The most useful individual signs for predicting 5% dehydration in children are an abnormal capillary refill time, abnormal skin turgor and abnormal respiratory pattern. Combinations of examination signs provide a much better method than any individual signs in assessing the degree of dehydration.
Paediatric Hypothermia predisposition: radiation (large surface area to volume ratio, large head); convective (repeated examinations with exposure to atmosphere); conductive (loss of heat into bed); thermoregulatory response altered (sedation or paralysis, neurological injury)
Paediatric Trauma
Paediatric Traumatic Brain Injury Priorities: precise assessment of brain injury + associated injury; protection against secondary brain injury; management of ICP
Very simplified pediatric vital signs table
Persistent Pulmonary Hypertension in the Newborn
Physiological Changes At Birth
Tetralogy of Fallot: Large VSD; RV outflow tract obstruction; RV hypertrophy; and Overriding aorta
In emergency medicine and critical care it is essential to be able to recognise skin signs that signify serious disease, and be able to consider the likely causes.
Hirsutism is abnormal growth of hair on a person's face and body, especially in females.
Splinter hemorrhages are lesions caused by linear bleeding under a fingernail or toenail, resembling a splinter.
Meropenem: carbapenem; inhibits cell wall synthesis; empiric treatment for severe sepsis