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Canadian TriagAcuity Sca
PEDIATR
PRESENTED BY:DR. ELSAYED ELKEE.D. SPECIALISTHEAD of EMERGENCY DEP
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To Whom Does PedCATS Ap?
Birth and includingof age
Challenged and tecdependent indiiduthan 16
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Why ws PedCTAS De!elo?
Ch"ld#e$ d"%e# f#o
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Ped"'#") Co$s"de#'"o$
*. Ped"'#") S"+e
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Ped"'#") Co$s"de#'"o$
,. Ped"'#")De!elopme$'
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Ped"'#") Co$s"de#'"o$
-. C&l'l/m"lI$0&e$)e
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Compo$e$'s of Ped"'#") T#
The Ped"'#") Assessme$' T#"1e 2C#"'")lLoo34
I$"'"l Assessme$' Appe#$)e$eolo1")l ssessme$' Resp"#'o#y $d e%o#'
He#' #'e $d pe#f&s"o$ H"s'o#y T#"1e De)"s"o$ 2, 'o 5 m"$&'e
ssessme$'4
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PEDIATRIC ASSESSMENT
APPERANCE D#ess 2pp#op#"'e fo# 'he seso$4 A)'"!"'y 2mo#eless 'h$ fo# )h"ld 'h
1e4 Spee)hC#y 2mess1e of
p"$d"s)omfo#'fe#4
AIRWAY 6 BREATHING D#ool"$1Dysph1" Pos"'"o$ 2'#"pod4
Ad!e$'"'"o&s So&$ds 2s'#"do#7 whee+"#&$'"$ 4
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PEDIATRIC ASSESSMENT
CIRC8LAT9N Pllo# Cy$os"s T)hy)#d":#dy)#d" A:se$' pe#"phe#l p&lse
DISABILITY Al'e#ed le!el of )o$s)"o&s$ess Pp"ll#y )h$1es I##"':"l"'y
Res'less$ess
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PEDIATRIC ;ITAL SIGNS
MAY BE RE
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PEDIATRIC ;ITAL SIGNS
TEMPERAT
8RE
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PEDIATRIC ;ITAL SIGNS
PAIN I$'e$se p"$ )$ :e sso)"'ed w"'h :p#o)esses 2o'"'"s med"4
T)hy)#d"7 pllo#7 swe'"$1 $d o'hephys"olo1")l s"1$s #e &sef&l "$ 'he
e!l&'"o$ of p"$ le!el Ps' e>pe#"e$)e P"$ s)le #e less helpf&l ' 'he e>'#e
1e
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PEDIATRIC ;ITAL SIGNS
PAIN How ))'e "s 'he p#e$'l "mp#ess"'he"# )h"ld?s p"$@
Do yo&$1e# )h"ld#e$ #e)e"!e $l1es")s olde# )h"ld#e$ e!e$ "f 'hey #epo#' '
s mode#'e 'o se!e#e@ How wo&ld yo& ssess p"$ "$ $eo$
yo&$1 "$f$'@ The yo&$1e# 'he )h"ld 'he less l"3ely
s)o#e "s do)&me$'ed
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The /.L.A.C.C S)o#e
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PEDIATRIC CTAS N9RMAL ;ITAL
A '#"1e '#")3 'o #emem:e#"$;"'l S"1$s No#ms "$ Ch"ld#e 8se s'$d#d )h#' Memo#"+e 'h' $eo$'e p&lse "s *
p&ll o&' 'he s $o#ml fo# #esp"# I$ e)h se&e$'"l 1e 1#o&p 2,47
*47 Ad&l' 'he de)#esed :y ,7 RRde)#esed :y * A , ye# old HR *,7 RR - A 5 ye# old HR *7 RR ,
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PEDIATRIC CTAS
C )h"ef Compl"$'
I "mm&$"+'"o$Alle#1"esM med")'"o$s
P ps' med")l h"s'o#yp#e$'Fs pe#))h"ld?s )o$d"'"o$
E e!e$'s so&$d"$1 'he "ll$ess"$y
Dd"e'd"pe#s
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PEDIATRIC ASSESSMENT
DEHYDRATI9N
MILD DEHYDRATI9N No#ml Blood P#esse D#y Mo&'h
M9DERATE DEHYDRATI9N D#y C#)3ed L"ps Some Mo''l"$1 of 'he S3"$
No#ml Blood P#esse
SE;ERE DEHYDRATI9N Cool E>'#em"'"es Delyed Cp"ll#y Rell To'lly P#)hed Hypo'e$s"o$
Ce$'#l Cy$os"s
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Patient should have an INITIAL
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Patient should have an INITIAL
TRIAGE ASSESSMENT WITHIN
10 MINUTES of aival
Patient should have an INITIAL
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Patient should have an INITIAL
TRIAGE ASSESSMENT WITHIN
10 MINUTES of aival
Patient should have an INITIAL
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Patient should have an INITIAL
TRIAGE ASSESSMENT WITHIN
10 MINUTES of aival
Patient should have an INITIAL
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Patient should have an INITIAL
TRIAGE ASSESSMENT WITHIN
10 MINUTES of aival
Patient should have an INITIAL
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Patient should have an INITIAL
TRIAGE ASSESSMENT WITHIN
10 MINUTES of aival
TRIAGE
LE
!EL!
N"N
URRGE
NT
TIME T" NURSE
ASSESSMENT#
1$0 MINUTES
TIME TO NURSE
REASSESSMENT
1$0 MINUTES
TIME TO
PHYSICIAN
ASSESSMENT/
INITIATION OF
TREATMENT:
1$0 MINUTES
EXAMPLES
1. CHILD WHO IS ALERTAFEBRILE, WELLHYDRATED, NORMAL VS
2. VOMITING/DIARRHEAALONE WITH NO SIGNSOF DEHYDRATION
3. ACUTE BUT NONURGENT
4. PART OF A CHRONICPROBLEM WITHOUTDETERIORATION
CONDITION THATMAY BE ACUTE BUT
NON URGENT ASWELL AS
CONDITIONS WHICHMAY BE PART OF A
CHRONIC PROBLEMWITH OR WITHOUTDETERIORATIOB
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