This post accompanies the talk I was asked to give to a fantastic group of Ambulance Victoria paramedics. I was given the title “Everything you NEED to know about paediatrics”  but given that I don’t know everything I need to know yet I thought I would drill down and focus on doing one thing well.

One of the biggest challenges is identifying the difference between sick and not sick.  In the prehospital environment you don’t have the luxury of time and observation. All you can go on is what is in front of you. So how can you distil years of training and exposure? Perhaps what we call gut feeling is really a synthesis of the paediatric assessment triangle – a decision based on one snapshot in time.

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