Pattern and Outcome of Children Admitted in Emergency Unit of Assuit Children University Hospital Hospital

Inclusion Criteria

• •All patients from 28 day till 18 years who will be admitted to emergency unite at (AUCH) during duration of the study,data of the patients will be collected in the form of :
• •* Full history taking:
• •1. Personal history: (age, sex, gestational age), residence and socioeconomic status.
• •2. Cause of admission and clinical characteristic of patients (medical or surgical condition).
• •3. Triage and acuity : rapidly screening of sick children in order to identify: • those with emergency signs, who require immediate emergency treatment; • those with priority signs, who are at higher risk of dying.
• •These children should be assessed without unnecessary delay. • non-urgent cases, who have neither emergency nor priority signs. Emergency signs include: obstructed or absent breathing, severe respiratory distress, central cyanosis, signs of shock, coma, convulsions, signs of severe dehydration . The priority signs include: any sick child aged \< 2 months, very high temperature, severe pallor, history of poisoning, severe pain, restless or continuously irritable, edema of both feet
• •4. Associated symptoms of different systems involved.
• •5. Provisional diagnosis.
• •6. 1 st admission or not
• •7. Referring center , time and seasonal variation to detect most peak area and months
• •8. Fate
• •* Complete physical examination: Including body temperature , respiratory rate, heart rate, pallor, weight loss, and evidence of dehydration. Chest, cardiac , abdominal and neurological examination.
• •* Investigations and Imaging: Initial investigations for all cases: 1. Pulse oximetry. 2. Complete blood count. 3. Electrolytes. 4. Kidney function test. 5. Random blood glucose 6. Other investigations ordered for certain cases according to clinical manifestation \& previous findings \> Lines of treatment will be recorded
• •* Patients will be followed during their stay in ER and till discharge patient to home or refer him to specific unit in pediatric hospital with monitoring of factors affecting their prognosis.