Traffic Light System for Feverish Child

• For children <5 years. Temperature, HR, RR, CRT and signs of dehydration should be assessed.
• Red (Refer Urgently to Paediatric Specialist):
  • Respiratory → grunting, RR>60, moderate or severe recessions.
  • Hydration → reduced skin turgor.
  • Age <3 months + Temp >38°C.

Neurocutaneous Syndromes (all AD)

• Neurofibromatosis Type 1 → associated with MEN2. ≥6 cafe au lait spots, axiallary/groin freckles, optic glioma, phaeochromacytomas, neurofibromas.
  • NF2→ bilateral acoustic neuromas, meningiomas, ependymomas.
• Tuberous Sclerosis → ‘ash leaf’ patch.

Neonatal Resuscitation

1. Dry Baby
2. Within 30s → assess tone, RR, HR (femoral, brachial) and colour
3. Within 60s → not breathing: open airway, 5 inflation breaths (via face mask).
   1. Repeat 5 inflation breaths until chest movement seen.
4. Chest moves, HR slow (<60bpm) → ventilate for 30s
5. Chest moves, HR slow (<60bpm) → chest compressions + ventilation (3:1)
6. Reassess HR every 30s → consider venous access and drugs

Apgar Score → after 1 minute, 5 minutes, then every subsequent 5 minutes.