Your SlideShare is downloading. ×
http://www.flickr.com/photos/mccord/2558782631/
http://www.flickr.com/photos/shutterbean/5587225583/
http://www.flickr.com/photos/jonathanclark/437750047/
http://www.flickr.com/photos/spikylau/205222972/
http://www.flickr.com/photos/9385421@N08/3589551219/
http://www.flickr.com/photos/epsos/4929687589/
http://www.flickr.com/photos/30588268@N03/2908008508/
http://www.flickr.com/photos/hdworld/10266692404/
http://www.flickr.com/photos/webconceptions/5450534381/
http://www.flickr.com/photos/sanofi-pasteur/7413644038/
http://www.flickr.com/photos/fei_company/7642318588/
http://www.flickr.com/photos/cunisdiabolis/367203929/
http://www.flickr.com/photos/niaid/5148710483/
http://www.flickr.com/photos/niaid/5613984108/
http://www.flickr.com/photos/j-pride/186583473/
http://www.flickr.com/photos/alourikat/5358519051/
http://www.flickr.com/photos/laurengrace/2483612270/
http://www.flickr.com/photos/48384356@N08/4426275202/
http://www.flickr.com/photos/icrc/4128459134/
http://www.flickr.com/photos/courtenaythephotobot/4198744652/
QUICK

Not QUICK
Tone
Interactiveness
Consolability
Look/gaze
Speech/cry
Work
Abnormal Sounds
Retractions
Extreme Nasal Flaring
Temperature - Skin
Time - Capillary Refill
Pulse
http://www.flickr.com/photos/acyder/5357452882/
http://www.flickr.com/photos/nhatlt/9598120219/
http://www.flickr.com/photos/littleimage/2839395456/
http://www.flickr.com/photos/55975562@N07/9929329955/
http://www.flickr.com/photos/leahharms/6868254814/
http://www.flickr.com/photos/floridapfe/4273081589/
http://www.flickr.com/photos/victorkeys/5459603165/
http://www.flickr.com/photos/kitten/12802413/
http://www.flickr.com/photos/59553414@N05/5534068944/
http://www.flickr.com/photos/36285585@N06/5784409606/
http://www.flickr.com/photos/snowdeal/185103395/
http://www.flickr.com/photos/bibbit/5456802728/
http://www.flickr.com/photos/40912998@N00/3003827251/
http://www.flickr.com/photos/40912998@N00/3003827251/
Tots Too Hot : The Good, The Bad and the Ugly of Pediatric Fever
Tots Too Hot : The Good, The Bad and the Ugly of Pediatric Fever
Tots Too Hot : The Good, The Bad and the Ugly of Pediatric Fever
Tots Too Hot : The Good, The Bad and the Ugly of Pediatric Fever
Tots Too Hot : The Good, The Bad and the Ugly of Pediatric Fever
Tots Too Hot : The Good, The Bad and the Ugly of Pediatric Fever
Tots Too Hot : The Good, The Bad and the Ugly of Pediatric Fever
Tots Too Hot : The Good, The Bad and the Ugly of Pediatric Fever
Tots Too Hot : The Good, The Bad and the Ugly of Pediatric Fever
Tots Too Hot : The Good, The Bad and the Ugly of Pediatric Fever
Tots Too Hot : The Good, The Bad and the Ugly of Pediatric Fever
Tots Too Hot : The Good, The Bad and the Ugly of Pediatric Fever
Tots Too Hot : The Good, The Bad and the Ugly of Pediatric Fever
Tots Too Hot : The Good, The Bad and the Ugly of Pediatric Fever
Tots Too Hot : The Good, The Bad and the Ugly of Pediatric Fever
Tots Too Hot : The Good, The Bad and the Ugly of Pediatric Fever
Upcoming SlideShare
Loading in...5
×

Tots Too Hot : The Good, The Bad and the Ugly of Pediatric Fever

682

Published on

Title: Tots “Too Hot!” - The Cute, The Bad and The Ugly of Pediatric Fever

Description: Elevated temperatures in pediatric patients are some of the most common, and often frustrating types of calls in EMS. Are the parents over-reacting? Are we under-reacting? This presentation illuminates what causes fever, how it can help or harm a child, what problems it can cause or be caused by, how to differentiate critical vs benign fever and how to prioritize care in pediatric patients with elevated temperature.

Teaching Formats:
-Lecture
-Discussion
-Question and Answer

Learning Objectives: Students will learn:
- Normal and abnormal thermoregulation in pediatric patients.
- Obtaining accurate thermometry through a variety of methods.
- Differentiation of exogenous vs endogenous pyrogens.
- Differentiation of “Febrile Seizure” and “Seizure with Fever”
- Special concerns for pediatric fever including patients with sickle cell disease, poor cardiac reserves, poor respiratory function and immune-compromised or immuno-suppressed patients.

