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Meningococcal sepsis. Rashes in the paediatric emergency department.

If you enjoyed this video, please consider subscribing and you'll see the next topics when they come out. Look for features of sepsis. I have covered topic separately Be particularly wary of • Abnormal observations, • A child that looks unwell, especially if their skin is mottled, cyanotic or unusually pale • Altered mental state • Abnormal cap refill • Reduced urine output • Signs of meningitis • A Non-blanching rash, particularly if rapidly progressing and not restricted to the distribution of the SVC (above the nipples only, can be caused by vomiting or coughing) The specifics of management and investigations can be looked up elsewhere (e.g. RCH guideline in references below), but the two key things to remember are: 1. Get senior help quickly, this is an emergency 2. Get blood cultures and give IV antibiotics asap This video is for educational use only. It is produced by doctors for doctors, pharmacists and other health professionals. Most of my videos are reviewed by multiple senior doctors for quality control prior to publication, but this still represents my personal take on this topic. This video is not medical advice. References: https://bestpractice.bmj.com.acs.hcn.... https://dermnetnz.org/ https://dontforgetthebubbles.com/comm... https://www.rch.org.au/clinicalguide/...