Pandemic flu preparation
In accordance with DOH guidance, we are in the process of firming up our policies and procedures in the case of a flu pandemic.
The latest DOH guidance is available online:In line with DOH guidance, we have plans to increase the capacity of Paediatric Intensive Care by 100%, from 7 to 14 beds. We will achieve this by converting HDU to ICU beds. The unit will however not be run to the current standards as there will not be staff available to do so.
There is a link below to a phased response document for paediatric intensive care in South Wales based on Appendix 13 from the DOH SURGE document for your consideration.
There is also a link to a DOH document on care of the critically ill child in abnormal circumstances for your information. Taking a more practical approach, I attach action points detailing what needs to happen currently.
I welcome any constructive suggestions and comments from clinicians in South Wales.
C HELEN FARDY
Lead Clinician in Paediatric Intensive Care
South Wales PICU phased response
UHW PICU guidelines
Use the link to find the guidleines for general management of individual patients and organisational management.
Care Guidelines for pandemic flu in DGH
These have been suggested by the All Wales Paediatric Critical Care Network.
Vital sign normal ranges for children
Ventilation of children in a DGH
Resuscitation chart and calculation guide
The guides below can be rpinted out on a single sheet of A4 for use by the patient's bedside.
Oseltamivir (Tamiflu) Please note that the dosage recommendations for this have changed often in recent weeks, so the link takes you to a source page for many advice documents - you will need to navigate to the appropriate one yourself.
New guidance is available for prescribing Oseltamavir in children with renal impairment
Zanamivir is available for use in exceptional circumstances as an intravenous preparation.
Useful links and documents
Use of Personal Protective Equipment (PPE)
HPA algorithm - management of suspected cases who are contacts
HPA algorithm - management of suspected cases who have no contact history