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Chapter-45 Recognition and Assessment of Critically Ill Child

BOOK TITLE: Critical Care

Author
1. Khilnani Praveen
ISBN
9789351522133
DOI
10.5005/jp/books/12670_46
Edition
1/e
Publishing Year
2016
Pages
8
Author Affiliations
1. Pediatric Pulmonology and Critical Care, Max Healthcare Hospitals, Saket, New Delhi and Gurgaon (Haryana), Max Hospitals, Press Enclave, Saket, New Delhi, India, Max Hospitals, New Delhi, India, Apollo Hospital, New Delhi, Apollo Centre for Advanced Pediatrics, Indraprastha Apollo Hospital, New Delhi, e-mail: praveenk@nde.vsnl.net.in, MAX Superspeciality Hospital, New Delhi, Max Hospital, New Delhi, BLK Superspeciality Hospital, New Delhi, India, BLK Superspeciality Hospital, New Delhi, Max and BLK Hospitals, New Delhi, India, BLK Super Speciality Hospital, New Delhi, India, for IAP and ISCCM; BLK Super Speciality Hospital, New Delhi, India, BLK Superspeciality Hospital, New Delhi, India; PICU Mediclinic City Hospital, Dubai, UAE, Pediatric Intensivist, IP Apollo Hospital, New Delhi B-42, Panchsheel Enclave, New Delhi 110017, Madhukar Rainbow Children’s Hospital, New Delhi, India, Rainbow Children’s Hospital, New Delhi, India
Chapter keywords
Clinical assessment, pediatric assessment triangle, initial impression primary assessment, secondary assessment, ABCDE assessment, breathing

Abstract

This chapter discusses about the recognition and assessment of critically ill child. Observation, history and physical examination are clinical assessment of critically ill child. Initial impression, primary assessment and secondary assessment are involves in the assessment of a seriously unwell child. Initial impression is the rapid assessment of a child with an emergency condition, through visual and auditory evaluation of the child’s consciousness, work of breathing and color. The primary assessment uses the ABCDE approach. The primary assessment should be periodically repeated, particularly after major intervention or when a change in the patient’s condition is detected. The secondary assessment focuses on advanced life-support interventions and management. It is important to perform an additional assessment with a focused history and physical examination in stable patients. A flowchart on approach to critically ill child are given in this chapter.

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