical differences Weight Weight (kg) = 2 (age in years + 4) between 1 and 12 years Size tracheal tube diameter(mm)= (age in years /4) + 4 Copyright UKCS #284661815

Shape : Different anatomy Copyright UKCS #284661815

Body surface area changes Copyright UKCS #284661815

Physiology differences Introduction lecture 2003 03/01/2019 Physiology differences Cardiovascular Respiratory Immune Copyright UKCS #284661815 4

Psychology differences C C C Communication Co- operation Companions Copyright UKCS #284661815

Pathology differences Causes of Arrest: 4H and 4T Hypoxia Hypovolaemia Hypokalemia Hypothermia Tension Tamponade Toxins Thromboembolism Copyright UKCS #284661815

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Choking child: treatment Copyright UKCS #284661815

Any Questions? ? Copyright UKCS #284661815

SUMMARY Children are different: Physical size and shape Physiology Psychology Pathology Copyright UKCS #284661815

Prompt, simple actions save lives and prevent complications. Introduction lecture 2003 03/01/2019 Prompt, simple actions save lives and prevent complications. A systematic approach maximises success. Copyright UKCS #284661815

THANK YOU Introduction lecture 2003 03/01/2019 Copyright UKCS #284661815