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Reading the Child Who Can't Say What Hurts
A fourteen-month-old with a fever can't tell you where it hurts, and their vital signs will look reassuring right up until they crash. So how do pediatric emergency specialists assess and sort patients who can't narrate their own symptoms? This episode works through the Pediatric Assessment Triangle, the Emergency Severity Index and its pediatric adaptations, and the parent-as-proxy-historian problem — plus the uneasy tradeoff between under-triage and over-triage. It's a look at a discipline built on reading behavior, breathing, and skin when the instruments lag, and the generalizable skill…
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