1: Infections - Sepsis

Question 1

What is a way to remember features GOSH count as ill child in sepsis guidelines

Answer 1

P(ussy) CAT

Question 2

What are the features GOSH count as ill child in sepsis guidelines

Answer 2

A child needs two or more of the following. Or, one or more if immunocompromised:

Prolonged capillary refill
Core temperature <36 or >38
Altered mental status
Tachycardia

Question 3

What are the 7 red-flags of sepsis by GOSH

Answer 3

Mottled skin
P or U of AVPU

Tachycardia
Tachypneoa 
SpO2 <90% 
Lactate >2 
Hypotension 

Immunocompromised

Question 4

What should be initiated if suspect a child with sepsis

Answer 4

Sepsis-6

Question 5

What is a method to remember paediatric sepsis 6 in order

Answer 5

OLAF’S I

Question 6

What is the paediatric sepsis-6 in order

Answer 6

Oxygen (high-flow)

Lactate, Blood culture, Blood glucose, VBG, FBC, CRP

Antibiotics

Fluid resuscitation

Senior clinical help early

Inotropic support

Question 7

Once IV access is obtained, what is taken

Answer 7

FBC
CRP
Lactate
Blood Cultures 
Blood Glucose

Question 8

Explain antibiotics in paediatric sepsis

Answer 8

Give in 1-hour

Question 9

Explain fluid-resuscitation in paediatric sepsis

Answer 9

10-20ml/Kg over 5-minutes

Monitor urine output

Question 10

What is step-5 of paediatric sepsis 6

Answer 10

Involve senior clinician early

Question 11

When should inotropic support be considered

Answer 11

If no improvement after 40ml/Kg