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Recognition and Assessment of the Sick Child

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.

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Recognition and Assessment of the Sick Child

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

  9. PEWS Page 1

  10. PEWS page 2

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

  12. 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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