Paediatric Hyperthermia

Question 1

At what temperature threshold does a paediatric require active cooling?

Answer 1

> 38

Question 2

Is this guideline able to be used for febrile paediatric pts due to infection?

Answer 2

No.

Question 3

At what temperature is active cooling ceased for paediatric pts?

Answer 3

<38

Question 4

List the appropriate active cooling techniques for a paediatric pt.

Answer 4

• Shelter/remove from heat
• Ensure airflow over pt
• Remove all clothing except for underwear
• Apply tepid water using spray bottle/wet towels

Question 5

If active cooling has been initiated in the paediatric pt, when should the pt temperature be re-assessed, and what findings indicate that they are time critical?

Answer 5

After 10mins, if pt still >39.5 and have a GCS <10, this pt is time critical.

Question 6

What are the temperature threshold variations for mild, moderate and severe hyperthermia in paediatrics as compared to adults?

Answer 6

None, work off the same temperature frameworks.