Is this child seriously ill? - Oxford handbook of clinical specialties

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Is this child seriously ill? - a chapter from Oxford handbook of clinical specialties (OHCS):

Is this child seriously ill?

- Agitation or coma

- Unreactive/unequal pupils

- Laboured breathing/hyperventilation

- Stridor/wheeze/apnoea/Chenye-Stokes respiration

- Ashen, blue or mottled complexion

- Weak/absent peripheral pulses/poor capillary refill (normally less than 2 secs)

- Decorticate (flexed arms, extended legs)

- Decerebrate (arms and legs extended)

- Opisthotonus (head extended, back arched)

Age (years)	RR (/min)	PR (/min)	Systolic BP (mmHg)
Younger than 1	30 - 40	110 - 160	70 - 90
2 – 5	20 - 30	95 - 140	80 - 100
5 – 12	15 - 20	80 - 120	90 - 110
Older than 12	12 - 16	60 - 100	100 - 120