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HRI Paediatric Flow Chart

There is now no on-site inpatient paediatric cover at HRI so this flow chart has been agreed to aid getting patients to the correct site or home as early as possible.

*For the purposes of this document a child is defined as from birth to 16years of age*

Process for assessment/management

1. On recognition of a critically unwell child resuscitation will be commenced immediately, in line with appropriate APLS/NLS algorithms
2. Patient will be moved to Resus as soon as practicable whilst maintain active resuscitation
3. 2222 “Paediatric Resus” call will be placed this will include:
   • ICU On-Call (Con/MG)
   • ODP
   • Paediatric Consultant On-Call (who will attend HRI ED ASAP)
   • Trauma Team (as appropriate)

If additional Neonatal input required – remote assistance form Neonatal On-Call at CRH is available.

4. EMBRACE should be called for transfer to definitive care, unless this is deemed inappropriate by the treating team

Full guide – HERE

Appendix – PAS Score

Urology