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Interactive CPD Series Episode 5: Spotting the Sick Child
24th August 2020 at 19:00
Presented by:
Mr Innes Eaton
Paramedic Practitioner
STC Training SolutionsAsk us about our BLS and ILS refresher training for
healthcare professionals!
01895 730020 | [email protected]
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Upcoming Courses
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
Interactive CPD Series | Episode 5 | Spotting the Sick Child
Book in confidence:
No quibble refund if the course is cancelled
To book:
More dates being planned:
Keep an eye on Facebook events and our
website for more information!
FREC 3: Weekend Courses, Aylesbury
Initial Course: Starts 29th Aug – 5 days – 29/08 | 30/08 | 05/09 | 06/09 | 12/09
£390 inc VAT | Includes Entonox & textbook as standard! | Selling Out!
FREC 4: Weekend Course, Aylesbury
Next Course: Starts 3rd Oct – 5 days – 03/10 | 04/10 | 17/10 | 18/10 | 14/11
£475 inc VAT | Includes stethoscope & textbook as standard | Selling Out!
SALM: Aylesbury
Next Course: Starts 26th Sept – 2 days – 26/09 | 27/09
£200 inc VAT | Includes JRCALC & IM kit as standard
QA ILS: Aylesbury
Next Course: 20th September
£150 inc VAT | Includes textbook
✓ Manual defibrillation
✓ Mechanical ventilation
✓ Supraglottic airways
✓ Reversible causes
✓ Post-ROSC care
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Ways to Interact
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
Interactive CPD Series | Episode 5 | Spotting the Sick Child
1. Grab your smart phone
2. Go to: www.menti.com
3. Enter the code
4. Answer the question
07535 382223
Tweet us:
@STCTrainingLtd
Email us:
In the Zoom chat:
STC Admin
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Session Plan
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
Interactive CPD Series | Episode 5 | Spotting the Sick Child
• Primary Survey
• Anatomical Differences
• Paediatric Assessment Triangle
• TICLS
• Normal Paediatric Parameters
• Paediatric Emergencies
• Q&A session
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Recommended Reading
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
Interactive CPD Series | Episode 5 | Spotting the Sick Child
ACE ACP
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Interactive Quiz
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
Interactive CPD Series | Episode 5 | Spotting the Sick Child
1. Grab your smart phone
2. Go to: www.menti.com
3. Enter the code
4. Answer the question
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Primary Survey
Interactive CPD Series | Episode 5 | Spotting the Sick Child
• Rapid assessment
• Stepwise approach
• Amended slightly for medical vs trauma
• Allows you to form a ‘general impression’
• Also known as ‘end of bed assessment’
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
357 430
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Primary Survey
Interactive CPD Series | Episode 5 | Spotting the Sick Child
• D – Danger
• R – Response
• <C> - Catastrophic haemorrhage
• A – Airway
• <C> - C-spine injury
• B – Breathing
• C – Circulation
• D – Disability
• E – Exposure/Environment/Everything else
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
357 430
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Interactive Quiz
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
Interactive CPD Series | Episode 5 | Spotting the Sick Child
1. Grab your smart phone
2. Go to: www.menti.com
3. Enter the code
4. Answer the question
![Page 10: Interactive CPD Series...Interactive CPD Series Episode 5: Spotting the Sick Child 24th August 2020 at 19:00 Presented by: Mr Innes Eaton Paramedic Practitioner STC Training Solutions](https://reader036.vdocument.in/reader036/viewer/2022071419/61173551b9150d074660c1bb/html5/thumbnails/10.jpg)
Airway
Interactive CPD Series | Episode 5 | Spotting the Sick Child
• Smaller face
• Compressible floor of the mouth
• Pressure on the eyes can cause slowing of the heart rate
• Mask sizing is therefore important!
