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 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




Recognition of serious illness
Recognition of serious illness 2002

  • Potential respiratory failure

  • Potential circulatory failure

  • Potential central neurological failure



Effort of breathing
Effort of Breathing 2002

  • Accessory muscle use

  • Grunting

  • Alar nasae flaring

  • Child’s position

  • feeding




Effort of breathing associated sounds
Effort of Breathing: associated sounds 2002

  • Inspiratory stridor

    • upper airway pathology

  • Expiratory wheeze

    • lower airway pathology


Effort of breathing3
Effort of breathing 2002

EXHAUSTION IS A PRE-TERMINAL SIGN



Efficacy of breathing
Efficacy of Breathing 2002

  • Chest expansion

  • Air entry

  • Pulse oximetry


Efficacy of breathing1
Efficacy of breathing 2002

A SILENT CHEST IS A PRE-TERMINAL SIGN



Effects of respiratory inadequacy
Effects of Respiratory Inadequacy 2002

  • Heart rate

  • Skin colour

  • Mental status


Effects of respiratoryinadequacy
Effects of RespiratoryInadequacy 2002

CENTRAL CYANOSIS IS A PRE-TERMINAL SIGN


Potential circulatory failure early recognition of shock
Potential Circulatory Failure 2002Early recognition of shock


Cardiovascular signs
Cardiovascular Signs 2002

  • Heart rate

  • Capillary refill time

  • Blood Pressure


Cardiovascular signs capillary refill
Cardiovascular signs 2002Capillary refill


Cardiovascular signs capillary refill1
Cardiovascular signs 2002Capillary refill


Potential circulatory failure early recognition of shock1
Potential Circulatory Failure 2002Early recognition of shock


Effects of circulatory inadequacy
Effects of circulatory inadequacy 2002

  • Respiratory rate

  • Skin temperature / colour

  • Mental status


Cardiovascular signs1
Cardiovascular signs 2002

HYPOTENSION IS A PRE-TERMINAL SIGN

BRADYCARDIA IS A PRE-TERMINAL SIGN





Potential central neurological failure postures
Potential Central Neurological Failure 2002Postures

Decorticate posture


Potential central neurological failure postures1
Potential Central Neurological Failure 2002Postures

Decerebrate posture



Exposure
Exposure 2002

  • Bleeding

  • Rashes

  • Swelling

  • Temperature



Summary rapid assessment

Airway & breathing 2002

effort

efficacy

Effects

Disability

Conscious level

Posture

Pupils

Circulation

heart rate

capillary refill

blood pressure

skin temperature

Exposure

SummaryRapid assessment


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