The PAT Triangle

  •  The Pediatric Assessment Triangle establishes a level of severity, assists in determining urgency for life support measures, and identifies key physiological problems using  observational & listening skills.
  •  Appearance reflects adequacy of: oxygenation ventilation, brain perfusion, CNS function
  •  One mnemonic used for pediatric assessment is: TICLS.
    •  Tone- Moves spontaneously, sits or stands (age appropriate)
    •  Interaction- Alert, interacts with environment
    • Consolability- Stops crying with comfort measures (holding, warmth, distraction)
    •  Look/gaze – Makes eye contact with clinician, tracks objects
    • Speech/cry – Uses age appropriate speech or crying
  •  Breathing-Work of breathing is a more accurate indicator of oxygenation and ventilation than respiratory rate or breath sounds (standards used in adults)
  •  Circulation reflects adequacy of cardiac output and perfusion of vital organs (core perfusion).
  •  Cyanosis reflects decreased oxygen levels in arterial blood, vasoconstriction and respiratory  failure.
  •  Mottling of the skin indicates hypoxemia, vasoconstriction and respiratory failure

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