Approach to critical ill child

Critically ill children are the children whom requiring, or potentially requiring, high reliance or serious consideration whether in medical, surgical or trauma- related fields. Pediatric ill cases regularly increase the incidence of Emergency Department (ED) Presentation in addition, induced a high percent of ED visitors. All child patients who are requiring urgent management in the ED, hospital wards, Intensive Care Unit (ICU) and Neonatal Intensive Care Unit (NICU). Initial assessment and management with a priority-based methodology to recognize potentially life-threatening conditions and to convey life-saving treatment. Collection of all possible available data about Critical ill child in the ED. By many research questions to achieve these aims so a midline literature search was performed with the keywords “Critical ill child ECG”, “cardiac arrest in child”, “emergency medicine”, “principals of resuscitations skills", "pediatric life support”. All studies introduced that the initial therapy is a serious condition that face patients of the emergency and critical care departments. Literature search included an overview of recent definition, causes and recent therapeutic strategies. Conclusion: Practitioner’s experts should check that all the fitting equipment and supplies for various age bunches are accessible. It is pivotal to begin with Pediatric Assessment Triangle (PAT) trailed by Airway, Breathing, Circulation, Disability and Environment /Exposure (ABCDE) evaluation. After completing the initial evaluation and resuscitation, the pre-hospital specialist ought to perform progressing assessment to watch the intervention reaction and to manage changes in treatment.

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