Paediatrics Flashcards
Modified Taussig Score
Stridor Recession
0 - None 0 - None
1 - Only crying, exertion 1 - Only crying, exertion
2 - At rest 2 - At rest
3 - Severe (biphasic) 3 - Severe (biphasic)
1-2 = Mild 3-4 = Moderate 5-6 = Severe
What comprises Waddell’s Triad?
Ipsilateral femur fracture
Ipsilateral thoraco/abdominal injury
Contra lateral head injury
Normal Heart Rates in Children
Newborn: 110 – 150 bpm
2 years: 85 – 125 bpm
4 years: 75 – 115 bpm
6 years+: 60 – 100 bpm
Newborn vs Infant vs Child
Newborn: immediately after birth
Infant: < 1 year
Child: 1 year - 18 years
Paediatric choking chest thrusts vs abdominal thrusts
Infant (<1 year) = chest thrusts
Child (>1 year) = abdominal thrusts
TICLS
Tone
Interaction
Consolability
Look/gaze
Speech/cry
Paediatric GCS
Eyes
4 - Open
3 - open to verbal stimuli
2 - open to pain stimuli
1 - no response
Verbal
5 - coos, babbles
4 - irritable cries
3 - cries in response to pain
2 - moans in response to pain
1 - no response
Motor
6 - moves spontaneously/purposefully
5 - withdraws to touch
4 - withdraws to pain
3 - flexor posturing
2 - extensor posturing
1 - No response
Paediatric signs or symptoms considered a high-risk for serious illness
pale/mottled/ashen/blue skin, lips or tongue
no response to social cues
appearing ill to a healthcare professional
does not wake or if roused does not stay awake
weak, high-pitched or continuous cry
grunting
respiratory rate greater than 60 breaths per minute
moderate or severe chest indrawing
reduced skin turgor
bulging fontanelle.
Paediatric signs or symptoms considered an intermediate risk for serious illness
pallor of skin, lips or tongue reported by parent or carer
not responding normally to social cues
no smile
wakes only with prolonged stimulation
decreased activity
nasal flaring
dry mucous membranes
poor feeding in infants
reduced urine output
rigors.
children who have all of the following features, and none of the high- or intermediate-risk features, are in a low-risk group for serious illness
normal colour of skin, lips and tongue
responds normally to social cues
content or smiles
stays awake or awakens quickly
strong normal cry or not crying
normal skin and eyes
moist mucous membranes.
Signs of dehydration in children with fever
prolonged capillary refill time
abnormal skin turgor
abnormal respiratory pattern
weak pulse
cool extremities
Symptoms of Kawasaki disease
Fever for 5 days or longer and may have some of the following:
bilateral conjunctival injection without exudate
erythema and cracking of lips; strawberry tongue; or erythema of oral and pharyngeal mucosa
oedema and erythema in the hands and feet
polymorphous rash
cervical lymphadenopathy
Cardiac arrest dose of adrenaline 1:10,000 for Paediatrics
10mcg/kg
