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Management of the Febrile Infant with fever

Most Common Non-serious Infections

Respiratory viral infections (Fall, Winter, Spring)

Enteroviral infections (Summer)

Roseola infantum

Organisms Isolated from Blood in Outpatients with Bacteremia

S. pneumoniae 85%

H. Influenzae b 4%

N. meningitis 1%

Salmonella 4%

Other 5%

Identification of an "Unstable" Child

· Airway patency · Circulation

· Breathing Heart rate

Rate Blood pressure

Air Entry Peripheral pulses

Mechanics Skin perfusion

Color CNS perfusion

Identification of a "Toxic" Child

Yale Acute Illness Observation Scales (AIOS) Baby

S. pneumoniae 85%

H. Influenzae b 4%

N. meningitis 1%

Salmonella 4%

Other 5%

Identification of an "Unstable" Child

· Airway patency · Circulation

· Breathing Heart rate Babies

Rate Blood pressure

Air Entry Peripheral pulses

Mechanics Skin perfusion

Color CNS perfusion

  Identification of a "Toxic" Child

  Yale Acute Illness Observation Scales (AIOS)

_ Quality