Recognition of the seriously ill child
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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.

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Recognition of the seriously ill child

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Recognition of the seriously ill child

Recognition of the seriously ill child


Recognition of the seriously ill child objectives

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

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


Cardiac arrest in children aetiologies

Cardiac Arrest in ChildrenAetiologies


Recognition of serious illness

Recognition of serious illness

  • Potential respiratory failure

  • Potential circulatory failure

  • Potential central neurological failure


Potential respiratory failure

Potential Respiratory Failure


Effort of breathing

Effort of Breathing

  • Accessory muscle use

  • Grunting

  • Alar nasae flaring

  • Child’s position

  • feeding


Effort of breathing1

Effort of Breathing


Effort of breathing2

Effort of Breathing


Effort of breathing associated sounds

Effort of Breathing: associated sounds

  • Inspiratory stridor

    • upper airway pathology

  • Expiratory wheeze

    • lower airway pathology


Effort of breathing3

Effort of breathing

EXHAUSTION IS A PRE-TERMINAL SIGN


Potential respiratory failure1

Potential respiratory failure


Efficacy of breathing

Efficacy of Breathing

  • Chest expansion

  • Air entry

  • Pulse oximetry


Efficacy of breathing1

Efficacy of breathing

A SILENT CHEST IS A PRE-TERMINAL SIGN


Potential respiratory failure2

Potential Respiratory Failure


Effects of respiratory inadequacy

Effects of Respiratory Inadequacy

  • Heart rate

  • Skin colour

  • Mental status


Effects of respiratoryinadequacy

Effects of RespiratoryInadequacy

CENTRAL CYANOSIS IS A PRE-TERMINAL SIGN


Potential circulatory failure early recognition of shock

Potential Circulatory FailureEarly recognition of shock


Cardiovascular signs

Cardiovascular Signs

  • Heart rate

  • Capillary refill time

  • Blood Pressure


Cardiovascular signs capillary refill

Cardiovascular signsCapillary refill


Cardiovascular signs capillary refill1

Cardiovascular signsCapillary refill


Potential circulatory failure early recognition of shock1

Potential Circulatory FailureEarly recognition of shock


Effects of circulatory inadequacy

Effects of circulatory inadequacy

  • Respiratory rate

  • Skin temperature / colour

  • Mental status


Cardiovascular signs1

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 failure1

Potential Central Neurological Failure


Potential central neurological failure2

Potential Central Neurological Failure


Potential central neurological failure postures

Potential Central Neurological FailurePostures

Decorticate posture


Potential central neurological failure postures1

Potential Central Neurological FailurePostures

Decerebrate posture


Potential central neurological failure3

Potential Central Neurological Failure


Exposure

Exposure

  • Bleeding

  • Rashes

  • Swelling

  • Temperature


Recognition of the seriously ill child1

Recognition of the seriously ill child

Any questions

?


Summary rapid assessment

Airway & breathing

effort

efficacy

Effects

Disability

Conscious level

Posture

Pupils

Circulation

heart rate

capillary refill

blood pressure

skin temperature

Exposure

SummaryRapid assessment


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