Red Flags

Question 1

what should you do immediately on admission of a sick child?

Answer 1

NPEWS

sepsis 6

Question 2

ABCDE differences in children

airway

Answer 2

• airway= occiput is large so head can tilt forward occluding airway, under 1 larynx is collapsible so more neutral position, if over 1 head tilt chin lift

Question 3

red flags for sepsis

Answer 3

• Unresponsive to social cues/ difficult to rouse
• Health professional worried
• Weak, high-pitched or continuous cry
• Grunting or apnoeic episodes SpO2 <90%
• Severe tachypnoea, tachycardia or bradycardia <60
• No wet nappies/ not passed urine in last 18 hours
• Non-blanching rash or mottled/ ashen/ cyanotic
• Temperature <36 degrees (if under 3-months then temperature <38 degrees)

Question 4

amber flags for sepsis

Answer 4

• clinician or parent remains worried
• abnormal response
  -very sleepy
• moderate tachypnoea
• tachycardia
• reduced cap refill
  -reduced UO
  pale/flushes
  -leg pain/cold

Question 5

GP public health interventions in childhood

Answer 5

vaccines
developmental screening
disease notification