S6: child health

Question 1

Define sepsis (adults)

Answer 1

A patient has an infection which has caused a dysregulated host response, resulting in life threatening organ dysfunction

Question 2

Define SIRS

Answer 2

Systemic inflammatory response syndrome 
At least 2 of:
1) Temp. high or low
2) Tachycardia 
3) Tachypnoea 
4) WCC high or low

Question 3

Define sepsis (child)

Answer 3

Systemic inflammatory response syndrome

WITH suspected/proven infection

Question 4

List risk factors of sepsis in children

Answer 4

Age < 1 year
Impaired immunity
Recent trauma/surgery/skin breach
Indwelling lines/catheters/devices

Question 5

Outline the paediatric sepsis 6

Answer 5

Give high flow oxygen
Obtain IV/IO access and take blood tests
Give IV/IO antibiotics 
Consider fluid resuscitation (lactate)
Involve senior clinicians/specialists 
Consider inotropic support early

Question 6

List benefits of vaccines

Answer 6

Savings of medical expenditures 
Increasing parents’ productive time 
Household benefits 
Prevents illness & reduces burden on healthcare system
School performance improvement

Question 7

Describe vaccine policy and guidance in the UK

Answer 7

Joint committee on vaccination and immunisation – advise UK on matters relating to communicable diseases, preventable & potentially preventable through immunisation
The green book – latest information on vaccines & vaccination procedures
NHS, PHE websites

Question 8

Define vaccine hesitancy

Answer 8

Refers to delay in acceptance or refusal of vaccines despite availability of vaccination services
Includes factors such as complacency, convenience & confidence