Emergencies

Question 1

Paeds BLS procedure

Answer 1

1- SAFE
2-Response
3- Open airway + check breathing
4-5 rescue breaths
5- Asses life sign (<1= carotid + femoral) and (>1= brachial + femoral)
6- Chest compressions 15:2 , if alone its 30:2

Question 2

What are the signs of shock?

Answer 2

Altered consciousness ]sunken eyes
dry mucus membranes
Reduced skin turgour

Question 3

What is the detailed management of shock?

Answer 3

1- CALL SENIOR HELP
2-IV saline Bolus < 10 minutes of 20ml/Kg
3- Maintenance fluids (24 hours) - 100ml/Kg - 10 kg , 50ml/Kg for +10 Kg and 20 ml/Kg for each kilo on top
4-ICU if failing, give inotropic support

Question 4

What is anaphylaxis?

Answer 4

Anaphylaxis is a life threatening systemic hypersensitivity reaction that causes airway, breathing and circulation problems.

Question 5

What is the management of anaphylaxis?

Answer 5

ABCDE approach

1- High flow O2
2-IM Adrenaline 1:1000 (anterolateral aspect of the thigh)

REPEAT IM injection in 5 minute intervals till response

3- IV fluids

POST Resus:

1- Slow IM/IV hydrocortisone
2- Neb salbutamol if wheezy

Question 6

What is the management of status epilepticus?

Answer 6

0 mins- high flow O2
5 mins- Buccal midazolam/ Diazepam rectal
15 mins- IV Lorazepam-> IO + CALL SENIOR HELP
25 mins- IV Phenytoin + Senior help/ anaesthetist

45 mins - rapid sequence induction by anaesthetist with thiopentone