Emergency Medicine Induction
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      • Assessing the sick patient
      • The unwell child
      • Xray interpretation
      • Chest Pain
      • Headache
      • Abdominal Pain
      • Shortness of Breath
      • Syncope
      • Early Pregnancy Problems
      • Sepsis
      • Toxicology
  • Beyond induction
    • Back Pain
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The unwell child

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Departmental induction requires completion of  Spottingthesickchild.com resources.
  • This is a long module but it is excellent accredited training.
  • Registration is required with your trust e-mail. 
Certificates are then available to add to your portfolio.
Certificates should be emailed to the junior education program lead and your clinical supervisor.

Please Register and log in before following these links:
  • 3 Minute Toolkit
  • Breathing Difficulties
  • Fever
  • How To
  • Communication
  • Rash
  • Fits
  • Dehydration
  • Abdominal Pain

Paediatric assessment triangle

I like to think of patients as either sick or not sick, in the first instance.  The American Academy of Pediatrics introduced the Pediatric Assessment Triangle – PAT – in 2000 in the Pediatric Education for Pre-hospital Providers course. It was an effort to make it easier for pre-hospital providers to triage children into sick or not sick, and perhaps to help them determine the cause of illness too.
​ This approach helps me assessing at a glance: SICK or NOT SICK?
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​Once we have a basic snapshot of appearance, breathing and circulation we can combine the elements to help determine both how unwell the child is and what could be wrong with them.
Here is a link to an excellent blog entry by the St Emlyn's Team on Paediatric basics and approach to the unwell child.

Child with a fever

When assessing a child with a fever, don't forget the NICE traffic light guide to assist with decision making.
There are action to take depending on the risk category, all available on the Derriford ED Guidelines.
Remember, all children < 1 yr should be discussed with a senior.
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Derriford ED guidelines (also available in the department)
  • Paediatric normal values
  • Assessing febrile children
Published Aug 2015 / ​Updated Aug 2019
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  • Home
    • Non-ACCS
    • ACCS
    • Top 10 topics >
      • Assessing the sick patient
      • The unwell child
      • Xray interpretation
      • Chest Pain
      • Headache
      • Abdominal Pain
      • Shortness of Breath
      • Syncope
      • Early Pregnancy Problems
      • Sepsis
      • Toxicology
  • Beyond induction
    • Back Pain
    • Wounds & suturing
    • Ophthalmology
    • Minor head injuries
  • Contact
  • Disclaimer