Tags
Ped. Emerg. Med. Practice
Published
October 2, 2022
Author(s)
Nader Badri, MD;
Lucas Friedman, MD
Decision
Is the child well appearing?
Background
In a study of paramedics, the PAT was shown to have 77.4% sensitivity and 90.0% specificity for identifying unstable patients.6
The PAT has additional efficacy in an ED triage system for identifying an ill-appearing child.75 Adjunct to the PAT, the Yale Observation Scale is also useful in determining serious illness in febrile children (>38.5°C) aged 3 to 36 months, although it is poorly sensitive in children aged <3 months.
The best combination of sensitivity and specificity in determining a sick child is achieved if Yale Observation Scale score is >10, and a Yale Observation Scale score of >8 increases sensitivity to over 90%.
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Full Pediatric Fever Pathway
Well Appearing Child
Ill Appearing