Acute Life Threatening Event (ATLE) Flashcards

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1
Q

What is an acute life threatening event?

A

These occur in infants and are a combination of apnoea, colour change, alteration in muscle tone, choking or gagging.

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2
Q

Which age group do they most commonly occur in?

A

Infants under 10 weeks old

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3
Q

What are the common causes of ATLEs?

A

Can be serious causes although causes are often not identified.

Common causes:

  • Infections
  • Upper airway obstruction
  • GORD
  • Seizures
  • Idiopathic

Can also more rarely be caused by:

  • Cardiac arrhythmia
  • Anaemia
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4
Q

What is the immediate management for a child an acute life threatening event?

A

Obviously if choking, back slaps etc.

General principle is admit, do a detail history and examination. Monitor overnight.

Majority episode is brief, the child will recover quickly and be clinically well.

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5
Q

What investigations should be done in hospital?

A
Obs:
Temp
BP
HR
RR
O2 sats

Bedside:
Urine dip
ECG

Bloods:
BM (important)
Blood gases (important)
FBC/U/e’s/LFT’s

Others as indicated.

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