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Very scary when a kid is sick

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Difficult to cannulate/take bloods

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Had a paeds f2 job, feel fairly happy assessing kids of most ages. I don’t like adults anymore after that job!

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Would like senior support when seeing kids in A&E (especially when reviewing x-rays)

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Still scared making decisions about kids - I very much still ask a grown up for help

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Prefer paediatric patients to adult! Find it very interesting to combine parent perspective and child presentation, and kids are funny and unpredictable! :)

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Kids have a good physiological reserve and often look well until they really aren’t. It’s scary knowing that if a child is sick, they’re likely to be really really sick because they can’t compensate any more.

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Not enough practice to feel confident in management plans.
High risk situation.
Feel more liable to litigation.

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Not as confident in knowing what is life threatening emergencies and when they are critically unwell as you would be with an adult

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Important point is their behaviour for the little ones and whether they're being curious or are very withdrawn

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Important point is their behaviour for the little ones and whether they're being curious or are very withdrawn

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Paeds placement @ med school cut short due to Covid :(

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A-E approach
Vitals vary with age

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The smaller the child the scarier they are 🤡

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One of us had paeds job, other saw kids on GP / A&E - feel stressed sometimes, young children can’t say what is wrong with them, hard to examine.

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Basic A-E, escalate to seniors
Traffic Light System

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Younger the child, higher the anxiety

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Medical school
Surgical on calls
Anish is on Paediatrics

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The younger the kid is the more scary

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I’m scared to prescribe meds bc I might get it wrong and they’ll die

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Would like senior support to clarify concerns

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Very limited experience generally. Have come across some kids in surgery but not really as involved in their care as they would get senior review. Have had some clinical experience working as a HCA in the Great North Children’s Hospital but not had very much from a medical perspective.

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Most comfortable environment to assess children. Support available. Generally less acute.

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Speciality reviews for children tend to have senior doctors making decisions therefore as an FY1 without a paeds rotations have never been in a position where I would be making management decisions for children.

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Least favourite age to assess is 1-2y, they’re so hard to assess as they fight back with examinations and are surprisingly strong for how small they are.

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Working in paeds as FY
Volunteer on paeds ward
Children’s Activities Coordinator

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Urology - children with testicular pain
A&E - assessed young children, did not go near those under 2 years

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Could probably take an alright history but examining children is more scary

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Can be difficult to identify the actual unwell children from the well ones with worried parents

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Completely depends on the age. Above 12 months, no problem. Younger than a year, sheer panic.

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In GP - wouldn't feel too worried about assessing a kid

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In GP - wouldn't feel too worried about assessing a kid