SAQ 396 – Toxicology – paediatric box jellyfish envenomation arrest

You are working in a regional coastal hospital in northern Australia. Ambulance pre-alerts a 30 kg, 11-year-old boy arriving in five minutes with CPR in progress after a beach collapse. He screamed and lost consciousness on entering the water, was briefly submerged, then received immediate bystander CPR followed by paramedic CPR. The rhythm has remained non-shockable and one adrenaline dose has been given. On handover, CPR continues and the appearance of his legs is shown below.

Outline four (4) key team members and four (4) drugs or equipment items you would prepare for arrival.

(Marked out of 4.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Key team members</th> <th>Cardiac arrest drugs/equipment</th> </tr> </thead> <tbody> <tr> <td>1.</td> <td></td> </tr> <tr> <td>2.</td> <td></td> </tr> <tr> <td>3.</td> <td></td> </tr> <tr> <td>4.</td> <td></td> </tr> </tbody> </table> <p>

/ 4

Describe the leg findings.

(Marked out of 2.0)

/ 2

State the most likely diagnosis and the pathophysiology of the arrest.

(Marked out of 2.0)

/ 2

State the critical management priority and how it is delivered.

(Marked out of 2.0)

/ 2

Give four (4) subsequent resuscitation priorities.

(Marked out of 2.0)

/ 2

Total Score: 0 / 12

Percentage: 0%