Paeds emergencies, SIDS & resus

Question 1

A baby is born post-term and has sudden resp distress

Mum may have had pre-eclampsia and maybe smoked

What is the likely cause

Answer 1

Meconium aspiration

shit stuck in the throat

risk factors are post-term, smokign and pre-eclampsia

Question 2

lump in the neck

Runng nose & fever

what is this

how you treat

Answer 2

Acute adnenitis

non fluctuant node -> Incision & drainge

well -> oral abx

unwell -> IV abx

Question 3

SIDS

What is it

What are the risk factors

What sex is more common

How can you prevent

Answer 3

Sudden infant death syndrome

Risk factors

Sleeping prone

Sleeping with baby

Prematurity

Mum smoking

More comon in boys

Prevention

Don’t do any of the risk factors

Use dummy

Breast feeding

Question 4

what is the main cause of cardiac arrest in a baby, hence why CPR is more airway focused

Answer 4

Hypoxia

Question 5

what should you do if a <3month old comes in with a fever >38oC

Answer 5

Admit them eh

Question 6

What is the process of newborn resus

Answer 6

Dry baby & maintain temp

V

Assess vitals

V

5 resuce breaths with mask

V

Assess again

V

3:1 compression to breaths

Question 7

what decreases the risk of hypxoic ischemic encephalopathy

Answer 7

Therapeutic cooling

Question 8

What is the 1st line in neonatal resus

Answer 8

Dry the baby & maintain temp

Question 9

what IV fluids are given to kids for resus

Answer 9

Plasmylate

20ml/kg

over <10mins