week 2

Question 1

paediatric BLS

Answer 1

danger, stimulate, shout.
open airway, and check. not normal then 5 rescue breaths
No sign of life then 15:2. Call resuscitation team after 1 min if alone.

Question 2

how to do paediatric chest compressions

Answer 2

two fingers = infant(<1)

one hand CPR = if older

Question 3

how to do paediatric rescue breaths

Answer 3

infant=mouth over nose and mouth (no need for neck tilt as anterior trachea)
child= chin tilt and close nose.

Question 4

how to deal with paediatric choking?

Answer 4

effective cough - encourage cough
conscious with weak/ineffective cough = 5 Back blows then 5 chest thrusts/abdo thrusts (<1/>1year).
unconcious = open airway, 5 rescue breaths, CPR

Question 5

what are the rough functions of the outer, middle, inner ear?

Answer 5

outer=collect sound
middle=amplify
inner=transducer

Question 6

what is usher syndrome

Answer 6

hearing loss with retinitis pigmentosa. AR, commonest cause of hearing and visual loss (reduced peripheral vision and profound hearing loss)

Question 7

what is pendred syndrome

Answer 7

hearing loss with a goitre.
autosomal recessive
due to malformation of inner ear

Question 8

what is alport syndrome

Answer 8

ear, eye and renal disease due to collagen IV abnormality.
AR or X-linked,
Haematuria, leads to ESRD (renal failure)

Question 9

when should you start to become concerned about a child’s speech?

Answer 9

delayed by >6months. (unless bilingual)

Question 10

what are some causes of delayed speech? Where should child be referred?

Answer 10

Hearing loss (OME), ADHD, Autistic spectrum disorder, verbal dyspraxia, Auditory processing disorder, global developmental delay.

SALT referral at 27 months for assessment