An 8-year-old girl has presented to your rural ED with fevers, shortness of breath and a productive cough for the past 6 days.

Paediatric pneumonia

1. Give (3) relevant findings. 3 marks

You have decided that the patient requires intubation with subsequent ICC insertion.

2. Complete the following table for this patient, including ETT size, depth, ketamin and rocuronium doses. 4 marks

3. State (5) components of your management of this patient (apart from the information given above), including your management of the peri-intubation period. (5 marks) 5 marks

4. Provide your initial ventilator settings. (4 marks) 4 marks

You have decided to insert a small bore intercostal catheter with a Seldinger technique

5. List (2) complications of this procedure. For each, state the safety step you will adopt to prevent its occurrence. (2 marks) 2 marks