Letters Spotting the sick child

Video clip is worth 1000 words

BMJ 2007; 335 doi: http://dx.doi.org/10.1136/bmj.39332.441204.3A (Published 13 September 2007) Cite this as: BMJ 2007;335:527
  1. William A M Cutting, retired paediatrician
  1. University of Edinburgh, Edinburgh EH9 1UW
  1. william.cutting{at}talktalk.net

    Identifying a seriously ill feverish child, as opposed to one who is miserable and irritable because he or she is uncomfortable with a simple condition, requires care and experience. Harnden reminds us that there is no simplistic formula; a full assessment is needed in which a careful examination is more important than the history, which is why “telephone triage” can be dangerous. A further review is important as the condition of children evolve and change …

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