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Coroners emphasize the need for early recognition of deterioration in paediatric patients. This course provides an overview of recognizing and managing deteriorating patients, with a focus on bronchiolitis cases. Learn how to assess the CEWT score and take appropriate actions in different scenarios.
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Paediatric Arrest Outcomes are Poor Coroners find we are late to recognise deterioration Early Recognition will saves lives
80 52 94% On 1L O2 48 148 38.2 6 month old. Bronchiolitis. Admitted to ward via ED. Unwell for 1 week prior to presentation. Hx of laryngomalacia
80 52 94% On 1L O2 48 148 38.2
When CEWT Score is 1 - 3 • Expected Actions • Consider need for full CEWT Score • Carry out and document appropriate interventions as prescribed • Consider increasing frequency of observations (minimum 4 hrly) • Manage anxiety/fear/pain • Review oxygen requirement • Consider informing team leader Emergency call if : Airway Threat Apnoea Seizure Bleeding (major) Any observation in the red area You are worried about the patient
When CEWT Score is 4 - 5 • Expected Actions • Obtain full CEWT Score • Ward doctor to review within 30 minutes • Notify team leader • Carry out and document appropriate interventions as prescribed • Hourly obs (or more frequently if required) • Obtain a full CEWT score after interventions • If no review within 30 minutes, escalate to registrar review. Emergency call if : Airway Threat Apnoea Seizure Bleeding (major) Any observation in the red area You are worried about the patient
Progress What do you think? What will you do? What will you say?
70 38 89% On 1L O2 72 182 38.2 It’s now 1900 hrs and the child's mother has called you for assistance. The child has had a large vomit.
