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The sick child assessment follows a systematic ABCDEFG approach, evaluating Airway, Breathing, Circulation, Disability, Exposure, and Glucose levels. Secondary assessment includes history-taking, signs/symptoms, nutrition, and risk stratification using the “Traffic Light” system (Green, Amber, Red). Red flags warrant immediate referral. Investigations (e.g., blood tests, urine/stool analysis, chest x-ray) support diagnosis. Treatment prioritizes shock management, fever control, judicious antibiotic use, and ORS for dehydration. Parental counseling emphasizes the “4Fs”: Feeding, Fluids, Follow-up, and Fast response to warning signs like lethargy, poor feeding, or dehydration. Safety netting ensures timely care and improves outcomes in acutely unwell children.

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Recognition and Approach to a Sick Child

  • 章节

  • 发表日期：

    2025年

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  • Beh Hooi Chin,
  • Ain Sabrina Mohamed Amiruddin,
  • Shariza Lukman,
  • Yogarabindranath Swarna Nantha

摘要

The sick child assessment follows a systematic ABCDEFG approach, evaluating Airway, Breathing, Circulation, Disability, Exposure, and Glucose levels. Secondary assessment includes history-taking, signs/symptoms, nutrition, and risk stratification using the “Traffic Light” system (Green, Amber, Red). Red flags warrant immediate referral. Investigations (e.g., blood tests, urine/stool analysis, chest x-ray) support diagnosis. Treatment prioritizes shock management, fever control, judicious antibiotic use, and ORS for dehydration. Parental counseling emphasizes the “4Fs”: Feeding, Fluids, Follow-up, and Fast response to warning signs like lethargy, poor feeding, or dehydration. Safety netting ensures timely care and improves outcomes in acutely unwell children.