• Obstruction of the airway is a common cause of death
• Chest movement does not always mean breathing
• Look, listen and feel for breathing
• Listen for stridor and/or wheeze
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
358 431
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Breathing
Interactive CPD Series | Episode 5 | Spotting the Sick Child
• Smaller lungs means a reduced reserve volume
• Weak accessory muscles – breathing relies on the diaphragm
• High baseline metabolic rate – increases when unwell
• Increased respiratory rate is often the first sign
• Look for abnormal sounds – stridor, grunting, wheeze
• Recession, particularly >5 y/o is a more worrying sign
• Nasal flaring can occur in young children
• Accessory muscle use – ‘head bobbing’
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
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Circulation
Interactive CPD Series | Episode 5 | Spotting the Sick Child
• 80ml/kg – a newborn will only have around 240ml of blood
• Increasing heart rate is the only way to increase blood pressure
• Children are able to compensate well for shock
• Blood pressure is of little use in practice
• Bradycardia is a serious sign – often a reason to start CPR
• Capillary refill time is a useful indicator
• Skin temperature and colour are also useful
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
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Paediatric Assessment Triangle
Interactive CPD Series | Episode 5 | Spotting the Sick Child
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
358 430
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TICLS
Interactive CPD Series | Episode 5 | Spotting the Sick Child
• T – Tone
• I – Interactivity
• C – Consolability
• L – Look/Gaze
• S – Speech/Cry
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
358 430
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Normal Respiratory Rates
Interactive CPD Series | Episode 5 | Spotting the Sick Child
Age (Years) Normal Range
< 1 30 – 40
1 – 2 26 – 34
2 – 5 24 – 30
5 – 12 20 – 24
12 + 12 – 20
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
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Normal Heart Rates
Interactive CPD Series | Episode 5 | Spotting the Sick Child
Age Normal Range
0 – 3 months 85 – 205
3 months – 2 years 100 – 180
2 years – 10 years 60 – 140
10 years + 60 – 100
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
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Interactive Quiz
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
Interactive CPD Series | Episode 5 | Spotting the Sick Child
1. Grab your smart phone
2. Go to: www.menti.com
3. Enter the code
4. Answer the question
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Meningitis
Interactive CPD Series | Episode 5 | Spotting the Sick Child
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
228-230 266-268
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Meningitis
Interactive CPD Series | Episode 5 | Spotting the Sick Child
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
228-230 266-268
• Caused by inflammation of the protective layers of the brain
• Is a life-threatening emergency that can kill within hours!
• Can affect anyone, although most common in young people
• Can be bacterial or viral
• There are vaccines for the most common strains• It is still possible to contract meningitis though, even if vaccinated
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Meningitis
Interactive CPD Series | Episode 5 | Spotting the Sick Child
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
228-230 266-268
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Septicaemia
Interactive CPD Series | Episode 5 | Spotting the Sick Child
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
228-230 266-268
Example of a non-blanching
rash caused by septicaemia
Only present in around 40%
of cases!
Note that septicaemia may
often just be referred to as
‘sepsis’
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Croup vs Epiglottitis
Interactive CPD Series | Episode 5 | Spotting the Sick Child
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
N/A N/A
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Croup vs Epiglottitis
Interactive CPD Series | Episode 5 | Spotting the Sick Child
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
N/A N/A
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Interactive Quiz
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
Interactive CPD Series | Episode 5 | Spotting the Sick Child
1. Grab your smart phone
2. Go to: www.menti.com
3. Enter the code
4. Answer the question
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Further Reading
Interactive CPD Series | Episode 5 | Spotting the Sick Child
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
N/A N/A
• Paediatric Observation Priority Score (POPS)
• Paediatric GCS Amendments
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Next Session
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
Interactive CPD Series | Episode 5 | Spotting the Sick Child
Interactive CPD Series | Episode 5 | Sepsis
Monday 31st August 2020
19:00 BST
Zoom link will be uploaded to Facebook on the morning of the event
Please ‘Like’ us on Facebook to keep up to date with upcoming events
If you would like a CPD certificate for this session then please email:
If you do not want to take part in the Q&A then please feel free to leave and we hope to see you again next week!
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Thank You!
www.stctrainingsolutions.co.uk | 01895 730020 | [email protected]
Interactive CPD Series | Episode 5 | Spotting the Sick Child