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Domain 9 : Paediatric care
These competencies are those expected of a practitioner of adult intensive care medicine, not a paediatric intensivist or neonatologist. Adult intensivists may be called upon to provide immediate care for the acutely ill child while awaiting transfer to a paediatric centre. 

By the end of specialist training, the trainee...

9.1 Describes the recognition of the acutely ill child and initial management of paediatric emergencies
9.2 Describes national legislation and guidelines relating to child protection and their relevance to critical care

Features of competent performance

  • Recognition of presenting signs and symptoms
  • Identification and rapid response to life-threatening complications
  • Awareness of patho-physiological differences between adult and child
  • Prioritise investigations and monitoring - appropriate; timely
  • Appropriate differential diagnosis
  • Clear decision making and immediate management strategies (including application of relevant protocols / guidelines)
  • Effective multidisciplinary team-working & leadership - clear communication & instructions
  • Timely and appropriate referral / consultation
  • Recognition of limitations (self and others) - maintain patient safety
All competencies
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Note that the "Resources" that are included in this page, have not been updated in the recent years. An updated collection of useful resources will be available soon as part of the ESICM Academy (for more details, see www.esicm.org).

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