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Skip to 0 minutes and 1 second At this point Maria we think probably there’s been an infection in her ear. We go off what we call a Traffic Light System. So ‘red’ is severe, ‘amber’ is moderately severe and ‘green’ is ok. At this point in time, I would say we’re on the ‘green’ sort of banding. Normally we look out for things like high heart rate; how she is interacting with you; if has she been really quiet or lethargic; sleeping for no reason. That would be a worrying sign as well. A breathing rate which increases quite a lot is also concerning. Ok and also just generally how she is. At this point in time, I’m quite happy that it’s on a ‘green’ on the Traffic Light System. That’s good.

Watch the Paramedics make a differential diagnosis

Now that we have assessed Charlotte using the Traffic Light System, what is the differential diagnosis at this point? Are there any other investigations or observations that you would want before making your final assessment?

Consider also the appropriate management plan for this patient. Should you:

  • Transport to the emergency department?
  • Refer to primary care?
  • Discharge into mums care with appropriate safety netting and advice?

Discuss your answers below.

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This video is from the free online course:

Emergency and Urgent Care for Children: a Survival Guide

University of Birmingham