← Chapter 14
Maternal-Newborn & Paediatric Nursing · Chapter 14

The First Sixty Seconds

Almost no child arrests without warning. Tick only what you can see and hear from the doorway and watch the Paediatric Assessment Triangle name the physiological state — because which legs are abnormal decides the first intervention. Then anchor the observations to an age band, work the hypotension formula, and sort what may still be delegated once the child is no longer stable.

Stand in the doorway

Appearance — TICLS
Work of breathing
Circulation to skin
The triangle uses only what you can see and hear. No stethoscope, no cuff, no saturation probe — and it works on a child who is asleep, terrified or hostile.
Nothing ticked yetTick what you can see from the doorway
APPEARANCE TICLS — brain perfusion CIRCULATION TO SKIN pallor, mottling, cyanosis WORK OF BREATHING sounds, effort, position Stable all three legs normal
Waiting
Tick a finding on the left, or load one of the doorway scenes.