Emergencies

Question 1

What is the first-line antidote for methanol?

Answer 1

Fomepizole

Question 2

What is the treatment for shockable cardiac arrest?

Answer 2

DC unsynchronised shock 4J/kg
After 3 shocks: Amio (repeat after shock 5) & adrenaline (repeat every 2nd cycle)

Question 3

What is the treatment for non-shockable cardiac arrest?

Answer 3

Continue CPR
Adrenaline every 3-5 mins

Question 4

What dose of adrenaline is used in cardiac arrest?

Answer 4

10mcg/kg

Question 5

What dose of AMiodarone is used in cardiac arrest?

Answer 5

5mg/kg

Question 6

What dose of IM adrenaline is used in anaphylaxis?

Answer 6

> 12 = 500mcg
6-12 = 300mcg
6 months - 6 years = 150mcg
< 6 months = 100-120mcg

Question 7

How are compensated paediatric arrhythmias managed?

Answer 7

Observe
Seek expert help
Vagal manoevres if SVT

Question 8

How is decompensated bradycardia managed?

Answer 8

Oxygen
PEEP
If no response, consider atropine +/- adrenaline

Question 9

How should an unconscious child with HR < 60 be managed?

Answer 9

CPR

Question 10

What is meant by bradycardia in APLS?

Answer 10

< 80 in < 1y
< 60 in > 1y

Question 11

How is decompensated SVT managed?

Answer 11

DC synchronised cardioversion +/- adenosine

Question 12

How is decompensated VT managed?

Answer 12

DC synchronised cardioversion

Question 13

How much energy should be used in DC cardioversion?

Answer 13

Initially 1J/kg then 2J/kg, up to 4J/kg

Question 14

How is a child’s weight estimated?

Answer 14

(Age + 4) x 2

Question 15

How is ETT size estimated?

Answer 15

(Age/4) + 4

Question 16

What is the dose of lorazepam for status?

Answer 16

0.1mg/kg

Question 17

What is the dose of glucose for hypoglycaemia?

Answer 17

2ml/kg of 10% dextrose