SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Paediatric drowning arrest

A 3-year-old boy arrives to your urban district Emergency Department having been found at the bottom of a backyard swimming pool in cardiac arrest. His parents provided initial basic life support until paramedics arrived. ROSC was obtained after 12 minutes. On arrival to the ED, he is intubated and manually ventilated on 100% oxygen. He has bilateral air entry with coarse crepitations on auscultation. He remains unconscious. Vital signs:

  • SpO2 72%
Pulse 180 bpm SBP 82 mmHg CRT 6–7 s
  • Temp 33°C

Paediatric drowning arrest

1. Outline five immediate management priorities for this patient. 5 marks

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A mobile chest X-ray is taken in the resuscitation bay.

2. List four significant findings on this X-ray. 4 marks

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3. What initial ventilator settings would you prescribe for this child? 5 marks

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This case forms part of a collaborative marking project designed to support fellowship preparation. In the week leading up to each tutorial, you can contribute answers to any active case. If you contribute, your answers may be reviewed, marked, and used to refine the model answers during the weekly fellowship teaching sessions.

All responses are displayed anonymously or using anonymised avatars. You remain in full control of your answers and may withdraw them at any time.

Your personal results and updated model answers become available the day after the tutorial.

After the tutorial you can still do the case and self-mark your answers, but your answers will not be included in the group review.