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Respiratory illness in children
Dr Annette Connelly MBBS FRACP Paediatrician
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A Asthma B Bronchiolitis C Croup
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Asthma
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Asthma
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History
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History
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History Peanut allergy Previous ICU admission
How much ventolin at home
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Examination
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Most Reliable….
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Mental State
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Severe
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Severe Exhaustion Poor respiratory effort Silent Chest Cyanosis
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Treatment
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Treatment
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Treatment
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Undertreatment
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Undertreatment ?
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Bronchiolitis
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Treatment
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Treatment
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No evidence for…
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Other cardiorespiratory illness
Under 6 weeks (corrected age)
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Overhandling
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The sick infant deteriorates with handling
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Group cares Minimise examinations
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Croup
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Croup Symptoms Signs Sounds
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Differentials
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Minimal handling Allow own position
Treatment Minimal handling Allow own position
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Treatment
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Subglottic stenosis Down syndrome
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Two or more doses of adrenaline
Normal oxygen saturation
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A Asthma B Bronchiolitis C Croup
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