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Emergency Paediatrics
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.
Download Syllabus (28 November 2023)
VIEW another syllabus
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
- Acute red eye
- Acute conjunctivitis
- Periorbital and orbital cellulitis
Ophthalmological problems
- Recognise acute complications of Kawasaki disease (e.g. KD shock syndrome, macrophage activation syndrome)
- Recognition of refractory Kawasaki disease
Desirable skills
1. Wound management including local anaesthetics administration, irrigation and simple sutures
2. Rapid sequence induction and emergency intubation in children population
