Category: Paeds

Croup

Quick Ref Guide

Document Severity @ discharge:  Remember sometimes well children that it is appropriate to discharge can deteriorate. So ensure the reason for your decision is well documented, and the patient is safety netted.

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Bronchiolitis

Quick Ref Guide

 

Background

  • Bronchiolitis is seasonal (winter) viral lower respiratory tract infection
  • Affects children under 2 years – 1 in 3 infants will develop bronchiolitis
  • 2-3 % all infants with bronchiolitis will require admission to hospital
  • Causes: RSV, rhinovirus, adenovirus, influenza, parainfluenza

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Asthma – Paeds

Quick Ref Guide

Asthma is common and potentially fatal.

  • Severity – Severe or Life threatening – think RESUS
  • Treatment within 30 min – bronchodilators and steroids should bee given within 30min
  • 2hrs Observation after Neb – better after a neb don’t just send home they may deteriorate when it wears off.
  • Discharge advice sheet – print off from this guide, remember to check inhaler technique and consider a spacer

PDF:asthma pead

Viral Induced Wheeze

Quick Ref Guide

Background

  • Viral respiratory infections are the most common cause of wheezing in infants and young children
  • Risk factors include exposure to tobacco smoke and reduced lung function
  • Although treatment is broadly like treatment for asthma there are some differences

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Alprostadil

To maintain or restore patency of the ductus arteriosus

Only to be used in infants who are ventilated or where ventilation is immediately available

DO NOT DELAY IN STARTING Alprostadil if: there is clinical
suspicion of duct dependent CHD while waiting for paediatric cardiology opinion OR echocardiogram, even when in-house echo facilities are present.

PDF: Alprostidil

 

Paeds Liaison Form

The Paediatric Liaison Form has been updated

This form alerts the Paediatric Liaison Team to your concerns so that they can investigate and provide appropriate support to the child & family.

You SHOULD inform the family that you are completing the form as the Paeds Liaison Team or other agencies (e.g. social services or school nurse)may contact them.

You SHOULD NOT use this form for patients who have either suffered or at risk of significant harm. In this case you should discuss directly with the paediatric consultant on-call.

PDF: Paediatric Liaison Form

 

Limping Child

This is a relatively common  presentation within the ED that has a myriad of possible diagnoses ranging from sprain to malignancy. One thing to remember is that patients and relatives will look for a traumatic reason for limb pain, and may link it to minor injuries that would not have caused it.  Read more