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9.1 - Assessment and Management of the Sick Child

from Section 9 - Paediatric Care

Published online by Cambridge University Press:  27 July 2023

By
Andrew J. Jones  and
Thomas Brick
Edited by
Ned Gilbert-Kawai ,
Debashish Dutta  and
Carl Waldmann
Ned Gilbert-Kawai
Affiliation:
The Royal Liverpool Hospital
Debashish Dutta
Affiliation:
Princess Alexandra Hospital NHS Trust, Harlow
Carl Waldmann
Affiliation:
Royal Berkshire Hospital, Reading
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Summary

Key Learning Points

  1. 1. There are key physiological and anatomical differences between children and adults.

  2. 2. Despite the differences, the resuscitative process and ‘ABC’ approach are common to both patient groups.

  3. 3. Medications and fluid are administered to children based on their body weight.

  4. 4. The normal range for physiological parameters varies by age.

  5. 5. In-hospital cardiac arrest is usually due to hypoxia and will often follow a period of physiological deterioration.

Keywords

clinical assessmentpaediatricsweightphysiology
Type
Chapter
Information
Intensive Care Medicine
The Essential Guide
 , pp. 689 - 691
Publisher: Cambridge University Press
Print publication year: 2021

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References

References and Further Reading

Gupta, P, Tang, X, Gall, CM, Lauer, C, Rice, TB, Wetzel, RC. Epidemiology and outcomes of in-hospital cardiac arrest in critically ill children across hospitals of varied center volume: a multi-center analysis. Resuscitation 2014;85:1473–9.CrossRefGoogle ScholarPubMed
Harless, J, Ramaiah, R, Bhananker, SM. Pediatric airway management. Int J Crit Illn Inj Sci 2014;4:65–70.Google ScholarPubMed
Newth, CJI, Rachman, B, Patel, N, Hammer, J. The use of cuffed versus uncuffed endotracheal tubes in pediatric intensive care. J Pediatr 2004;144:333–7.CrossRefGoogle ScholarPubMed
Samuels, M, Wieteska, S (eds). Advanced Paediatric Life Support: A Practical Approach to Emergencies, 6th edn. Chichester: Wiley Blackwell; 2016.CrossRefGoogle Scholar
Spotting the Sick Child. Practical skills from clinical experience. www.spottingthesickchild.com/Google Scholar

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