Recognition of the seriously ill child
This presentation is the property of its rightful owner.
Sponsored Links
1 / 33

Recognition of the seriously ill child PowerPoint PPT Presentation


  • 290 Views
  • Uploaded on
  • Presentation posted in: General

Recognition of the seriously ill child. Recognition of the seriously ill child Objectives. To understand the structured approach to recognition of the seriously ill child To learn a rapid clinical assessment sequence to identify serious illness in a child.

Download Presentation

Recognition of the seriously ill child

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Recognition of the seriously ill child


Recognition of the seriously ill childObjectives

  • To understand the structured approach to recognition of the seriously ill child

  • To learn a rapid clinical assessment sequence to identify serious illness in a child


Commonest causes of death in childhood (England and Wales) 2002


Cardiac Arrest in ChildrenAetiologies


Recognition of serious illness

  • Potential respiratory failure

  • Potential circulatory failure

  • Potential central neurological failure


Potential Respiratory Failure


Effort of Breathing

  • Accessory muscle use

  • Grunting

  • Alar nasae flaring

  • Child’s position

  • feeding


Effort of Breathing


Effort of Breathing


Effort of Breathing: associated sounds

  • Inspiratory stridor

    • upper airway pathology

  • Expiratory wheeze

    • lower airway pathology


Effort of breathing

EXHAUSTION IS A PRE-TERMINAL SIGN


Potential respiratory failure


Efficacy of Breathing

  • Chest expansion

  • Air entry

  • Pulse oximetry


Efficacy of breathing

A SILENT CHEST IS A PRE-TERMINAL SIGN


Potential Respiratory Failure


Effects of Respiratory Inadequacy

  • Heart rate

  • Skin colour

  • Mental status


Effects of RespiratoryInadequacy

CENTRAL CYANOSIS IS A PRE-TERMINAL SIGN


Potential Circulatory FailureEarly recognition of shock


Cardiovascular Signs

  • Heart rate

  • Capillary refill time

  • Blood Pressure


Cardiovascular signsCapillary refill


Cardiovascular signsCapillary refill


Potential Circulatory FailureEarly recognition of shock


Effects of circulatory inadequacy

  • Respiratory rate

  • Skin temperature / colour

  • Mental status


Cardiovascular signs

HYPOTENSION IS A PRE-TERMINAL SIGN

BRADYCARDIA IS A PRE-TERMINAL SIGN


Potential Central Neurological Failure


Potential Central Neurological Failure


Potential Central Neurological Failure


Potential Central Neurological FailurePostures

Decorticate posture


Potential Central Neurological FailurePostures

Decerebrate posture


Potential Central Neurological Failure


Exposure

  • Bleeding

  • Rashes

  • Swelling

  • Temperature


Recognition of the seriously ill child

Any questions

?


Airway & breathing

effort

efficacy

Effects

Disability

Conscious level

Posture

Pupils

Circulation

heart rate

capillary refill

blood pressure

skin temperature

Exposure

SummaryRapid assessment


  • Login