Seizure Safety
This use of this medication is appropriate to abort any seizure lasting longer than 5 minutes, including those deemed to be febrile.
What is diazepam/ valium
All SCD patients with no resolution of painful crisis after one dose of this class of drugs must be referred."
What is an opioid?
An asthma or acute bronchospasm patient must be referred if they do not respond to this many rounds of nebulization."
What is 6 rounds (or two sets of nebulization)?
"A child with moderate dehydration must be referred if their condition does not improve after this many hours of appropriate emergency treatment."
What is 4 hours?
"This oxygen saturation percentage (SaO2) at presentation is an ominous sign of impending respiratory failure requiring immediate referral."
What is less than 94% (<94%)?
"A child must be referred if they experience this many seizures within a 24-hour period."
What is more than two (> 2 episodes)?
SCD patients with fever must be referred if their temperature exceeds this threshold."
What is 40°C (104°F)?
A child presenting with stridor, fever, drooling, and a preference for sitting up should be referred for suspected croup or this life-threatening condition."
What is epiglottitis?
Any child returning to the hospital within this time frame of discharge from the pediatric ward for a related complaint must be admitted."
What is 72 hours?
"Infants with a suspected Urinary Tract Infection (UTI) must be managed as inpatients if they are younger than this age."
What is 3 month old
This duration of prolonged post-ictal altered consciousness or neurological deficit requires a mandatory referral."
what is greater than 30 minutes ?
"Referral is mandatory for children younger than two years old with these specific SCD genotypes presenting with fever."
What are HbSS or HbS-β0 thalassemia?
To be referred for severe croup, a patient must have a severity Score greater than this number."
What is a score of > 7
"All patients of this age or younger must be discussed with A&E senior staff before discharge."
what 3 months old
This procedure requires the gynecology team and is a mandatory referral to paediatric team. it is sometimes warranted in cases of suspected sexual assault.
what is examination under anaesthia
A 3 year old child with no known chronic illness presents with a fever , reduced responsiveness and jerking movements confined to the right upper limb. The patient exhibits this seizure type.
What is a complex febrile seizure
These four serious acute manifestations of Sickle Cell Disease require inpatient management: acute chest syndrome, painful crisis, and either of these two crises."
Aplastic crisis, splenic/ hepatic sequestration
This score is used to assess croup severity
What is the Westley Croup score?
Any neonate returning within this time frame post-discharge from any medical facility requires mandatory referral."
What is 2 weeks?
This is the disposal of a 4 year old HBSS presenting with a 3 day history of sore throat. On examination has an exudative tonsillitis and temp of 38°C and a WBC of 15.
Discharge from A&E
"These attributes accompanying a fever and a seizure require pediatric referral: history of antibiotic use within a week, complex febrile seizure, prolonged postictal phase and these two states."
signs of meningism and irritability/lethargy
"SCD patients with fever must be referred if their white cell count (WBC) is greater than 30,000/microL or less than this value."
What is 5000/microL?
This is the oral dose of dexamethasone used in the treatment of croup
What is 0.6mg/kg
Any child with a second presentation to within this time frame
OR third presentation within this time frame should be
discussed with an A&E Senior Staff (MO2 and above)
What is 48hrs and 1 week.
This condition is characterized by acute fever + 2 or more of the following manifestations and should be referred to the pediatric team on suspicion in patients with underlying chronic illness.
Nausea/vomiting, rash, headache/retro-orbital pain, myalgia/arthralgia, petechiae, leukopenia
What is Dengue