Clinicalskills.net has squeezed in some new procedures just in time for Christmas! Three new Children’s procedures, and a new Adults procedure, which is on Interpreting a 12-lead ECG.
Please take a look at the new Children’s procedures, which have been demonstrated by three authors from the School of Health Sciences at the University of Nottingham: Laura Holliday, Teaching Associate—Child Health, Helen Reddy, Teaching Associate, and Louise Clarke, Lecturer—Child Health. You’ll find this additional content in a new category called Respiratory Care in Infants and Children, in the Children’s section:
Respiratory assessment in children and young people. This procedure discusses the importance of respiratory assessment in this age group, and the reasons why the airways of infants and young children are more prone to obstruction than those of adults. These pages focus on assessment of airway and breathing in relation to the first two steps of the ABCDE approach. The procedure describes a look, listen and feel approach covering cyanosis, posture, facial expression, vocalisation, respiratory sounds and their causes, use of accessory muscles, chest movement and auscultation. It emphasises the importance of documenting observations and taking appropriate action if the child’s condition is deteriorating.
Oxygen delivery systems. After describing the reasons why oxygen administration is very common in acute care of infants and children, this procedure goes on to list the main methods of oxygen delivery in this age group, together with their advantages and disadvantages, and practical advice about using each method. It covers nasal cannulae, simple mask, Venturi mask, non-rebreathe mask and the use of wafting or a headbox for infants. It also discusses humidification.
Oxygen saturation monitoring in infants and children. Use of oxygen saturation monitoring in common in infants and children at risk of hypoxaemia and those with certain respiratory illnesses. This procedure explains the principles of oxygen saturation monitoring (pulse oximetry), and how to set up the pulse oximeter and probes. It emphasises the need to consider the results in the context of the patient’s overall clinical status, and the importance of using an early warning score.
Interpreting a 12-lead echocardiogram (ECG). This procedure takes the reader through the basic steps in reviewing and interpreting a normal 12-lead ECG, as well as identifying some abnormalities that can occur. It emphasises the need for a systematic approach, to avoid missing any important information on the recording. These pages explain how the path of the electrical impulse through the heart relates to the normal sinus rhythm trace, and the reasons for the differences in appearance of the traces that come from each of the 12 leads. It describes how to check the calibration of the trace and how to calculate the heart rate. It finishes with some examples of common conditions as they appear on the 12-lead ECG: acute coronary syndrome, complete or third degree heart block, and fast atrial fibrillation.
Clinicalskills.net has also updated many procedures recently including:
Venous Access Devices
The four procedures in this category have all been reviewed and updated by the author, Dr Lisa Dougherty:
Care of a midline catheter
Accessing and care of an implanted port
Care of a skin-tunnelled catheter
Care of a peripherally inserted central catheter