interactive cpd series...interactive cpd series episode 5: spotting the sick child 24th august 2020...
TRANSCRIPT
Interactive CPD Series Episode 5: Spotting the Sick Child
24th August 2020 at 19:00
Presented by:
Mr Innes Eaton
Paramedic Practitioner
STC Training SolutionsAsk us about our BLS and ILS refresher training for
healthcare professionals!
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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
Ways to Interact
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
Interactive CPD Series | Episode 5 | Spotting the Sick Child
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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In the Zoom chat:
STC Admin
Session Plan
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
Interactive CPD Series | Episode 5 | Spotting the Sick Child
• Primary Survey
• Anatomical Differences
• Paediatric Assessment Triangle
• TICLS
• Normal Paediatric Parameters
• Paediatric Emergencies
• Q&A session
Recommended Reading
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
Interactive CPD Series | Episode 5 | Spotting the Sick Child
ACE ACP
Interactive Quiz
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
Interactive CPD Series | Episode 5 | Spotting the Sick Child
1. Grab your smart phone
2. Go to: www.menti.com
3. Enter the code
4. Answer the question
Primary Survey
Interactive CPD Series | Episode 5 | Spotting the Sick Child
• Rapid assessment
• Stepwise approach
• Amended slightly for medical vs trauma
• Allows you to form a ‘general impression’
• Also known as ‘end of bed assessment’
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
357 430
Primary Survey
Interactive CPD Series | Episode 5 | Spotting the Sick Child
• D – Danger
• R – Response
• <C> - Catastrophic haemorrhage
• A – Airway
• <C> - C-spine injury
• B – Breathing
• C – Circulation
• D – Disability
• E – Exposure/Environment/Everything else
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
357 430
Interactive Quiz
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
Interactive CPD Series | Episode 5 | Spotting the Sick Child
1. Grab your smart phone
2. Go to: www.menti.com
3. Enter the code
4. Answer the question
Airway
Interactive CPD Series | Episode 5 | Spotting the Sick Child
• 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
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
358 431
Breathing
Interactive CPD Series | Episode 5 | Spotting the Sick Child
• 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’
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
359 431
Circulation
Interactive CPD Series | Episode 5 | Spotting the Sick Child
• 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
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
361 433
Paediatric Assessment Triangle
Interactive CPD Series | Episode 5 | Spotting the Sick Child
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
358 430
TICLS
Interactive CPD Series | Episode 5 | Spotting the Sick Child
• T – Tone
• I – Interactivity
• C – Consolability
• L – Look/Gaze
• S – Speech/Cry
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
358 430
Normal Respiratory Rates
Interactive CPD Series | Episode 5 | Spotting the Sick Child
Age (Years) Normal Range
< 1 30 – 40
1 – 2 26 – 34
2 – 5 24 – 30
5 – 12 20 – 24
12 + 12 – 20
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
354 426
Normal Heart Rates
Interactive CPD Series | Episode 5 | Spotting the Sick Child
Age Normal Range
0 – 3 months 85 – 205
3 months – 2 years 100 – 180
2 years – 10 years 60 – 140
10 years + 60 – 100
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
354 426
Interactive Quiz
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
Interactive CPD Series | Episode 5 | Spotting the Sick Child
1. Grab your smart phone
2. Go to: www.menti.com
3. Enter the code
4. Answer the question
Meningitis
Interactive CPD Series | Episode 5 | Spotting the Sick Child
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
228-230 266-268
Meningitis
Interactive CPD Series | Episode 5 | Spotting the Sick Child
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
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
Interactive CPD Series | Episode 5 | Spotting the Sick Child
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
228-230 266-268
Septicaemia
Interactive CPD Series | Episode 5 | Spotting the Sick Child
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
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
Interactive CPD Series | Episode 5 | Spotting the Sick Child
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
N/A N/A
Croup vs Epiglottitis
Interactive CPD Series | Episode 5 | Spotting the Sick Child
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
N/A N/A
Interactive Quiz
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
Interactive CPD Series | Episode 5 | Spotting the Sick Child
1. Grab your smart phone
2. Go to: www.menti.com
3. Enter the code
4. Answer the question
Further Reading
Interactive CPD Series | Episode 5 | Spotting the Sick Child
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
N/A N/A
• Paediatric Observation Priority Score (POPS)
• Paediatric GCS Amendments
Next Session
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
Interactive CPD Series | Episode 5 | Spotting the Sick Child
Interactive CPD Series | Episode 5 | Sepsis
Monday 31st August 2020
19:00 BST
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If you would like a CPD certificate for this session then please email:
If you do not want to take part in the Q&A then please feel free to leave and we hope to see you again next week!
Thank You!
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
Interactive CPD Series | Episode 5 | Spotting the Sick Child