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How to Kill a Baby in No Time ??!

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by

Hajar Abu-Amra

on 30 August 2014

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Transcript of How to Kill a Baby in No Time ??!

How to Kill a Baby
in No Time ??!

AMR
Pediatric Assessment Triangle
? !
Initial
Easy
Rapid (in Seconds)
Non-invasive

Assess :
Severity
Urgency
System failure
Baseline
- - - -
}
- - - -
}
- - - -
}
A
B
C
A
B
C
=
A
B
C
A
B
C
A
B
C
A
B
C
Respiratory Distress
Respiratory Failure
Shock
CNS Dysfunction
T
I
C
L
S
one
nteractability
onsolability
ook / Gaze
peech / Cry
Mottling
ppearance
reathing Work
irculation to skin
SALAH
HEBA
REHAM
" Good Doctor is a good Observer "
RR 65 / min
HR 180 / min
Blood Pr. 90/50
A
B
C
Shock
Cyanosis
Pallor
Abnormal positioning
Retractions
Nasal Flaring
Abnormal airway sounds
6 months male
Persistent vomiting 24h
Lying still
Irritable
Weak Cry
No abnormal
airway sounds
No Retraction
No Nasal Flaring
Pale , Mottling
Cold

Capillary refill time 4 Sec.
Brachial pulse is Weak


Patients don't Suddenly Deteriorate, but Doctors Suddenly Observe ..
So Keep your eyes on patient, Assess & Reassess …..
A
B
C
Cardio-pulmonary Failure
{ ??! }
References:
1. Dieckmann RA, Gausche M, Brownstein D: Textbook of Pediatric Education for
Prehospital Professionals, Jones and Bartlett, 2005
2. Zitelli B, Davis H: Atlas of Pediatric Physical Diagnosis, 4th Edition. Philadelphia,
Mosby, 2002
3. Anne M, Agur A, Dalley A: Grant’s Atlas of Anatomy, 11th Edition, Lippincott
Williams & Wilkins, 2004
4. Hazinski M, Zaritsky A, Nadkarni V, et al: PALS Provider Manual, American Heart
Association, 2002
5. American Academy of Pediatrics and the American College of Emergency
Physicians. Textbook for APLS: The Pediatric Emergency Medicine Resource. 4th
ed. Sudbury, MA. Jones and Bartlett Publishers. 2004.
Full transcript