1. Update on Paediatric ALERT
Helen Peet
Consultant in critical care and Anaesthesia Portsmouth
Medical Lead for ALERT

2. Background
26% of preventable deaths in adults were related to failures in monitoring
An EWS is not enough only when placed within a whole system of care are better outcomes achieved
Improved systems should relate to children just as much as adults
Research has shown that 26% of preventable deaths were related to failures in
clinical monitoring. These included failure to set up systems, failure to respond
to deterioration and failure to act on test results (Hogan et al, 2012).1 In 2015
around 7% of patient safety incidents reported to the National Reporting and
Learning System (NRLS) as death or severe harm were related to a failure to
recognise or act on deterioration. N 2016 RCP and RCPCH brought together a raft of documents to help a system wide approach to the recognition of the deteriorating patient of all ages. At the heart of these documents is the need to recognise the deterioratiion and respond underpinned with basic education and training

3. ALERT
So where could ALERT fit into all this after all there are numerous courses already available to those who want them but we are not any of these. We have always wanted to fit in before any of the clever stuff, to us it is about simplicity and targetting the right group.
We asked all centres to let us know if they felt it was a useful exercise to embark on (and maybe I was secretly hoping you would say no) but you said yes..

4. Introducing…

5. Nuts and Bolts-1 Collaborative work across specialties
Same recognisable format
A-F assessment (introduced F in Obstetrics)
Same 3 stage approach
As little jargon as possible

7. Chapters The Child With Breathing Difficulties Hypotension
Disordered conscious level
Sepsis
Pain
Safeguarding
Special circumstances
Anaphylaxis
Cardiac Conditions
Diabetic Ketoacidosis (D.K.A)
Immunosuppression
Chronic and Acute Kidney Disease
Deteriorating Surgical Patient

8. Scenarios QI project from PICU trainee in Wessex
Wide range from asthma and bronchiolitis to meningococcal sepsis
Adapted for target audience

9. Chapters written
Graphics sourced
Children bribed to be photographed
First bundle sent to printers
Scenarios being adapted
Draft programme in progress

11. Pilot centres
Early 2018 will need course centres to run pilots and feedback
Range of centres from DGH to larger hospitals

12. Questions

13. Last Thoughts
“Working together for the sick or injured child: the Tanner Report” 2006…..
…… Time to respond