interactive cpd series...interactive cpd series episode 5: spotting the sick child 24th august 2020...

Interactive CPD Series Episode 5: Spotting the Sick Child

24th August 2020 at 19:00

Presented by:

Mr Innes Eaton

Paramedic Practitioner

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Interactive CPD Series | Episode 5 | Spotting the Sick Child

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✓ Manual defibrillation

✓ Mechanical ventilation

✓ Supraglottic airways

✓ Reversible causes

✓ Post-ROSC care

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1. Grab your smart phone

2. Go to: www.menti.com

3. Enter the code

4. Answer the question

07535 382223

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Session Plan

• Primary Survey

• Anatomical Differences

• Paediatric Assessment Triangle

• TICLS

• Normal Paediatric Parameters

• Paediatric Emergencies

• Q&A session

Recommended Reading

ACE ACP

Interactive Quiz

3. Enter the code

Primary Survey

• Rapid assessment

• Stepwise approach

• Amended slightly for medical vs trauma

• Allows you to form a ‘general impression’

• Also known as ‘end of bed assessment’

357 430

Primary Survey

• D – Danger

• R – Response

• <C> - Catastrophic haemorrhage

• A – Airway

• <C> - C-spine injury

• B – Breathing

• C – Circulation

• D – Disability

• E – Exposure/Environment/Everything else

357 430

Interactive Quiz

3. Enter the code

Airway

• Smaller face

• Compressible floor of the mouth

• Pressure on the eyes can cause slowing of the heart rate

• Mask sizing is therefore important!

• Obstruction of the airway is a common cause of death

• Chest movement does not always mean breathing

• Look, listen and feel for breathing

• Listen for stridor and/or wheeze

358 431

Breathing

• Smaller lungs means a reduced reserve volume

• Weak accessory muscles – breathing relies on the diaphragm

• High baseline metabolic rate – increases when unwell

• Increased respiratory rate is often the first sign

• Look for abnormal sounds – stridor, grunting, wheeze

• Recession, particularly >5 y/o is a more worrying sign

• Nasal flaring can occur in young children

• Accessory muscle use – ‘head bobbing’

359 431

Circulation

• 80ml/kg – a newborn will only have around 240ml of blood

• Increasing heart rate is the only way to increase blood pressure

• Children are able to compensate well for shock

• Blood pressure is of little use in practice

• Bradycardia is a serious sign – often a reason to start CPR

• Capillary refill time is a useful indicator

• Skin temperature and colour are also useful

361 433

Paediatric Assessment Triangle

358 430

• T – Tone

• I – Interactivity

• C – Consolability

• L – Look/Gaze

• S – Speech/Cry

358 430

Normal Respiratory Rates

Age (Years) Normal Range

< 1 30 – 40

1 – 2 26 – 34

2 – 5 24 – 30

5 – 12 20 – 24

12 + 12 – 20

354 426

Normal Heart Rates

Age Normal Range

0 – 3 months 85 – 205

3 months – 2 years 100 – 180

2 years – 10 years 60 – 140

10 years + 60 – 100

354 426

Interactive Quiz

3. Enter the code

Meningitis

228-230 266-268

Meningitis

228-230 266-268

• Caused by inflammation of the protective layers of the brain

• Is a life-threatening emergency that can kill within hours!

• Can affect anyone, although most common in young people

• Can be bacterial or viral

• There are vaccines for the most common strains• It is still possible to contract meningitis though, even if vaccinated

Meningitis

228-230 266-268

Septicaemia

228-230 266-268

Example of a non-blanching

rash caused by septicaemia

Only present in around 40%

of cases!

Note that septicaemia may

often just be referred to as

‘sepsis’

Croup vs Epiglottitis

N/A N/A

Croup vs Epiglottitis

N/A N/A

Interactive Quiz

3. Enter the code

interactive cpd series...interactive cpd series episode 5: spotting the sick child 24th august 2020...

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