Childhood Fever Capt. Rick Robbins Louisville Metro EMS Introduction What's is consider a fever How do we assess a child with a fever Causes Management FEVER Defined as a rectal temp 100.5 or higher.
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Capt. Rick Robbins
Louisville Metro EMS
Sometimes fever is caused by a serious medical condition, such as:
Bacterial infection of the blood.
These are true medical emergencies. The initial assessment and focused history findings will usually indicate that the child’s condition is urgent
Fevers in a young infant is considered more urgent than fever in an older child. Any infant aged three months or younger who has a rectal temperature of 100.5 degrees Fahrenheit or higher should have be evaluated
Any child with fever who has decreased ability to fight infection should be considered potentially unstable. Transport the child for further medical evaluation, even if all assessment findings are normal.
If fever is accompanied by:
consider the child’s condition urgent.
concentration oxygen before and after suctioning.
decreased ability to fight infection
Increased risk of local bacterial infection due to
hydrocephalus with a shunt
congenital heart disease
placement of a central intravenous catheter
home peritoneal dialysis
Septic shock is a type of distributive shock associated with bacterial infection in the blood. In compensated septic shock, there is marked vasodilation, which causes blood pressure to drop as the blood supply fills a greater space.
Compensated Septic Shock
Normal capillary refill time
Warm, pink skin
Bounding peripheral pulses
Widened pulse pressure
Other Compensated Shock
Slow capillary refill time
Cool, pale skin
Weak peripheral pulses
Narrow pulse pressure