1. What Every Parent Needs to know
Dr Nadia Rahman
25th April 2017

2. Introduction Red Flags – Danger signs When to seek help
Infections
Common cold
Diarrhoea & Vomiting
Chicken Pox
Croup
Meningitis
Red Flags – Danger signs
When to seek help
Where to seek help
Prevention of spread

3. A must have IN EVERY HOUSE
THERMOMETER
PARACETOMOL
IBUPROFEN
PLASTERS
OPTIONAL
ANITHISTAMINE (PIRITON)
BANDAGES
£40+
£5+

4. Infections VIRAL INFECTIONS Gastroenteritis (D&V)
Common cold – coughs & runny nose
Croup
Viral rashes

5. Red Flags
Breathing difficulties (signs)
Dehydrated
Constant drowsiness even when fever settled
Constant high fevers
Non-blanching rash
See traffic light table
Normal respiratory rates: <1 year: breaths per minute.
1-2 years: breaths per minute.
2-5 years: breaths per minute.
5-12 years: breaths per minute.
>12 years: breaths per minute.
Very slow respiratory rates in children suggest imminent respiratory arrest.

6. When and where to seek help
Traffic Light Warning
Where to seek help
Green signs:
Watch and wait at home
Simple remedies
Chemist
Amber signs: GP
Walk in centres
Red signs:
GP / A&E
Mum knows best / Home remedies
Minor ailment services
This means certain pharmacies can supply medicines for certain conditions on the NHS.
They can supply medicines for certain conditions and you'll only pay the standard prescription charge.
If you're exempt from paying prescription charges – you won't pay for the medicine.
Just ask at your local pharmacy. 
GP / Walk-in centre
Wound care, strains and sprains, minor cuts, infected wounds, long term illness care etc
LIFE THREATENING PROBLEMS
Accident and Emergency (A&E)
Severe head injuries / loss of consciousness, Deep cuts (stitches), foreign bodies, suspected broken bones or heavy blood loss, persistent chest pain or difficulty breathing, overdose or poisoning etc

7. School exclusion Public Health ENGLAND
Illness
Time to be kept away from school
Shingles
Exclude only if rash is weeping and cannot be covered
Scabies
Return after first treatment
Scarlet fever*
Return 24 hours after starting appropriate antibiotic treatment
Diarrhoea and / or Vomiting
48 hrs from the last episode
Impetigo
Until lesions crusted, or 48 hrs after starting antibiotic treatment
Measles*
4 days from onset of rash
Chickenpox*
5 days from the onset of rash
Mumps
5 days after onset of swelling
Whooping Cough (Pertussis)
5 days from starting antibiotics
German measles (rubella)*
6 days from onset of rash
Hepatitis A
7 days after onset of jaundice
Flu (influenza)
Until recovered
Meningitis TB
Specialist will advise

8. Prevention - Good Hygiene
Handwashing
Handwashing is one of the most important ways of controlling the spread of infections, especially those that cause diarrhoea and vomiting, and respiratory disease. The recommended method is the use of liquid soap, warm water and paper towels. Always wash hands after using the toilet, before eating or handling food, and after handling animals. Cover all cuts and abrasions with waterproof dressings.
Coughing and sneezing
Coughing and sneezing easily spread infections. Children and adults should be encouraged to cover their mouth and nose with a tissue. Wash hands after using or disposing of tissues. Spitting should be discouraged.

9. resources http://www.nhs.uk/conditions
on_infection_control_in_schools_11_Sept.pdf