Introduction
Introduction
A child-friendly approach
Environment
Examination
The 3-minute Toolkit of Examination
Purpose of the 3 minute tool-kit
Demonstration
Explanation
The Checklist ABCDENTT
Table of normal values
How To
Assess airway and breathing
Recession
Respiratory rate
Oxygen saturations
Auscultation
Assess circulation
Heart rate
Capillary refill
Blood pressure
Assess disability (neurological)
Assess ENT
Assess temperature
Difficulty in breathing
Key background information
Causes of breathlessness
- Asthma
- Bronchiolitis
- Pneumonia
- Croup
Facts and figures
Key points in the history
Key points in the examination
Specific signs of respiratory difficulty
General observation
Case histories
Over 5?s
1-5 years
Under 1?s
Red flags
Status asthmaticus
Apnoea
Choking
Abdominal Pain
Key background information
Key points in the history
Key points in the examination
Abdominal examination
Physiological information
Red flags
Vomiting bile
Abdominal mass
Blood in stool
Intussusception
Peritonitis
Head injuries
Key background information
The age of the child
Mechanism of injury
Facts and figures
Key points in the history
Symptoms since the injury
- Behaviour
- Headache
- Amnesia
- Drowsiness
- Vomiting
Symptoms at the time of the injury
- Fitting and reflex anoxic seizures
- Loss of consciousness
Key points in the examination
Specific
- Scalp signs
- Neurological assessment
General
- Behaviour
- Level of alertness AVPU and GCS
Dehydration
Key background information
Causes of dehydration
Facts and figures
Key points in the history
Key points in the examination
Signs of moderate or severe dehydration
Signs of mild dehydration
General observation
Temperature
Red flags
Intussusception
Hypernatraemic dehydration in infants
Pyloric stenosis
Diabetic keto-acidosis
Fever
Key background information
Facts and figures
General effects of serious infection
Meningococcal dsease : Meningitis vs Sepsis
Meningitis (all causes)
Key points in the history
General questions
Isolating a focus
Key points in the examination
Temperature
General observation
Physiology
Finding a focus
Urine dipstix
Putting it all together : a case history
Red flags
Pneumonia
Meningitis
Urinary tract infection
Fits
Key background information
Generalised fits
Febrile convulsions
Focal fits
Fits in babies
Dealing with a fit
First aid measures
Medical treatment
After a fit
Assessing airway and breathing
Assessing circulation
Assessing disability
Assessing temperature
Next steps
Red flags
Aspiration
Head injury
Hypoglycaemia
Atypical febrile convulsions
Rashes
Key background information
Key points in the history
Key points in the examination
General and physiological assessment
Assessment of the rash itself
The tumbler test
Red flags
Meningococcal septicaemia
Urticaria/Anaphylaxis
Henoch-Schonlein purpura
Kawasaki?s disease
Steves Johnson Syndrome
