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Recognition and Assessment of the Sick Child. Standardised Approach. Airway Breathing Circulation Disability Exposure History and Observation. Airway. Patency Risk Noises Position Adjuncts. Breathing. Look, listen and feel Rate SaO2 Work of Breathing Consider O2 therapy.
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Standardised Approach • Airway • Breathing • Circulation • Disability • Exposure History and Observation
Airway • Patency • Risk • Noises • Position • Adjuncts
Breathing • Look, listen and feel • Rate • SaO2 • Work of Breathing • Consider O2 therapy
Circulation • Heart rate • CRT • Colour, skin perfusion • BP • Temperature • Urine output • Consider IV / IO Fluids
Disability and Exposure D • Conscious level (AVPU) • Pupils • Blood Sugar E • Rashes • Bruising
AIM • Identify life threatening problems • Identify who to refer and who can go home with a safety net! • Useful tool: NICE: Feverish Illness Traffic Light System
Things can will help • Presence of parents / guardian • PEWS • Guidelines • Play and Distraction • Communication • Pain management • Antipyretics
Summary • A to E assessment • History • Observation • Listening skills • Use guidelines • Documentation • Phone a friend! SBAR
Useful Resources • Retrieval Team Web Site • Spotting the Sick Child • Learn pro Care of the Acutely Ill/Injured Child/Young Person • PILS and EPLS Courses and Manuals • NICE and SIGN Guidelines • BASICS • RRHEAL • Resuscitation Council