Nurses who care for critically ill or injured paediatric patients presenting to the Emergency Department require specialised knowledge and skills.
Nursing children and adolescents can differ greatly to adults, as they there are specific physiological, social and cognitive needs to consider. It must be remembered that they are not small adults.
This module consists of some useful resources to guide assessing and recognising the unwell child and the application of appropriate interventions.
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Respiratory Assessment by B. Leary | OPENPediatrics
In this video, Brienne Leary, demonstrates how to perform a pediatric respiratory exam, reviews respiratory considerations for the intubated patient, and explains how to monitor a patient's respiratory status.
A multilingual transcript is available for this video, thanks to the generous support of our community members who volunteered their time to translate our content. Learn more about our OPENPediatrics translation campaign here: https://www.openpediatrics.org/content-translation
Please visit: www.openpediatrics.org
OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.
For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu
Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by Youtube. We apologize for any inconvenience this may cause. -
Cardiovascular Assessment by B. (Johnson) Leary | OPENPediatrics
Learn to assess a pediatric patient’s cardiovascular status and perform a detailed physical exam with a focus on cardiovascular status.
Please visit: www.openpediatrics.org
OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.
For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu
Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by Youtube. We apologize for any inconvenience this may cause. -
Neonatal reflexes | Behavior | MCAT | Khan Academy
Visit us (http://www.khanacademy.org/science/healthcare-and-medicine) for health and medicine content or (http://www.khanacademy.org/test-prep/mcat) for MCAT related content. These videos do not provide medical advice and are for informational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any Khan Academy video. Created by Brooke Miller.
Watch the next lesson: https://www.khanacademy.org/test-prep/mcat/behavior/human-development/v/physical-development-in-adolescence?utm_source=YT&utm_medium=Desc&utm_campaign=mcat
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MCAT on Khan Academy: Go ahead and practice some passage-based questions!
About Khan Academy: Khan Academy offers practice exercises, instructional videos, and a personalized learning dashboard that empower learners to study at their own pace in and outside of the classroom. We tackle math, science, computer programming, history, art history, economics, and more. Our math missions guide learners from kindergarten to calculus using state-of-the-art, adaptive technology that identifies strengths and learning gaps. We've also partnered with institutions like NASA, The Museum of Modern Art, The California Academy of Sciences, and MIT to offer specialized content.
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Baby circulation right after birth | Circulatory system physiology | NCLEX-RN | Khan Academy
Watch how the blood flows through the baby's circulation and compare it to what happens in the fetus. Rishi is a pediatric infectious disease physician and works at Khan Academy. Created by Rishi Desai.
Watch the next lesson: https://www.khanacademy.org/test-prep/nclex-rn/nclex-rn-circulatory-system/fetal-circulation-ddp/v/fetal-structures-in-an-adult?utm_source=YT&utm_medium=Desc&utm_campaign=Nclex-rn
Missed the previous lesson? https://www.khanacademy.org/test-prep/nclex-rn/nclex-rn-circulatory-system/fetal-circulation-ddp/v/fetal-circulation-right-before-birth?utm_source=YT&utm_medium=Desc&utm_campaign=Nclex-rn
NCLEX-RN on Khan Academy: A collection of questions from content covered on the NCLEX-RN. These questions are available under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 United States License (available at http://creativecommons.org/licenses/by-nc-sa/3.0/us/).
About Khan Academy: Khan Academy offers practice exercises, instructional videos, and a personalized learning dashboard that empower learners to study at their own pace in and outside of the classroom. We tackle math, science, computer programming, history, art history, economics, and more. Our math missions guide learners from kindergarten to calculus using state-of-the-art, adaptive technology that identifies strengths and learning gaps. We've also partnered with institutions like NASA, The Museum of Modern Art, The California Academy of Sciences, and MIT to offer specialized content.
For free. For everyone. Forever. #YouCanLearnAnything
Subscribe to Khan Academy’s NCLEX-RN channel: https://www.youtube.com/channel/UCDx5cTeADCvKWgF9x_Qjz3g?sub_confirmation=1
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Newborn assessment and exam just after birth by nurse. APGAR assessment
This is a video of a newborn assessment just after birth by a Labor and Delivery nurse at Alaska Regional Hospital. APGAR assessment example. -
Neonatal Respiration-RDS,TTN,MAS
Feel free to leave comments -
Infants of Diabetic Mothers
Dr. Amy Fan is a Harvard affiliated pediatrician and founder of Kinder, the first and only online primary care clinic for children.
Interested in personalized healthcare for your children wherever you are, whenever you need it? Please visit us at Kinder and set up a consult today. | www.GoKinderKid.com
Have a question or want to see a video about a different topic? Leave a comment and let Dr. Amy know!
Follow or subscribe for more Dr. Amy here:
https://www.instagram.com/dramypeds/
https://twitter.com/askdramypeds
https://www.youtube.com/askdramyanswersfromyourpediatrician
This video is for educational purposes only. Without a physician-patient relationship, content of the video is not to be taken as medical advice. -
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Coombs Test Made Simple
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A Coombs test (also known as Coombs' test, antiglobulin test or AGT) is either of two clinical blood tests used in immunohematology and immunology. The two Coombs tests are the direct Coombs test (DCT, also known as direct antiglobulin test or DAT), and the indirect Coombs test (also known as indirect antiglobulin test or IAT).
