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SPOTTING THE SICK CHILD. Dr James Thomas. Spotting the sick child introduction:. Paediatric training? Where will you pick these skills up? What learning resources do you know to help you spot the sick child?.

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Presentation Transcript
spotting the sick child introduction
Spotting the sick child introduction:
  • Paediatric training?
  • Where will you pick these skills up?
  • What learning resources do you know to help you spot the sick child?
curriculum statements rcgp care of children and young people care of acutely ill people
Curriculum statements RCGP :Care of children and young people & Care of acutely ill people
  • "Recognise and evaluate acutely ill patients"
  • "manage conditions which may present early and in an undifferentiated way, and recognise a seriously ill child and intervene urgently when necessary ."
aims of this session
Aims of this session:
  • Assessment in a child friendly approach
  • Spotting the ill child.
  • Look at physiological changes in children due to acute serious illnesses and how this helps us with assessing ill children.
  • Look at scenarios of serious illness in childhood :
  • breathing difficulties,rashes and fever.
  • Summarise your findings
  • Reflect on your future learning needs.
assessment in a child friendly approach
Assessment in a child friendly approach
  • Why is this important?
  • How do we achieve this child friendly environment?
  • What general principals do you use to examine children?
  • How do you make your examination child friendly?
rapid assessment toolkit for paediatrics
Rapid assessment toolkit for paediatrics
  • 3 minute paediatric toolkit
  • Demonstration videos
checklist
Checklist
  • GENERAL
  • behaviour / colour
  • AIRWAY
  • Stridor / noisy breathing / drooling
  • BREATHING
  • Recession/accessory muscles/respiratory rate/auscultation/sats
  • CIRCULATION
  • Peripheral tempre & colour / pulse/ capillary refill/BP - video
  • DISABILITY
  • Alert / Voice only/ Pain only/ Unresponsive
  • ENT
  • Temperature
clinical scenarios small group work
Clinical scenarios:small group work
  • History and examination of common causes and how you would differentiate the ill child in these cases.
  • Difficulty in breathing
  • Rashes
  • Fever
difficulty in breathing
Difficulty in breathing
  • Common causes
  • Key history points
  • Examination points - video
  • Case history 1-5 year old -video
rashes
Rashes
  • Common causes
  • History ?
  • Examination?
  • Tumbler test - video
  • Serious causes - video
fever
Fever
  • History
  • General examination
  • Specific examination
  • Case history - video
summary
Summary
  • Child friendly environment and examination technique.
  • 3 minute toolkit
  • Check physiology and know age related normal values.
  • Use this information to allow you to be confident in your further management.
reflection
Reflection
  • What will you do now?
  • Look at other resources - eGP / CKS /PALS course
  • AKT - look at NICE guidance
  • CSA - no sick child but might be a telephone consultation scenario and make sure aware of NICE guidance for fever management.