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Recognition and Assessment of the Sick Child

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Presentation on theme: "Recognition and Assessment of the Sick Child"— Presentation transcript:

1 Recognition and Assessment of the Sick Child

2 Standardised Approach
Airway Breathing Circulation Disability Exposure History and Observation

3 Airway Patency Risk Noises Position Adjuncts

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

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

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

7 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

8

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

10 PEWS Page 1

11 PEWS page 2

12

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

14 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

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