Childhood emergencies 2

Question 1

Anaphylaxis

Answer 1

1. SOB, hypotension, swollen lips and tounge
2. TOC: Adrenaline 10mcg/kg or 0.01ml/kg (1:1000) IM
   Repeat every 5 mins if necessary

(<20kg) <1-5yrs - 150mcg epi pens
(>20kg) 5-12yrs - 300mcg
(>50kg) adults - 500mcg

Partial airway obstruction: Try neb Adr… IM adr… Adrenaline infusion

Observe for 4hrs
12hrs in higher risk cases Refer in high risk cases

Neb salbutamol if asthma+
Antihistamines (citrezine); avoid promethazine as it causes hypotension

Question 2

SIDS

Answer 2

Sudden infant death syndrome
No cause known
<12months age

In
Prone sleeping
Hyperthermia
Passive smoking
Artificial breathing

Question 3

SIDS mx

Answer 3

1. Involve police and coroner - autopsy
2. Contact SIDS support group