Pre-placement Module

Question 1

Ages

Answer 1

Neonate: birth to 1 month
Infant: 1 month to years
Young child: 2 years to 6 years
Child: 6 to 12 years
Adolescent: 12 to 18 years

Question 2

Paediatric Life Support

Answer 2

15:2 ratio (100-120 per minute)
Danger, response, shout, airways, breathing, circulation

Attempt 5 rescue attempts (enough for chest to raise over 1 - 1.5 seconds)
Look for SoL: no SoL / RR < 60 = assume cardiac arrest

Infant: two thumbs or two fingers, child: one or two hands

If alone perform 1 minute of CPR before going for help

Question 3

POPS score (paediatric observation and priority score)

Answer 3

Designed for use in emergency and urgent care settings.

Good for discharging patients confidently and identifying sick patients.

Question 4

Key points

Answer 4

Risk stratification is important

Irritability is an important sign

Drowsiness is common: this is reassuring in an up and down pattern.

Children under 4 weeks may become hypothermic if they have sepsis

Antipyretics reduce fever due to their pharmacological actions. You should not assume that this means that the cause of the fever is less serious.

Question 5

Growth Charts

Answer 5

Use WHO 0-4 growth chart / neonate and infant close monitoring chart
Always use a gender appropriate chart
Plot birth data for infants born 37-42 weeks at 40 weeks
For preterm babies draw a line back the number of weeks and mark with an arrow