SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Unresponsive infant

A 6-month-old girl is brought to a tertiary ED unrousable after a nap. She was reportedly well earlier that morning. On arrival she is barely responsive. Weight approximately 7 kg. Initial assessment: A – maintaining own airway B – RR 12, SpO2 97% RA, chest clear C – HR 90, BP 65/45, capillary refill 4 s D – unresponsive, bilateral extensor posturing, BSL 6 mmol/L; left pupil 8 mm unreactive, right pupil 2–3 mm sluggish E – Temp 36.5°C, no obvious signs of trauma

1. Outline your management priorities for this child. 6 marks

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2. Give two imaging investigations you would order with justification. 2 marks

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3. Her haemoglobin is 60. Give the doses (mL/kg) of the following blood products in the initial massive transfusion protocol. 4 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.

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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.