An 11-month-old girl is brought into your rural emergency department with suspected community acquired pneumonia after being unwell for 5 days with fevers and increased work of breathing.

1. List (4) clinical findings that are suggestive of severe respiratory distress. (4 marks) 4 marks

Vital signs: HR 175 BP 95/78 Central cap refill 5 sec SpO2 86% RA RR 44 T 38.9 She is flat and lethargic.

2. State your next (4) priorities in her management with appropriate details. (4 marks) 4 marks

The decision is made to proceed with intubation.

3. Complete the table below with appropriate equipment sizes for airway management of this patient. (4 marks) 4 marks