Paeds EM Flashcards
Red flags constipation
Not passed meconium in first 48 hours Anal fissure Bloody stools Abdominal distension Vomiting Scoliosis Weight loss Lethargy Abnormal neurological exam IBD signs (mouth ulcers, rash, arthritis, red eyes)
Croup
Inhalatory stridor
Barking cough
Fever
Unwell
Croup score
Parainfluenza virus
Inhaled budesonide or oral dexamethasone
Bronchiolitis
Wheezing episode
Cough
Congestion
Squeaky exhale
RSV
Suction
O2 if sp02<92%
Paracetamol
Epiglottitis
Haemophilus influenza b
Drooling (indication of pain)
Bacterial
UTI
Fever Vomiting Poor feeding Abdominal pain Lethargy Irritability
Meningococcal disease
= meningitis + septicaemia
Fever Non-blanching rash Neck stiffness CRT > 3 secs Photophobia
Bacterial meningitis
Fever Ill looking child Reduced GCS Bulging fontanelle Status epilepticus Photophobia CRT > 3 secs
Risk factors for children to become sick
Pre-term
Chronic conditions
Fever history
What happens when the temperature is there?
What happens when the temperature goes away? (Just with a temperature that they appear unwell)
Fever > 5 days
P on AVPU same as
GCS of 8
Life threatening features of asthma
Silent chest PO2 < 92% Exhaustion Cyanosis Drowsiness Hypotension Reduced air entry and quietening of the exploratory wheeze
Why is normal C02 on a VBG worrying in /an acute asthmatic?
C02 should be high as they are hyperventilating (sign of reductions in air flow)
Acute asthma treatment
Salbutamol 2.5 - 5mg nebs Ipratropium bromide 250 - 500mcg nebs Oxygen aim sp02 > 95% IV hydrocortisone 4mg/kg IV access and VBG IV salbutamol loading dose Salbutamol infusion MgS04 infusion slowly/20 mins Aminopyhlline infusion
Febrile seizure
Simple < 15 mins & generalised tonic-clonic
Complex > 15 mins / multiple seizures in a day / focal seizure
Febrile seizure > 10 mins
Treat as status epilepticus
