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Paeds Vivasclinical-assessment-and-reasoning

Paeds Vivas · clinical-assessment-and-reasoning

Age-specific normal vital signs and physiological ranges — viva

Branching viva.

branching clinical structured oral1 min readVerification in progress

Target exams

RACP DCEMRCPCH Clinical
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Study tools

Target exams

RACP DCEMRCPCH Clinical
Prompt
Bedside interpretation station for Age-specific normal vital signs and physiological ranges.

Write your answer

Saved on this device. No marking — you are the marker.

Stem

Examiner-led viva. [1]

Examiner: What is your opening approach? [1]

Strong answer: Measure correctly, age-adjust or chart correctly, interpret trend, act on threat. [1]

References10ShowHide
  1. [1]Fleming S Normal ranges of heart rate and respiratory rate in children from birth to 18 years of age: a systematic review of observational studies Lancet, 2011.PMID 21411136
  2. [2]Bonafide CP Development of heart and respiratory rate percentile curves for hospitalized children Pediatrics, 2013.PMID 23478871
  3. [3]Daymont C Heart rates in hospitalized children by age and body temperature Pediatrics, 2015.PMID 25917984
  4. [4]Fleming S Validity and reliability of measurement of capillary refill time in children: a systematic review Arch Dis Child, 2015.PMID 25260515
  5. [5]Fleming S The Diagnostic Value of Capillary Refill Time for Detecting Serious Illness in Children: A Systematic Review and Meta-Analysis PLoS One, 2015.PMID 26375953
  6. [6]Mills E Association between caregiver concern for clinical deterioration and critical illness in children presenting to hospital: a prospective cohort study Lancet Child Adolesc Health, 2025.PMID 40451224
  7. [7]Trubey R Validity and effectiveness of paediatric early warning systems and track and trigger tools for identifying and reducing clinical deterioration in hospitalised children: a systematic review BMJ Open, 2019.PMID 31061010
  8. [8]Parshuram CS Effect of a Pediatric Early Warning System on All-Cause Mortality in Hospitalized Pediatric Patients: The EPOCH Randomized Clinical Trial JAMA, 2018.PMID 29486493
  9. [9]Sharma M Racial and skin color mediated disparities in pulse oximetry in infants and young children Paediatr Respir Rev, 2024.PMID 38233229
  10. [10]Starmer AJ Changes in medical errors after implementation of a handoff program N Engl J Med, 2014.PMID 25372088
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