Summary
Summary Essential Notes: Paediatrics: Emergencies
- Module
- Medicine (MBBS)
- Institution
- St Georges (University Of London)
Personal revision notes compiled from a combination of lecture notes and textbooks. Notes created between .
[Show more]
Seller
Follow
Content preview
Anaphylaxis Status epilepticus Neonatal Resuscitation DiabetCompli
Most c
C: 6 hours 12 hours infectio
Anaphylactic reaction? Assess Birth
Review biochemical + metabolic parameters (check Clinica
Airway Breathing Circulation venous pH, HCO3, K+, BM, ketones) Abdom
breath
Dx Cri
Assess Dry the baby Glucos
Airway Breathing Circulation Disability Maintain
D: 12 24normal
hourstemperature pH <7.
Exposure Check blood glucose By 24 hours- ketonaemia + acidosis should have HCO3 <
If blood glucose <3 mmol/L, give glucose IV and Ketone
resolved
recheck blood glucose Ix
Assess (tone), breathing, HR BM + k
E: Conversion to subcutaneous insulin metabo
Diagnosis (T wav
Acute onset of illness Vascular access No vascular
Airway swelling, hoarseness, stridor Lorazepram 0.1 mg/kg access If gasping/not breathing
Breathing tachypnoea, wheeze, cyanosis, Diazepam 0.5mg/kg Give 5 inhalation breaths
SpO2 <92% PR Consider SpO2 +/- ECG
OR midazolam
Circulation pale, clammy, hypotension, No response in 10
drowsy, coma mins
(buccal) 0.5 mg/kg
DK
Skin changes Re-assess
+/- GI symptoms If no increase in HR look for chest
Lorazepram 0.1mg/kg IV movement during inflation
No response in 10 mins
If chest not moving When the chest A:
Re-check head is moving
Call for help position
Res
Paraldehyde 0.4 ml/kg PR Consider 2-person
If the HR is not ove
airway control + detectable/is Mo
other airway very slow Pot
Lie patient flat and raise legs (if breathing manoeuvres (<60/min) Com
not impaired) No response in 10 mins Repeat inflation
Call for senior help ventilate for 30
breaths
SpO2 +/- ECG
seconds
Look for a response
Adrenaline (1:1000)
Phenytoin
Phenobarbital Reassess HR
Sodium valproate If still <60/min start chest
compressions; coordinate with
If available Monitor ventilation breaths (ratio 3:1)
Establish airway Pulse oximetry
High flow O2 ECG
Blood pressure Call anaesthetist/ no response in 20
IV fluid (20ml/kg mins
crystalloids) Re-assess HR every 30 seconds
Chlorpheniramine (IM/slow Rapid-sequence induction with thiopental If HR is not detectable/ very slow
IV) Mechanical ventilation (<60/min) consider venous
Hydrocortisone (IM/ slow Transfer to PICU access/drugs
IV)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Noteorious. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £2.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
52928 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy revision notes and other study material for 14 years now