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Assessment of. Febrile child Ravi Seyan. F2F encounter. Consider ABC A- airways B- Breathing C- Circulation. F2F. Airway, breathing: signs of respiratory distress include recession, grunting, accessory muscle use, flared nostrils. F2F. Normal Respiration Neonates :

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assessment of

Assessment of

Febrile child

Ravi Seyan

f2f encounter
F2F encounter

Consider ABC

  • A- airways
  • B- Breathing
  • C- Circulation
slide3
F2F
  • Airway, breathing: signs of respiratory distress include recession, grunting, accessory muscle use, flared nostrils
slide4
F2F

Normal Respiration

  • Neonates :
  • Infant :
  • 1 to 3 years :
  • 4 to 10 years:
  • Over 10 years:

30 to 60 breaths/ min

20 to 40 breaths /min

20 to 30 breaths/ min

15 to 25 breaths/ min

15 to 20 breaths/ min

BE CONCERNED IF RR> 70 IN UNDER 1 YEAR

OR > 50 IN OLDER CHILDREN

PS rates are not reliable in crying infant

slide5
F2F
  • Capillary refill time after five seconds' pressure on a finger or the sternum should be two seconds. Blotchy, cold peripheral skin suggests circulatory failure
slide6

Traffic light system for identifying risk of serious illnessChildren with fever and any of the symptoms or signs in the red column should be recognised as being at high risk. Similarly, children with fever and any of the symptoms or signs in the amber column and none in the red column should be recognised as being at intermediate risk. Children with symptoms and signs in the green column and none in the amber or red column are at low risk. The management of children with fever should be directed by the level of risk.

red alert signs
Red Alert signs
  • High temperature, fever, possibly with cold hands and feet
  • Vomiting, or refusing feeds
  • High pitched moaning, whimpering cry
  • Blank, staring expression
  • Pale, blotchy complexion
  • Baby may be floppy, may dislike being handled, be fretful
  • Difficult to wake or lethargic
  • The fontanelle (soft spot on babies heads) may be tense or bulging.