SAQ 666 – Paediatrics – post-tonsillectomy haemorrhage and airway management

Marked out of 16.00

A 12-year-old boy is brought to your emergency department by his anxious father and is triaged to a resuscitation cubicle. He had a tonsillectomy three days ago and has been vomiting blood for the last hour, worsening en route. He is agitated.

Observation Result
Respiratory rate 24/min
Heart rate 130 bpm
Blood pressure 90/40 mmHg
Oxygen saturation 70% room air

Excluding vital signs, list four (4) clinical findings that help estimate the amount of blood loss.

(Marked out of 4.0)


/ 4

Showing your formula, calculate the minimum systolic blood pressure you would accept in this child.

(Marked out of 2.0)


/ 2

State five (5) immediate management steps in this situation.

(Marked out of 5.0)


/ 5

The ENT team is 30 minutes away and, despite appropriate management, he remains hypoxic, agitated, and bleeding. You decide to secure his airway. State five (5) modifications to routine RSI that you would apply.

(Marked out of 5.0)


/ 5

Total Score: 0 / 16

Percentage: 0%

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