- See Yale Observation Scale
- Fever Without Focus
- Fever Without Focus Management Birth to 3 Months
- Fever Without Focus Management 3 to 36 months
- Rochester Criteria for Febrile Infant 0 to 60 days
- Philadelphia Criteria for Febrile Infant 29-60 days
- Milwaukee Criteria for Febrile Infant 28-56 days
- Boston Criteria for Febrile Infant 28-89 days
- Neonatal Sepsis
- Positive findings define toxic or ill-appearance and increase risk of Occult Bacteremia
- All negative findings has Negative Likelihood Ratio of 0.1 (low serious infection risk)
- Assumes no serious underlying chronic disease
- Assumes no regular medical interventions
- No Hemodialysis
- No ongoing intravenous therapy
- No indwelling catheter
- Behavior change
- Decreased activity
- Does not interact with parents or environment
- Weak eye contact
- Irritability
- Lethargy or other Altered Level of Consciousness
- Cardiopulmonary
- Cyanosis or other signs of poor perfusion
- Hyperventilation, hypoventilation or other signs of respiratory distress (e.g. grunting)
- Hypotension
- Tachycardia
- Miscellaneous
- Seizures
- Hypotonic
- Petechial rash
- Meningeal Irritation
- Bulging Fontanelle
- Herman (2015) Crit Dec Emerg Med 29(12):14-19
- Irwin (2015) Pediatrics 135(4): 635-42 [PubMed]
- Van den Bruel (2010) Lancet 375(9717): 834-45 [PubMed]