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

Editor's Notes

  1. How do they deal with Fever in the ED? Immediate Tylenol. Why? Comfort.Can Fever Fry the Brain? No, damage caused by infection.
  2. 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.
  3. Temps of 98.6 or 104 is a myth. Changes with circadian rhythms. Lowest in AM and highest in early evening.
  4. 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
  5. Cold hands and feet, limb pain, and pale or mottled skin are considered "red flag" manifestations of septicemia.
  6. If they're sick, then you're increasing O2 demands. If they're not, then why are we cooling them?
  7. Mixing & Matching & OD’ing
  8. 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
  9. Clouds?A rainbow?A booger?