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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Presentation Transcript
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
  • Potential respiratory failure
  • Potential circulatory failure
  • Potential central neurological failure
effort of breathing
Effort of Breathing
  • Accessory muscle use
  • Grunting
  • Alar nasae flaring
  • Child’s position
  • feeding
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

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

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

cardiovascular signs
Cardiovascular Signs
  • Heart rate
  • Capillary refill time
  • Blood Pressure
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

exposure
Exposure
  • Bleeding
  • Rashes
  • Swelling
  • Temperature
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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