Pediatric Assessment Triangle

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Characteristics of Work of Breathing

-Abnormal Airway Sounds ( ex. snoring, wheezing) -Abnormal Positioning( sniffing Pos, tripoding) - Retractions( supraclavicular,intercostal) HB- infants -Flaring( flaring of the nares on inspiration)

What are the 3 parts of the PAT

-General Appearance -Work of Breathing -Circulation to the Skin

APGAR

Appearance (all pink, pink and blue limbs, all blue) Pulse (>100, <100, absent) Grimace (cough, grimace, no response) Activity (flexed, flaccid, limp) Respirations (strong cry, weak cry, absent)

What is the C in TICLS

Consolability-stops crying with holding/comforting by a caregiver, has a differential response to caregiver vs. examiner

What is the I in TICLS ?

Interactiveness- appears alert/engaged with clinician or caregiver, interacts well with environment, reaches for objects

What is the L in TICLS

Look/ Gaze- Makes eye contact with clinician, tracks visually

Circulation to the Skin (PAT)

Pallor- white pale skin/mucous membranes Mottling- patchy skin discoloration Cyanosis- bluish discoloration

What is the S in TICLS

Speech/Cry- Uses age-appropriate speech

What is the mnemonic for appearance in the PAT?

TICLS

What is the T in TICLS?

Tone- move spontaneously, resists examination, sits/stands ( age appropriate)

TICLS mnemonic

tone, interactiveness, consolability, look/gaze, speech/cry

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