STANDARD TREATMENT ALGORITHMS FOR CHILDREN PAEDIATRIC EMERGENCY DEPARTMENT Launch of the 1 st Edition National Referral Hospital, Solomon Islands
1. Context 2. Background 3. A guide to ‘the Red Book’
Context • Children represent ~75% presentations to A&E • To date 1, 939 admissions: – Severe malnutrition 339 (17%) – Pneumonia 337 (17%) – Diarrhoea 141 (7%) – Mosquito-borne 119 (6%) – Sepsis 23 (1%) Data courtesy of Dr Steven Lumasa
2005 2008 2013 WHO Pocketbook 1 st Edition STM 3 rd Edition WHO Pocket Book 2 nd Edition 2016 STA 1 st Edition STM 4 th Edition
Background • A new standardised approach to care for sick children • An easy to use reference utilising algorithms for quick reference in a time-pressured environment • Part of a broader project to optimise care for sick children
• 9 months of consultation: – Department of Paediatrics, NRH – Department of Emergency, NRH – Centre for International Child Health, Melbourne • In line with current evidence base: – WHO Pocket book recommendations – NRH Antibiotic Guidelines – New Standard Treatment Manual – RCH Melbourne guidelines – International Sepsis Recommendations
A guide to the ‘Red Book’
Thanks! UNICEF Pacific Dr Titus Nasi and Department of Paediatrics Dr Trina Sale and Department of Emergency Kim Ackhurst, Clinical Nurse Specialist, Paediatrics (AVID) • Lynne Wanefalea, Clinical Nurse Specialist, Emergency (AVID) • •
STANDARD TREATMENT ALGORITHMS FOR CHILDREN PAEDIATRIC EMERGENCY DEPARTMENT Launch of the 1 st Edition National Referral Hospital, Solomon Islands