Is the child well appearing?
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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Fever in Children Aged 3 to 36 Months: Management in the Emergency Department (Pharmacology CME) | EB Medicine
About This Issue Case Presentations Introduction Critical Appraisal of the Literature Etiology and Pathophysiology Acute Otitis Media Skin and Soft-Tissue Infection Osteoarticular Infection Bacterial Pneumonia Meningitis Bacteremia Urinary Tract Infection Bacterial Enteritis Differential Diagnosis Prehospital Care Emergency Department Evaluation Physical Examination Findings, by Condition Acute Otitis Media Skin and Soft-Tissue