SAQ 1519 – Paediatric post-tonsillectomy haemorrhage

Marked out of 11.00

A 12-year-old boy is brought to the ED by his parents with profuse bleeding from his mouth. He had a tonsillectomy at your hospital 7 days earlier. On arrival he is GCS 15, pulse 160/min, BP 75/40 mmHg, RR 30/min, oxygen saturation 99% on room air, and he looks pale and sweaty. Your initial assessment is that immediate intubation is not required.

After a short period he vomits a large amount of congealed blood and appears to aspirate a significant portion. You decide to intubate him to protect his airway and facilitate ongoing management.

State your initial management steps, including drug doses and endpoints.

(Marked out of 5.0)


/ 5

List three anticipated intubation difficulties and the solution you will use for each.

(Marked out of 6.0)


/ 6

Total Score: 0 / 11

Percentage: 0%