Acute assessment of breathing problems in children

A medical consult is recommended where there is no specific protocol for a condition

  • Always consider sepsis — signs and symptoms can include
    • High or low temperature
    • Fast breathing
    • Fast pulse
    • Low BP or dizziness
    • Confusion and/or agitation

Check

  • Calculate age-appropriate REWS
    • Adult — AVPU, RR, O2 sats, pulse, BP, Temp
    • Child (less than 13 years) — AVPU, respiratory distress, RR, O2 sats, pulse, central capillary refill time, Temp
  • Weight, BGL
  • If REWS score 3 or more — urgent medical consult
  • If available POC Test — WBC, electrolytes
  • History and head-to-toe exam
  • Immunisation status

Table 1.12   Some causes of breathing problems in children