NIL

1. PEDIATRIC
ACUTE CARE
SCORE
E.DEENA

2. Patients don’t suddenly
deteriorate, healthcare
professionals suddenly notice!
Anonymous

3. INTRODUCTION
Paediatric Acute Care Score (PACS)
It is an objective assessment tool
Scoring system developed for early recognition of
deteriorating patients

4. GOALS
Early
recognition and
response
Avoid
preventable
deaths
Generate clear,
timely, accurate
communication
Prevent patient
harm
Standardized
and objective
Does not rely on
level of provider
experience

5. Components of CMC Vellore- PACS
12/22/2022 5
Ebor J James

6. 6
lethargy
Mottling
Cyanosis
CRT
Jaundice

7. Co-morbidities
7

8. 12/22/2022
Ebor J James
8
PACS </= 4 PACS 5 - 6 PACS >7

9. SCENARIO-B ward • 8 month old with fever for 2 days
, and distress from morning
• K/C/O Laryngomalacia
• Vitals at Triage : HR-
160/min,RR-70/min, S/c
retractions +
• On examination-child irritable
and pale. Bilateral wheeze
present. Heart sound normal.
• Physiological Status: ?
9

10. SCENARIO 2-Q1 West
• 2 yr Child admitted from the OPD for
evaluation of Failure to Thrive
•
• At 2 am, Child found unresponsive, cold
and Weak pulses
• Vitals:HR-140/min,RR-12/min and
drowsy
• Physiological status?
• PACS SCORE-?
12/22/2022

11. SCENARIO 3
• 6 Yr old with Pre B cell ALL on
chemotherapy
• Febrile neutropenia +
• Hr-150/minRR-30/m and
Alert.BP-90/60mm
• Physiological Diagnosis: ?
• PACS score: ?

12. THANK YOU