SAQ 911 – Paediatrics – drowning, aspiration pneumonitis and retrieval oxygenation

You are working in a small urban district hospital. An 8-year-old boy is brought in after being rescued unconscious from the bottom of a saltwater backyard pool. He has been resuscitated by pre-hospital clinicians.

Observation	Value
HR	72/min regular
BP	90/60 mmHg
RR	24/min
SpO2	100% on high-flow oxygen

Outline five key features in your examination of this child.

(Marked out of 5.0)

/ 5

List five factors that determine his prognosis.

(Marked out of 5.0)

/ 5

His GCS improves to 14, but despite high-flow non-rebreather oxygen he develops respiratory distress from aspiration pneumonitis. Complete the table with three escalating modalities to improve oxygenation, including initial settings or sizes as appropriate.

(Marked out of 6.0)
</p> <table class="saq-prop-table" style="width: 100%; max-width: 100%; table-layout: fixed; border-collapse: collapse;"> <thead> <tr> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Treatment/modality</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Settings</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">1</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">2</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">3</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

/ 6

List four potential disadvantages of non-invasive mask ventilation during aeromedical retrieval for this child.

(Marked out of 4.0)

/ 4

Total Score: 0 / 20

Percentage: 0%