SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Paediatric drowning with cardiac arrest

A 2-year-old boy is brought in following cardiac arrest after being found at the bottom of a backyard swimming pool. ROSC was obtained after 10 minutes. He remains unconscious, intubated and hypoxic with coarse crepitations.

  • GCS 3, SpO2 72% HR 180 BP 82/40 CRT 6-7 sec

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

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2. Complete the table with the initial ventilator settings you would prescribe for this child. 3 marks

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You manage to achieve SpO2 92% but despite increasing minute ventilation the patient's end tidal CO2 reading remains high. VBG pCO2 72 pH 7.14,

3. List four interventions to improve CO2 clearance in this child. 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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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.