Respiratory Surge in Children

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Profile:

I am an Adult Nurse, working in Paediatric ICU

I want to recognise, assess, and care for a child with respiratory distress who requires intensive care interventions


Primary resources:

Duration: 1 hour 47 minutes

  • Re-ACT Talks: Deterioration: How to Spot the Sick Child

    This NHS England video provides guidance about the presentation and identifying features of seriously ill children, presented by an Emergency Medicine consultant. This includes risk stratification, clarifying points for history taking, and examination. It also briefly discusses presentations with fever and signposts to additional resources.

      Date added
      6/29/2021
      Format
      Video
      Estimated duration
      10 min
    • Recognition and Initial Management of the Deteriorating Child (RCUK)

      This PowerPoint presentation provided by Resus Council UK (2021) introduces the importance of and techniques for performing a structured ABCDE approach to rapidly identify seriously ill children. It supports understanding that there is often some respiratory compensation for circulatory failure and vice versa​ in sick children. Paediatric Early War...

        Date added
        7/23/2021
        Format
        Slides
        Estimated duration
        30 min
      • Clips of Abnormal respiratory signs in Children and infants (Healthier Together)

        A variety of clips showing grunting, recession, croup, head bobbing, abdominal breathing and a quick guide to counting respirations in a child and baby.

        • Community Paediatric Nurse
        • Health Visitor
        • GP/Community Medical Staff
        • A&E Nurse
        • Adult Ward Staff Nurse
        • NICU Nurse
        • Paediatric Ward Nurse
        • Medical Staff
        • Paediatric Level 2 Nurse
        • PICU Nurse
        • Adult ICU Nurse
        • Physiotherapist
        • Dietitian/SALT
        • Pharmacy
        • Medical Scientist
        Date added
        9/7/2021
        Format
        Video
        Estimated duration
        10 min
      • Recognition & differentiation of the deteriorating child: PCCS Bronchiolitis Webinar 1.2

        Dr Damien Roland. Recognition & differentiation of the deteriorating infant or child. Challenges, cautions & strategies for appropriate care. This session was a delivered as part of the main PCCS webinar 1.

          Date added
          9/22/2021
          Format
          Video
          Estimated duration
          13 min
        • Non-invasive respiratory support - HFNC, CPAP & BiPAP: PCCS Bronchiolitis Webinar 1.4

          Dr Padmanabhan Ramnarayan. Assessment of & decision-making for the infant or child who requires non-invasive respiratory support. Indications, cautions & consideration of the evidence base. Mild, moderate & severe disease. Hierarchy of therapies: low flow O2, HFNC, CPAP & BiPAP. This session was delivered as part of the main PCCS webinar 1.

          • Paediatric Level 2 Nurse
          • PICU Nurse
          • Adult ICU Nurse
          Date added
          9/22/2021
          Format
          Video
          Estimated duration
          19 min
        • CPAP: Principles & Clinical Context

          CPAP - indications, contraindications, key signs of respiratory failure & ABCDE respiratory asessment, principles of safety - sizing of nose pieces & ensuring gas flow, MDT collaboration.

          • NICU Nurse
          • Paediatric Level 2 Nurse
          • PICU Nurse
          • Physiotherapist
          • Medical Staff
          Date added
          11/17/2021
          Format
          Slides
          Estimated duration
          15 min
        • Fluid calculations (worked examples) for infants & children in hospital

          Worked examples of fluid allowance calculations using the Holliday-Segar formula. These are based on the NICE guideline for IV fluid maintenance for Children & Young People in Hospital.

          • Community Paediatric Nurse
          • Health Visitor
          • GP/Community Medical Staff
          • A&E Nurse
          • Adult Ward Staff Nurse
          • NICU Nurse
          • Paediatric Ward Nurse
          • Medical Staff
          • Paediatric Level 2 Nurse
          • PICU Nurse
          • Adult ICU Nurse
          Date added
          10/7/2021
          Format
          Text
          Estimated duration
          10 min

        Extension learning

        Duration: 50 minutes

        • NICE Guideline: Intravenous fluid therapy in children & young people in hospital

          This guideline covers the general principles for managing IV fluids for children and young people under 16 years.

          • Community Paediatric Nurse
          • Health Visitor
          • GP/Community Medical Staff
          • A&E Nurse
          • Adult Ward Staff Nurse
          • NICU Nurse
          • Paediatric Ward Nurse
          • Medical Staff
          • Paediatric Level 2 Nurse
          • PICU Nurse
          • Adult ICU Nurse
          Date added
          10/7/2021
          Format
          Text
          Estimated duration
          30 min
        • Paediatric Fluid balance Scenarios

          A Q&A PowerPoint comprised of 4 fluid balance scenarios in paediatrics: routine IV fluid requirement, hypovolaemia, pulmonary oedema & DKA. Questions are posed, giving the reader an opportunity to consult the NICE guideline, identify the correct algorithm and consider the correct management. Responses are provided on subsequent slides.

            Date added
            11/17/2021
            Format
            Slides
            Estimated duration
            20 min

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