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Paediatric Emergencies Guide for Doctors

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Samarnath Sen
Samarnath Sen

This document outlines various pediatric emergencies including coma, shock, respiratory emergencies like croup and asthma, infections like meningitis, seizures, and other conditions. It provides assessments and management guidelines for these conditions, with specific details on vital signs, investigations, medications and criteria for admission or transfer to ICU.

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PAEDIATRIC EMERGENCIES DR.S SEN Specialist Registrar Paediatrics North Western Deanery
PAEDIATRIC EMERGENCIES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PAEDIATRIC EMERGENCIES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PAEDIATRIC EMERGENCIES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PAEDIATRIC EMERGENCIES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
EMERGENCIES IN BABIES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
COMA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
COMA: ASSESSMENT AND DIAGNOSIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CHILDREN’S COMA SCORE (15) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MANAGEMENT OF COMA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
INVESTIGATIONS IN COMA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TREATMENT OF COMA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SHOCK ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
1. HYPOVOLAEMIC SHOCK ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
2. SEPTIC (DISTRIBUTIVE) SHOCK ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],3.OBSTRUCTIVE SHOCK
4.CARDIOGENIC SHOCK ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ASSESSMENT OF SHOCK ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
EARLY AND LATE SHOCK ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
GENERAL MANAGEMENT OF SHOCK ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SPECIFIC MANAGEMENT OF SHOCK ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RESPIRATORY FAILURES Upper Airway Obstruction Asthma (see BPA guideline)
ASTHMA ASSESSMENT
ASTHMA TREATMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SYMPTOMS OF CROUP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CROUP - ASSESSMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CROUP - MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CROUP - CRITERIA FOR ADMISSION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
EPIGLOTTITIS ,[object Object],[object Object],[object Object],[object Object],[object Object]
EPIGLOTTITIS - MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MENINGOCOCCUS INFECTION CLINICAL SIGNS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MENINGOCOCCAL INFECTION MANAGEMENT ,[object Object],[object Object],[object Object],[object Object]
MANAGEMENT OF SUSPECTED MENINGOCOCCAL INFECTION Relatively Well Child ,[object Object],[object Object],[object Object],[object Object],[object Object]
MANAGEMENT OF SUSPECTED MENINGOCOCCAL INFECTION Unstable Child ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MANAGEMENT OF SEVERE MENINGOCOCCAL INFECTION: Early selection for transfer to PICU ,[object Object],[object Object],[object Object],[object Object],[object Object]
CHILDREN’S COMA SCORE (15) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
STATUS EPILEPTICUS - MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DRUGS IN STATUS EPILEPTICUS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
COMPARISON OF DRUGS FOR STATUS
FURTHER DRUGS IN STATUS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NON- FEBRILE CONVULSION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NON- FEBRILE CONVULSION: INVESTIGATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
JITTERY OR FITTING BABY?
FITTING BABIES: MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object]
FEBRILE FIT - ASSESSMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SIMPLE FEBRILE CONVULSIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FEBRILE FIT- INVESTIGATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FEBRILE FIT - TREATMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DKA - SYMPTOMS ,[object Object],[object Object],[object Object],[object Object],[object Object]
CLINICAL ASSESSMENT OF HYDRATION ,[object Object],[object Object],[object Object],[object Object]
 
DKA - INITIAL INVESTIGATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DKA - IMMEDIATE MONITORING ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DKA - IMMEDIATE MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DKA REHYDRATION What do you want to give? ,[object Object],[object Object],[object Object],[object Object],[object Object]
DKA - REHYDRATION How much do you want to give? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DKA - VOLUME OF REHYDRATION
DURATION OF REHYDRATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DKA - INSULIN TREATMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
[object Object]

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