Emergency Paediatrics

Home School Activities
Draft proposed by Dr Simon To, Dr Frankie Cheng
Reviewed by Dr Winnie Tse

Essential Skills

Domain 1 Professional Values & Behaviour

Domain 3 Procedural skills

Domain 4 Patient Management

Additional desirable skills are listed in each proposal. These recommended skills are to be acquired as opportunity arises

Basic Training

Emergency room paediatrics

Resuscitation of a critically ill child

Assessment of a febrile child

Assessment and management of a seizing child

Body weight estimation and appropriate paediatric emergency drug dosing

Common emergencies encountered in various subspecialties

Minor trauma, wounds and burns

 Assessment and first aid of bruises, simple wounds and minor burns and indications for surgical referral

Indications for tetanus prophylaxis

Management of minor head injuries, including indications for neuroimaging

Toxicology

General approach to drug overdose

Management of paracetamol poisoning, including subacute, chronic and supratherapeutic poisoning

Orthopaedic problems

Approach to a limping child

Recognising radiographic features of fractures

Recognising the limitation of simple X-ray in children

 

Desirable skills

  1. Procedural analgesia

  2. Use of Broselow tape

Higher Training

Emergency room paediatrics

Foreign bodies in ear, nose and throat

Multidisciplinary collaboration in resuscitating and stabilizing a critically ill child

Indications for PICU support and facilitate transfer

Intra-hospital and inter-hospital transfer of a critically ill child

Risk assessment of Brief resolved unexplained event (BRUE)

Understand the risk factors of sudden expected death in infancy

Minor trauma, wounds and burns

 Management of extravasation injuries

Recognition and management of non-accidental injuries

Toxicology

Recognition and management of various toxidromes

Collaboration with external toxicology resources (e.g. Poison Information Centre, Emergency Department)

Understand the role and limitations of point-of-care and laboratory-based toxicology tests

Risk assessment and indications for referral for advanced support (e.g. PICU support, renal replacement or ECMO)

Be aware of medications that are life-threatening even when ingested in small amount accidentally by small children (e.g. tricyclic antidepressants, anti-arrhythmic drugs, opioids, clozapine, antimalarials , beta blockers, calcium channel blockers, theophylline, oral hypoglycaemics

Orthopaedic problems

Identifying fractures suggestive of non-accidental injury

Differentiating pathological fractures and initiating appropriate workup and referrals

Ophthalmological problems

Acute red eye

Acute conjunctivitis

Periorbital and orbital cellulitis

 

Desirable skills

  1. Wound management including local anaesthetics administration, irrigation and simple sutures

  2. Rapid sequence induction and emergency intubation in children population