The Resuscitation of Children begins with the pre-resuscitation phase. Can we stop the children progressing to needing resuscitation? The Paediatric Assessment triangle has been used as a means of working out if a child is SICK or NOT SICK
Primary Assessment of the child proceeds along the normal parameters:
AIRWAY: Is it patent and protected? Are there extra sounds such as stridor?
BREATHING: Is there adequate oxygenation and ventilation? Signs of breathing difficulty may include head bobbing, nasal flaring and subcostal retractions
CIRCULATION: What is the pulse, heart rate and blood pressure? Is there adequate urine output. What is the skin colour and capillary refill time?
DISABILITY: A Glasgow Coma Score can be calculated. We can use the well known AVPU
- V-Responds to Verbal Stimuli
- P-Responds to Pain
EXPOSURE:Expose the child for a total examination