Paediatric Assessment

Question 1

In order to prevent cardiac arrest in the paediatric patient, early diagnosis and treatment is essential. True or False?

Answer 1

True!

Question 2

Outcomes for children in cardiac arrest are more favourable than in adults. True or false?

Answer 2

False. They are worse.

Question 3

What are the 3 elements observed in the Paediatric Assessment Triangle? (See / Hear / Feel)

Answer 3

Appearance
Work of Breathing
Circulation

Question 4

What T stand for in the TICLS mnemonic?

Answer 4

Tone

Question 5

What I stand for in the TICLS mnemonic?

Answer 5

Interactiveness

Question 6

What C stand for in the TICLS mnemonic?

Answer 6

Consolability

Question 7

What L stand for in the TICLS mnemonic?

Answer 7

Look or Gaze

Question 8

What S stand for in the TICLS mnemonic?

Answer 8

Speech or Cry

Question 9

Stridor, grunting and wheezing are signs of abnormal what?

Answer 9

Breathing

Question 10

What 3 signs would demonstrate increased effort of breathing?

Answer 10

1. Nasal flaring
2. Retractions
3. Abnormal positioning

Question 11

Pallor, cyanosis and mottling are all signs of inadequate what?

Answer 11

Circulation

Question 12

We all know ABCDE in our primary assessment by now, but what do ENT / TT and DEFG stand for?

Answer 12

ENT = Ears / Nose / Throat
TT = Temperature / Tummy 
DEFG = Don't Ever Forget Glucose!

Question 13

In regards to breathing, what is a pre-terminal sign?

Answer 13

A silent chest.

Question 14

O2 sats of <90% on air or <95% on oxygen = ?

Answer 14

Decompensating

Question 15

Hypoxic cardiac arrests will usually present with what type of heart rhythm?

Answer 15

Asystolic.

Question 16

In children, what circulation measurement is of limited value?

Answer 16

BP

Question 17

Does the heart compensate well or poorly in children?

Answer 17

Well.

Question 18

Sick babies and children will go floppy. What is the medical term for this?

Answer 18

Hypotonic / Hypotonia

Question 19

Bradycardia in children is usually caused by what?

Answer 19

Hypoxia

Question 20

If page for age is not available, what formula can be used to calculate BP?

Answer 20

80 + (age x2)

Question 21

Why are children <2 years more susceptible to bacterial infections?

Answer 21

Immune system is still immature.

Question 22

With any child that has a decreased GCS, what is an essential thing to check? (Other than the obvious ABC’s)

Answer 22

BM

Question 23

In summary, the whole assessment of a child should take how long?

Answer 23

Less than 1 minute.