ED Pathway for Evaluation/Treatment of Children with Post-Op T&A Bleed

Triage

Make all patients NPO

Do NOT swab throat for culture

Post-Op

1 Critical 2 Acute 3 Urgent 4 Urgent 5 Non-Urgent
  • Profuse bleeding with hemodynamic compromise
  • Active bleeding

  • Incisional dehiscence

  • Vomiting and/or decreased po’s with:

    • Oliguria
    • Tacky mucous membranes
    • Tachycardia
    • Absent tears
    • Sunken eyes
    • Listlessness
  • Fever, hx:  fever > 38°C (100.4°F)

  • Vomiting

  • Incisional exudate

  • Incisional erythema
    Decreased po’s

  • Decreased appetite