Acutely unwell child

Question 1

disability - assess?

Answer 1

check pupils
avpu / GCS
blood glucose
drug chart

Question 2

airway

action

Answer 2

nose and airways so much smaller

check patency

give oxygen - optiflow (warm nasal high flow o2)

Question 3

breathing

action?

Answer 3

look, listen feel for signs of resp distress
measure breathing rate and check spo02
percuss to check for hyper-resonance
auscultate
check position of trachea

assist w bag valve

Question 4

early onset sepsis <72 hours
invetsigatiuons

Answer 4

fbc
u&e
crp
LP - <1 month ALL
urine dipstick
MSU
CXR

Question 5

early onset sepsis management

Answer 5

benzylpenicillin
amoxicillin

Question 6

late-onset sepsis most common pathogen?

Answer 6

coagulase negative staphylococcous
staphylococcus epidermis

Question 7

3 minute tool kit
top-toe physiological check

Answer 7

airway - secretions, stridor, FB

breathing - respiratory rate, accessory muscle use, oxygen sta, auscultate

c- colour, HR, cap refill, temp
d- pupils, limb tone and movement, AVPU / GCS score

ENT examination
temperature
tummy