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PAEDIATRIC EMERGENCIES DR.S SEN Specialist Registrar
Paediatrics North Western Deanery
PAEDIATRIC EMERGENCIES
1. COMA
2. SHOCK (Septicaemia, anaphylaxis)
2. UPPER AND LOWER AIRWAY OBSTRUCTION
Croup and Epiglottitis, Foreign Body
Asthma, Bronchiolitis, Chest infection
3. CARDIAC EMERGENCIES
Heart Failure
Supraventricular Tachycardia
PAEDIATRIC EMERGENCIES
4. INFECTIONS
Meningitis
Encephalitis
Kawasaki
HUS
Pertussis
Endocarditis
5. SEIZURES
Status epilepticus
Febrile fits
Hypsarrhythmia
Non febrile fits
Increased intracranial pressure
PAEDIATRIC EMERGENCIES
6. RENAL
Hypertension
Haematuria
UTI
Nephrosis
HUS
7. SKIN
Rash, Erythema
Purpura, Petechia
Peeling
Vesicles, Pustula
Cellulitis
NAI
PAEDIATRIC EMERGENCIES
8. PAINS
Limping child
Chest pain
Abdominal pain
Headache
Backache
Sickle Cell
9. ENVIRONMENTAL
Burns, smoke inhalation
Drowning
Poisoning
Hypothermia, heat stress
Anaphylaxis
Head injury and RTA
NAI and SA
EMERGENCIES IN BABIES
Excessive crying
Not feeding
Cyanosis
Apnoea
Jaundice
Fitting
Diarrhoea
Vomiting
Fever
Bleeding
COMA
STATE OF UNRESPONSIVENESS DUE TO DIFFUSE LESIONS OF HEMISPHERES
/ BRAIN STEMS
Structural lesions
bleeding, tumour, abscess, hydrocephalus
Non-structural lesions (95%)
seizures, drugs / poisons
infection (meningitis, encephalitis, HUS)
metabolic (hypoglycaemia, DKA, Reye)
renal failure, hepatic coma
endocrine (Addison)
COMA: ASSESSMENT AND DIAGNOSIS
Rapid History and General Examination
Skin (trauma, petechiae, bleeding)
Sutures in infant and neck stiffness, systemic, AF