In this section
There are patients who need an urgent response, and we have
defined these criteria, which we refer to as ‘Go Now’ criteria.
These are not meant as thresholds for referral, for many such
children we would wish to be called earlier, but rather they are triggers for
urgent departure of our retrieval team. This is not an exclusive list of all
children who are unwell. If you are worried about a child on presentation, or
they are not improving as expected with therapy please refer for review and
Paediatric ‘Go Now’ Criteria are:
* Signs of shock include capillary refill >3 seconds, low
volume pulses, hypotension, tachypnoea, lethargic or poor conscious state.
Any child fulfilling the PETS Go Now
criteria should be discussed urgently with a PIPER consultant. If a child fulfils any of
these criteria, don’t delay, Go Now. If
a PIPER paediatric transport is already underway, a second team can be sought for
Go Now criteria, involving staff from PICU.
Most of these patients will need to be
transported by PIPER to RCH PICU or Monash PICU, but some will initially be
stabilised in the regional ICU that has a paediatric intensive care section.
The decision to go immediately and transport out should occur regardless of the
bed state at the tertiary centre and may require transfer to RCH or Monash
Emergency departments if no PICU beds available, and it is safe and appropriate
to do so.
The PIPER Clinician: ensure the appropriate team is sent
to these cases. Availability of a second PIPER Nurse from PICU can be sought
from the PICU NUM in hours and PICU AUM out of hours.
Updated November 2023 S Smith