Emergency Station

Question 1

Croup station. What’re you giving and the doses and mode of administration

Answer 1

5ml nebulized adrenaline 1:100
+ 0.6mg/kg dexamethasone
Given PO/IM/IV

Question 2

Croup station: what is your recommendation?

Answer 2

If 1 dose of adrenaline given then monitor respiratory rate and stridor for 4 hours
If 2 doses were given, then admit the patient

Question 3

Anaphylaxis station: What’re you giving and the doses and mode of administration

Answer 3

1) IM adrenaline (1:1000)
<6 = 0.15 ml
6-12 = 0.3 ml
12+ = 0.5ml

2) IM/slow IV chloremphenamine
<6 months = 0.25mg/Kg
<6 years = 2.5 mg
6-12 = 5 mg
>12 = 10 mg

3) IM/Slow IV hydrocortisone
<6 months = 25
<6 years = 50
6-12 = 100
>12 = 200

Question 4

Most common organism for bronchiolitis

Answer 4

RSV

Question 5

How would you prevent bronchiolitis

Answer 5

Pavillizumab for RSV

Question 6

Lorazepam dosage

Answer 6

0.1mg/kg

Question 7

Asthma Emergency: what’re you giving, dosages, and method of administration

Answer 7

First line x3:
Nebulized salbutamol
<6 = 2.5
>6 = 5
+ Nebulized ipratropium bromide 0.25mg

Second line:
<2 = aminophylline IV - load of 5mg/kg over 20 mins then 1ml/kg/hr
>2 = Magnesium sulphate IV 50% - 50mg/kg over 20 mins
+ IV Hydrocortisone 4mg/kg

Question 8

SVT emergency station:
What will you give, with dosages, and method of administration

Answer 8

Adenosine 0.1mg/kg administered every 2 minutes, with each dose increasing by 0.1mg/kg

Then amiodarone

Question 9

Ddx for Bell’s palsy
Tx?

Answer 9

UMN (contralateral): stroke, hematoma, MS
LMN: Ramsey-Hunt syndrome (shingles), acute otitis media, parotid malignancy, trauma, iatrogenic
Tx: corticosteroids, antiviral