Essay On Deterioration Of Sick Child

INTRODUCTION
The identification of a sick child or a deteriorating child is very imminent for the immediate treatment .The immediate attention to the sick child will either pave a way for the reversal of the impending danger or delay the emergent crashing so that the medications can work upon and give time for the body to cope up with the illness.
The deterioration of children is very difficult to recognise and predict because of the varied presentations of illness which are very unique to children and are age dependant. Children also cannot articulate the various reasons for the sickness and have very meagre compensatory mechanisms. With the advancing technology in the recent years and with the acquits of care being available ,the inpatient deterioration and cardiac arrests of the children in the wards of the hospital are avoidable or can be avoided completely. With careful and early detection of deterioration with the use of early warning scores and appropriate timely intervention given, these deteriorations can be reduced.
The

The study was conducted in the Paediatric Emergency Department (PES) and the paediatric wards of CMC, Vellore. All children (aged between 28 days of life to completed 17 years), presenting to PED, who required admission to the pediatric ward were enrolled into the study after obtaining the written informed consent from the parents. The enrolled participants were assessed by the physician (Casualty Medical Officer/Paediatrician) and their demographic details, primary diagnosis, co-morbid factors and PACS were documented in a standardized proforma. The children who needed admission to ICU as per the Physician’s (Pediatricians, Paediatric Emergency physician or Paediatric Intensivist) opinion and those children who require intensive care but admitted to the Semi-ICU cubicle in the Q5 South ward due to lack of bed in Paediatric ICU were excluded from the