SAQ 837 – Paediatrics – heat illness in a locked vehicle

You have radio contact from ambulance regarding a toddler, estimated to be 2 years old, who was found unresponsive in a locked vehicle parked on the street near shops. Police have forced entry and paramedics are transporting him without family members present.

Observation	Value
HR	210 bpm
BP	60/- mmHg
RR	30/min
Temperature	40.2 C
GCS	4 with intermittent seizure activity

What is the most likely diagnosis?

(Marked out of 1.0)

/ 1

Apart from seizures, list four (4) possible complications of this condition.

(Marked out of 4.0)

/ 4

En route he has received 240 mL of saline through an IV line. On ED arrival he is still having occasional seizure activity and has vomitus on his clothes and face. List and justify five (5) management steps you will initiate, with endpoints where appropriate.

(Marked out of 10.0)

Observation	Value
HR	190 bpm
BP	70/30 mmHg
Temperature	39.8 C
GCS	4

</p> <table class="saq-prop-table"> <thead> <tr> <th>Management step</th> <th>Justification</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> <tr> <td>5</td> <td></td> </tr> </tbody> </table> <p>

/ 10

After some time his parent arrives. State three (3) key points to include in your discussion with the parent.

(Marked out of 3.0)

/ 3

Total Score: 0 / 18

Percentage: 0%