Children's medicine (session 1 & 6) Flashcards
What are the types of risk factors for child abuse?
Parental risk factors
Individual risk factors
Community risk factors
Family risk factors
Give some examples of parental risk factors for child abuse
Parental history of child abuse Substance abuse Mental health issues Young age Low education Single parenthood Large number of dependent children Low income Nonbiological caregivers in the home
Give some examples of individual risk factors for child abuse
Children <4 yrs old
Special needs- increases caregiver burden
Give some examples of community risk factors for child abuse
Community violence
High poverty
High unemployment rates
Give some examples of family risk factors for child abuse
Family stress
Separation or divorce
Domestic violence
What are the types of abuse?
Physical
Sexual
Emotional
Neglect
What should you do if concerned about the welfare of a patient?
Seek advice from manager
Keep a record
Decide on next steps e.g. MARF form or referral to social services
Briefly describe vaccine hesitancy.
What are the factors?
Delay in acceotance or refusal of vaccines despite availability of vaccination services.
Factors include complacency, convenience and confidence.
Briefly describe SIRS signs
Systemic inflammatory response syndrome At least 2 of: High or low temp High HR High RR High or low WCC
What is sepsis in children
SIRS + infection
What is severe sepsis in children?
What is septic shock?
Sepsis (SIRS+infection) + Organ dysfunction
Cardiovascular dysfunction = shock
What are the risk factors for childhood sepsis?
What are the clinical implications of this?
<1 yr old
Impaired immunity
Recent trauma/surgery
Indwelling lines/catheters etc
Lower threshold for suspicion of sepsis in this case
What is the childhood sepsis 6?
Give high flow oxygen Give IV or IO antibiotics Take blood tests Consider fluid resus Involve senior specialists Consider inotropic support early