SEE MORE AT WWW.ROMDUCK.COM

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
682
On Slideshare
0
From Embeds
0
Number of Embeds
3
Actions
Shares
0
Downloads
14
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide
  • How do they deal with Fever in the ED? Immediate Tylenol. Why? Comfort.Can Fever Fry the Brain? No, damage caused by infection.
  • What's one of the first things they do in the ED? TEMPWhat do they do when they find almost any fever? TYLENOLHigh med low temp has little connection to the origin or outcome of the infection.
  • Temps of 98.6 or 104 is a myth. Changes with circadian rhythms. Lowest in AM and highest in early evening.
  • If there is a history of cardiac illness or new cardiac murmur  or shock due to sepsis, then the child under 1 month should receive a 10 ml/kg/doseSepsis and Meningitis approx 1% but with significant Morbidity & MortalityIncomplete defense & immunizationsChildren < 3 months of age. Even if acting normal. (as they are immunologically immature and incompletely vaccinated)Kids under 90 days old may have upper limit of 104, not 107.Almost half of neonatal deaths are caused by sepsis, although advances in diagnosis and treatment have caused this rate to decrease substantially, especially in preterm infants
  • Cold hands and feet, limb pain, and pale or mottled skin are considered "red flag" manifestations of septicemia.
  • If they're sick, then you're increasing O2 demands. If they're not, then why are we cooling them?
  • Mixing & Matching & OD’ing
  • 20cc/kgIf there is a history of cardiac illness or new cardiac murmur  or shock due to sepsis, then the child under 1 month should receive a 10 ml/kg/dose
  • Clouds?A rainbow?A booger?
  • Transcript of "Tots Too Hot : The Good, The Bad and the Ugly of Pediatric Fever"

    1. 1. http://www.flickr.com/photos/mccord/2558782631/
    2. 2. http://www.flickr.com/photos/shutterbean/5587225583/
    3. 3. http://www.flickr.com/photos/jonathanclark/437750047/ http://www.flickr.com/photos/spikylau/205222972/
    4. 4. http://www.flickr.com/photos/9385421@N08/3589551219/
    5. 5. http://www.flickr.com/photos/epsos/4929687589/
    6. 6. http://www.flickr.com/photos/30588268@N03/2908008508/
    7. 7. http://www.flickr.com/photos/hdworld/10266692404/
    8. 8. http://www.flickr.com/photos/webconceptions/5450534381/
    9. 9. http://www.flickr.com/photos/sanofi-pasteur/7413644038/
    10. 10. http://www.flickr.com/photos/fei_company/7642318588/
    11. 11. http://www.flickr.com/photos/cunisdiabolis/367203929/
    12. 12. http://www.flickr.com/photos/niaid/5148710483/
    13. 13. http://www.flickr.com/photos/niaid/5613984108/
    14. 14. http://www.flickr.com/photos/j-pride/186583473/
    15. 15. http://www.flickr.com/photos/alourikat/5358519051/
    16. 16. http://www.flickr.com/photos/laurengrace/2483612270/
    17. 17. http://www.flickr.com/photos/48384356@N08/4426275202/
    18. 18. http://www.flickr.com/photos/icrc/4128459134/
    19. 19. http://www.flickr.com/photos/courtenaythephotobot/4198744652/
    20. 20. QUICK Not QUICK
    21. 21. Tone Interactiveness Consolability Look/gaze Speech/cry
    22. 22. Work Abnormal Sounds Retractions Extreme Nasal Flaring
    23. 23. Temperature - Skin Time - Capillary Refill Pulse
    24. 24. http://www.flickr.com/photos/acyder/5357452882/
    25. 25. http://www.flickr.com/photos/nhatlt/9598120219/
    26. 26. http://www.flickr.com/photos/littleimage/2839395456/
    27. 27. http://www.flickr.com/photos/55975562@N07/9929329955/
    28. 28. http://www.flickr.com/photos/leahharms/6868254814/
    29. 29. http://www.flickr.com/photos/floridapfe/4273081589/
    30. 30. http://www.flickr.com/photos/victorkeys/5459603165/
    31. 31. http://www.flickr.com/photos/kitten/12802413/
    32. 32. http://www.flickr.com/photos/59553414@N05/5534068944/
    33. 33. http://www.flickr.com/photos/36285585@N06/5784409606/
    34. 34. http://www.flickr.com/photos/snowdeal/185103395/
    35. 35. http://www.flickr.com/photos/bibbit/5456802728/
    36. 36. http://www.flickr.com/photos/40912998@N00/3003827251/
    37. 37. http://www.flickr.com/photos/40912998@N00/3003827251/

    ×