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Assessment at the scene

Breathing Difficulties
Just try and breathe. ok. Sats 90%. Can I just have a quick look at your chest? Is that alright? Have a quick look here. Ok fine. Let's get them dots on. Has he been well for the past few days? He's been fine. Yes. Well, he's had a cough at night for a couple of weeks but, you know, just like a bit of a dry cough. Ok. Have you given him any Calpol, anything else to treat that? No, he hasn't really had any.
Cameron has had a look at Fraser’s chest and he sees subcostal and intercostal recession with tracheal tug. When he listens to his chest he can hear wheeze throughout both lung fields and he notes that Fraser also has prolonged expiration. They decide to give him a nebuliser and move him to the ambulance to reassess.

From this video we can see that that the child, Fraser, is not well at all…

Referring back to the table in the previous step, what are you worried about and what are your next steps?

Have a think and discuss below.

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Emergency and Urgent Care for Children: a Survival Guide

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