Acutely Ill Child
Acute abdomen
Burn
Diabetic ketoacidosis / Diabetes mellitus
Meningococcemia
Poisoning / intoxication
Shock
Trauma
- List toxic agents that can cause altered level of consciousness and describe their mechanisms of action
- Describe common toxidromes
- Explain the effect of hyperglycemia on fluid, electrolyte and acid-base status
- Describe the basic principles of pharmacology used in the management of diabetic ketoacidosis
- Describe the pathophysiology of glucose homeostasis and the consequences of hyperglycemia
- Describe how the physiology of the cardiopulmonary systems impacts the vital signs in different age groups
- Describe the anatomic differences between the pediatric and adult airway
- Recognize that a primary respiratory event can lead to cardiac arrest in the pediatric population
- Define shock and describe the pathophysiology of four broad categories of shock: hypovolemic, distributive, cardiogenic and neurogenic
- Recognize that body surface area and degree of burn injury impact fluid management in the pediatric population
- Recognize that acute illness may lead to multisystem organ dysfunction
Overview & Foundational Knowledge
| Brayer AF & Humiston SG. Invasive meningococcal disease in childhood. Pediatrics in Review, 2011; 32(4): 152-160.
Review of meningococcal disease. Clinical features, treatment guidelines and complications. |
| The medical assessment of bruising in suspected child maltreatment cases: A clinical perspective.
http://www.cps.ca/documents/position/medical-assessment-of-bruising http://www.cps.ca/fr/documents/position/evaluation-medicale-des-ecchymoses Canadian Pediatric Society Practice Guideline (2013). Good tables, differential diagnoses. |
| Avner JR. Altered States of Consciousness. Pediatrics in Review 2006; 27 (9): 331-338.
Approach to altered level of consciousness. Common causes, differential diagnosis, table on herniation syndromes and management. |
| Yager P & Noviski N. Shock. Pediatrics in Review 2010; 31(8): 311-319.
Excellent overview, including pathophysiology of shock, types of shock and management. |
| Pope J & McBride J. Consultation with the Specialist: Respiratory Failure in Children. Pediatrics in Review 2004; 25(5): 160-167.
Review article on pathophysiology of respiratory insufficiency, and covers both acute and chronic respiratory failure and management. |
Clinical Resources
| Meningococcal vaccines in Canada: An update
http://www.cps.ca/en/documents/position/invasive-meningococcal-vaccination http://www.cps.ca/fr/documents/position/vaccination-contre-la-meningococcie-invasive Canadian Paediatric Society Position Statement (2017). |
| Wolfsdorf et al. Diabetic ketoacidosis in children and adolescents with diabetes. Pediatric Diabetes 2009; 10 (Suppl 12): 118-133.
International Society for Pediatric and Adolescent Diabetes (ISPAD) Clinical Practice Consensus Guidelines 2009 Compendium. Comprehensive article on diabetic ketoacidosis (DKA). |
| Pediatric Vital Signs. pedscases.com
http://www.pedscases.com/pediatric-vital-signs-reference-chart Pedscases podcast on pediatric vital signs and link to pediatric vital signs reference chart. |
| Krishnamoorthy et al. Pediatric burn injuries. International Journal of Critical Illness & Injury Science (2012); 2(3): 128-134.
Overview of pediatric burns, including classification of burn, systemic effects, and goals of management. |
| Management of the paediatric patient with acute head trauma.
http://www.cps.ca/en/documents/position/paediatric-patient-with-acute-head-trauma http://www.cps.ca/fr/documents/position/patient-age-pediatrique-victime-traumatisme-cranien-aigu Canadian Paediatric Society Position Statement (2016). |
Cards
| Acutely Unwell Child
Canuc-Paeds physician authored, replayable cases |
