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Emergency Paediatrics
Draft proposed by Dr Simon To, Dr Frankie Cheng
Reviewed by Dr Winnie Tse
| Essential Skills | View other syllabuses and domains |
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
- 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
