Recognition and Assessment of the Sick Child

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Recognition and Assessment of the Sick Child
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Standardised Approach

• Airway
• Breathing
• Circulation
• Disability
• Exposure
• History and Observation

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Airway

• Patency
• Risk
• Noises
• Position
• Adjuncts

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Breathing

• Look, listen and feel
• Rate
• SaO2
• Work of Breathing
• Consider O2 therapy

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Circulation

• Heart rate
• CRT
• Colour, skin perfusion
• BP
• Temperature
• Urine output
• Consider IV / IO Fluids

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Disability and Exposure

• D
• Conscious level (AVPU)
• Pupils
• Blood Sugar
• E
• Rashes
• Bruising

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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

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Things can will help

• Presence of parents / guardian
• PEWS
• Guidelines
• Play and Distraction
• Communication
• Pain management
• Antipyretics

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PEWS Page 1
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PEWS page 2
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Summary

• A to E assessment
• History
• Observation
• Listening skills
• Use guidelines
• Documentation
• Phone a friend! SBAR

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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