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Respiratory Surge in Children

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I want to revise bronchiolitis and the child with deteriorating symptoms, maximise my interactions with patients and parents

Additional content for key skills, ED-specific challenges and managing paediatric cases in adult settings

Primary resources:

Duration: 1 hour 16 minutes

  • RSV surge background & PHE: PCCS Bronchiolitis Webinar 1.1

    Dr James Fraser. RSV surge background - PHE modelling & the possible implications for paediatric services in the UK. This session was delivered as part of the main PCCS webinar 1.

    • 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
    9/22/2021
    Format
    Video
    Estimated duration
    7 min

  • Public Health England (PHE) Guidance: RSV Symptoms, transmission, prevention, treatment, updated Sept 2021

    An overview from Public Health England giving brief information regarding RSV symptoms, transmission, prevention and treatment. There are links to access the most recent respiratory reports from PHE.

    • 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
    10/7/2021
    Format
    Text
    Estimated duration
    8 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

    • The Paediatric Assessment Triangle (DFTB)

      On overview of a well-known evaluation tool for differentiating the sick child from the well child based on initial clinical assessment. It delves into the three aspects of the Paediatric Assessment Triangle: appearance, breathing and circulation and analyses its efficacy at identifying unstable patients by various cohorts of medical practitioners...

      • A&E Nurse
      • Medical Staff
      • GP/Community Medical Staff
      • Paediatric Ward Nurse
      • Adult Ward Staff Nurse
      • Community Paediatric Nurse
      • Health Visitor
      Date added
      8/3/2021
      Format
      Text
      Estimated duration
      5 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

    • 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

    • High Flow Help, a DFTB Blog

      As cases of bronchiolitis increase in the wake of COVID the DFTB team visit some of the more pragmatic aspects of care. In this post, the use of high flow oxygen is reviewed.

      • A&E Nurse
      • Medical Staff
      • Paediatric Ward Nurse
      • Paediatric Level 2 Nurse
      • Physiotherapist
      Date added
      11/17/2021
      Format
      Text
      Estimated duration
      4 min

    • Paediatric Emergency Drug Chart (2021) (RCUK)

      This is a PDF of paediatric emergency drug doses and medications set out in a standard format for use in any centre as guidance from the Resus Council (UK, 2021)

        Date added
        6/29/2021
        Format
        Text
        Estimated duration
        5 min

      • 10 Thinks: A Message From Parents (DFTB)

        Infographic outlining ten key messages from parents and caregivers to their child's treating team. The post highlights the importance of maintaining a strong parent-clinician relationship and including family in all aspects of patient care.

        • 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
        8/3/2021
        Format
        Infographic
        Estimated duration
        5 min

      Extension learning

      Duration: 41 minutes

      • NICE guideline [NG9]: Bronchiolitis in children: diagnosis and management, updated Aug 2021

        This guideline covers diagnosing and managing bronchiolitis in babies and children. It aims to help healthcare professionals diagnose bronchiolitis and identify if babies and children should be cared for at home or in hospital. It describes treatments and interventions that can be used to help with the symptoms of bronchiolitis.

        • 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
        Text

      • Prepare For Transport: Costas Kanaris at DFTB19 (DFTB)

        An overview of the systematic A-E approach to stabilising a sick child for transport; includes rationale behind considerations such as choice of induction agents, vasoactive agents; fluids and antimicrobials. Stresses importance of teamwork and communication to achieve best possible patient outcome.

        • A&E Nurse
        • Adult Ward Staff Nurse
        • NICU Nurse
        • Paediatric Ward Nurse
        • Medical Staff
        • Paediatric Level 2 Nurse
        Date added
        8/13/2021
        Format
        Video
        Estimated duration
        20 min

      • Medication considerations in acute bronchiolitis: PCCS Bronchiolitis Webinar 2.5

        Dr Andrew Wignell. Pharmacology in bronchiolitis - review of the NICE guideline. Necessity of supportive management - oxygen & hydration. This session was delivered as part of the main PCCS webinar 1.

        • 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
        • Pharmacy
        Date added
        9/22/2021
        Format
        Video
        Estimated duration
        21 min

      Skills refresher

      Duration: 30 minutes

      • Ultrasound guided peripheral venous access (DFTB)

        A guide to using ultrasound to gain peripheral venous access

        • 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
        9/22/2021
        Format
        Text
        Estimated duration
        15 min

      • Basic Principles of Blood Gases and Interpretation of Results - Yorkshire and Humber PCC ODN

        A video looking at the normal value range for blood gases and the interpretation of blood gases looking at: compensated or uncompensated, metabolic or respiratory and looking at the wider clinical picture

        • A&E Nurse
        • Adult Ward Staff Nurse
        • NICU Nurse
        • Paediatric Ward Nurse
        • Medical Staff
        • Paediatric Level 2 Nurse
        Date added
        10/7/2021
        Format
        Video
        Estimated duration
        15 min

      Those working in the Emergency Department

      Duration: 7 minutes

      • Safety Netting for Bronchiolitis (DFTB)

        This blog from DFTB discusses bronchiolitis in the context of the three core components of safety netting: 1. If I am right, what do I expect to happen? 2. How will I know if I am wrong? 3. What would I do then?

        • 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
        8/3/2021
        Format
        Text
        Estimated duration
        5 min

      • Discharging babies with bronchiolitis from the Emergency Department (DFTB)

        This infographic from DFTB reminds of 1. When we can discharge babies from the ED and 2. Information we should be providing upon discharge

        • 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
        8/3/2021
        Format
        Infographic
        Estimated duration
        2 min

      Those working in Resus or Adult ICU

      Duration: 2 hours 19 minutes

      • Lockie: KIDS – Just Little Adults? (ICN)

        A podcast with accompanying slides providing guidance on the timely recognition and management of the sick/critically unwell child; why physiological differences between adults and children demand certain/nuanced practices in their stabilisation; and key differential diagnosis to consider that may masquerade as respiratory disease.

        • Adult Ward Staff Nurse
        • Adult ICU Nurse
        • Pharmacy
        Date added
        8/3/2021
        Format
        Audio
        Estimated duration
        22 min

      • Managing bronchiolitis in adult ICUs - Part 2 (PCCS)

        Part 2 of a webinar series created by the Paediatric Critical Care Society (PCCS) for managing children with bronchiolitis on adult ICUs: - Introduction and Chair (Akash Deep/Ajay Desai, Chairs of the Science and Education Committee, PCCS UK) 00:00-14:30: What should paediatricians learn from the adult surge and what would adult healthcare profe...

        • Adult Ward Staff Nurse
        • Adult ICU Nurse
        • Pharmacy
        Date added
        8/13/2021
        Format
        Video
        Estimated duration
        117 min

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