SAQ 832 – Paediatrics – seizure care and airway management

A 2-year-old child presents to your ED with a generalised tonic-clonic seizure. The seizure-care flowchart, intraosseous needle image and post-intubation chest x-ray are shown below.

Complete the table for A, B and C regarding seizure care.

(Marked out of 3.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Step</th> <th>Management</th> </tr> </thead> <tbody> <tr> <td>A</td> <td></td> </tr> <tr> <td>B</td> <td></td> </tr> <tr> <td>C</td> <td></td> </tr> </tbody> </table> <p>

/ 3

The IV cannula dislodges and an intraosseous needle is placed during resuscitative care. What is the significance of the black line on the EZ-IO intraosseous needle?

(Marked out of 1.0)

/ 1

After needle insertion, when should the black line be visible?

(Marked out of 1.0)

/ 1

Complete the table regarding ongoing airway and resuscitative management for this patient.

(Marked out of 6.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Parameter</th> <th>Answer</th> </tr> </thead> <tbody> <tr> <td>Formula to estimate patient weight</td> <td></td> </tr> <tr> <td>Size for uncuffed ETT</td> <td></td> </tr> <tr> <td>Expected approximate ETT insertion depth</td> <td></td> </tr> <tr> <td>Size LMA</td> <td></td> </tr> <tr> <td>Normal/expected lung tidal volume</td> <td></td> </tr> <tr> <td>Maximum peak inspiratory pressure</td> <td></td> </tr> </tbody> </table> <p>

/ 6

After ETT placement, no breath sounds are heard on the left side of the chest. A chest x-ray is obtained. Outline your next step in management.

(Marked out of 1.0)

/ 1

Total Score: 0 / 12

Percentage: 0%