Private clinic and A&E: the interface

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Traffic light system for identifying risk of serious illnessColour• Pallor reported by parent/carerActivity • Not responding normally to social cues• Wakes only with prolonged stimulation• Decreased activity• No smileRespirationHydrationOthers•Nasal flaring• Tachypnoea:RR > 50 breaths/minute age 6–12 monthsRR > 40 breaths /minute age > 12 months• Oxygen saturation ≤ 95% in air• Crackles• Dry mucous membrane• Poor feeding in infants• CRT ≥ 3 seconds• Reduced urine output•Fever ≥ 5 days•Swelling of a limb or joint•Non-weight bearing/not using an extremity
Traffic light system for identifying risk of serious illnessColourActivityRespiration•Normal colour of skin, lips and tongue•Responds normally to social cues•Content/smiles•Stays awake or awakens quickly•Strong normal cry/not crying•NormalHydration•Normal skin and eyes•Moist mucous membranesOthers•None of the amber/ red symptoms orsignsNICE clinical guideline 47 : Feverish illness in children: Assessment andinitial management in children younger than 5 years
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Private clinic and A&E: the interfa
Page 4 and 5:
Medical conditionsHypertension• A
Page 6 and 7:
Triage CategoriesTriage Category Pa
Page 8 and 9:
• Hypertensive emergency:- Severe
Page 10 and 11: Evaluation• CNS: headache, vomiti
Page 12 and 13: Management• HT Emergency- Manage
Page 14 and 15: Case 2• A 55 years old gentleman
Page 16 and 17: AMIActions for you:• Call ambulan
Page 18 and 19: A&E Management of STEMI• Patient
Page 20 and 21: ECG ED posterior leads
Page 22 and 23: No Left SystemTotal Blocked LADMech
Page 24 and 25: Chest pain protocol• After brief
Page 26 and 27: Neurological Problem• A 71 year o
Page 28: Chain of optimal recovery of acute
Page 32 and 33: Respiratory case• A 25-year old m
Page 34: Severity Assessment34
Page 37 and 38: Blood sugar• 73 year old man, kno
Page 39 and 40: Hyperglycaemia• Manage in EMW/Obs
Page 41 and 42: Are you worried?• PE: BP 80/30, P
Page 43 and 44: The worst scenario for you….• W
Page 45 and 46: For trained personnel• Delay of c
Page 47 and 48: Use of Automated ExternalDefibrilla
Page 49 and 50: Orthopaedic Cases• A young man sp
Page 51 and 52: Another Orthopaedic Case• F/56, k
Page 53 and 54: TreatmentPrognosis depends on• Hi
Page 55 and 56: Decision for CT Brain55
Page 57 and 58: Paediatric case• A 6 years old gi
Page 59: Traffic light system for identifyin
Page 63 and 64: Ketamine associated cystitisnormal
Page 65: The endThank you for your attention
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Private clinic and A&E: the interface

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