The direct Coombs test is used to test for autoimmune hemolytic anemia; i.e., a condition of a low count of red blood cells (aka RBCs) caused by immune system lysis or breaking of RBC membranes causing RBC destruction.
In certain diseases or conditions, an individual's blood may contain IgG antibodies that can specifically bind to antigens on the RBC surface membrane, and their circulating RBCs can become coated with IgG alloantibodies and/or IgG autoantibodies. Complement proteins may subsequently bind to the bound antibodies and cause RBC destruction.[1] The direct Coombs test is used to detect these antibodies or complement proteins that are bound to the surface of red blood cells; a blood sample is taken and the RBCs are washed (removing the patient's own plasma) and then incubated with anti-human globulin (also known as "Coombs reagent"). If this produces agglutination of RBCs, the direct Coombs test is positive, a visual indication that antibodies (and/or complement proteins) are bound to the surface of red blood cells.
The indirect Coombs test is used in prenatal testing of pregnant women and in testing blood prior to a blood transfusion. It detects antibodies against RBCs that are present unbound in the patient's serum. In this case, serum is extracted from the blood sample taken from the patient. Then, the serum is incubated with RBCs of known antigenicity; that is, RBCs with known reference values from other patient blood samples. If agglutination occurs, the indirect Coombs test is positive.[2]
The two Coombs tests are based on the fact that anti-human antibodies, which are produced by immunizing non-human species with human serum, will bind to human antibodies, commonly IgG or IgM. Animal anti-human antibodies will also bind to human antibodies that may be fixed onto antigens on the surface of red blood cells (also referred to as RBCs), and in the appropriate test tube conditions this can lead to agglutination of RBCs. The phenomenon of agglutination of RBCs is important here, because the resulting clumping of RBCs can be visualised; when clumping is seen the test is positive and when clumping is not seen the test is negative.
Common clinical uses of the Coombs test include the preparation of blood for transfusion in cross-matching, screening for atypical antibodies in the blood plasma of pregnant women as part of antenatal care, and detection of antibodies for the diagnosis of immune-mediated haemolytic anemias.
Examples of alloimmune hemolysis[edit]
Hemolytic disease of the newborn (also known as HDN or erythroblastosis fetalis)
Rh D hemolytic disease of the newborn (also known as Rh disease)
ABO hemolytic disease of the newborn (the indirect Coombs test may only be weakly positive)
Anti-Kell hemolytic disease of the newborn
Rh c hemolytic disease of the newborn
Rh E hemolytic disease of the newborn
wikipidea
https://en.wikipedia.org/wiki/Coombs_test
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Erythroblastosis Fetalis
Erythroblastosis Fetalis
Instructional Tutorial Video
CanadaQBank.com
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The Royal Children’s Hospital Melbourne
The aim of this guideline is to ensure all RCH patients receive consistent and timely nursing assessments.
https://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/Nursing_assessment/
Paediatric Patient Safety – NSW Government
The following tools are a valuable resource in assisting clinicians in caring for patients with life-limiting illness.
http://www.cec.health.nsw.gov.au/patient-safety-programs/paediatric-patient-safety/pqp-end-of-life-care
Kids Health WA
Paediatric Acute care Guidelines PMH Emergency Department.
http://kidshealthwa.com/guidelines/
The Royal Children’s Hospital Melbourne
The Paediatric Trauma Manual.
https://www.rch.org.au/trauma-service/manual/
The Royal Children’s Hospital Melbourne
Child growth learning resource.
https://www.rch.org.au/childgrowth/Child_growth_e-learning/
The Paediatric Nurse
Facebook Page – A community for paediatric nurses
https://www.facebook.com/pg/thepaediatricnurse/posts/?ref=page_internal
Life in the fast lane
Paediatrics by Dr Mike Cadogan, Last updated December 4, 2017
https://lifeinthefastlane.com/resources/pem/
Rebel EM
Approach to the Critically Ill Child: Shock
http://rebelem.com/approach-to-the-critically-ill-child-shock/
Sick Kids
Vital sign assessment includes heart rate, respiratory rate, blood pressure, oxygen saturation, respiratory effort, capillary refill time and temperature.
http://www.sickkids.ca/Nursing/Education-and-learning/Nursing-Student-Orientation/module-two-clinical-care/vitals/index.html
Sheldon, G., Anthony Heaton, P., Palmer, S., & Prosad Paul, S. (2018). Nursing management of paediatric asthma in Emergency Departments. Emergency Nurse, 26(4), 32-42. doi:10.7748/en.2018.e1770
Schibler, A., & Franklin, D. (2016). Respiratory support for children in the Emergency Department. Journal of Paediatrics & Child Health, 52(2), 192-196. doi:10.1111/jpc.13078