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Society for Pediatric Urgent Care

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Society for Pediatric Urgent Care

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First Look and Red Flag List

A – Airway, Age of patient

 Noisy breathing
 Less than 6 weeks old
 Allergic reaction

B – Breathing

 Significant difficulty breathing for any reason

C – Circulation (blood)

 Active bleeding for any reason (DO NOT REMOVE BANDAGES)

D – Disability (Trauma and neuro)

 

Injury
Neck injury Chest and abdominal trauma
Fracture with obvious deformity Fall in child less than 2 years old
Burns (any type) MVA (motor vehicle accident) within 8 hours
Eye injury (any type)  
Neurological
Active Seizure Change in behavior for any reason
Loss of Consciousness  
Pain
Testicular trauma or pain  
Severe pain for any reason  
Miscellaneous
Swallowed foreign object or medication  
Known cancer patient or immune problem  

RED FLAG LIST
(If We Are Capping For The Night, Please Call A Nurse For The Following In Addition To The Above List):
 Asthma, wheezing, difficulty breathing.
 Fever and headache.

Beyond Scope (Patients still require check in, but may need to be referred elsewhere)

 Abscess needing incision and drainage
 Complex Chronic Illness
 Migraine Headache
 Psychiatric problem

✔ If you feel uncomfortable for any reason about a patient, call for a first look!

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