1.1 Paeds Emergencies

Question 1

How common is febrile convulsion?

Answer 1

3%

Question 2

Febrile convulsions Family Hx link %?

Answer 2

20%

Question 3

Chance of recurrence in febrile convulsion?

Answer 3

35%

Question 4

Links with febrile convulsions?

Answer 4

Sodium channel proteins
Iron deficiency
Atopy

Question 5

Age range for febrile convulsion?

Answer 5

6mo - 6years

Question 6

Simple febrile convulsions lasts how long?

Answer 6

Less than 4min usually

No longer than 15 minutes

Question 7

In febrile child we are looking for?

Answer 7

• Bacteraemia

- shock, sepsis

Question 8

Approach to evaluation of sepsis?

Answer 8

A B C D

Alertness (AVPU)
Breathing
Colour
Dehydration

Question 9

How to assess Alertness in septic child?

Answer 9

AVPU

Alert
Voice
Pain
Unresponsive

Question 10

How to assess Breathing in septic child?

Answer 10

Rate
Effort
Noises

Question 11

How to assess colour in septic child?

Answer 11

Cyanosis
Pallor
Mottling
CRT <2

Question 12

How to assess dehydration in septic child?

Answer 12

Fluids in
Fluids out (com, diarrhoea

Question 13

Dose of BenPen in suspected meningitis if child is under 1?

Answer 13

300mg

Question 14

Dose of BenPen in suspected meningitis if child is age 1-9?

Answer 14

600mg

Question 15

Dose of BenPen in suspected meningitis if child is over 10?

Answer 15

1200mg

Ceftriaxone 50mg/kg up to 2G

Question 16

Vomiting child DDx?

Answer 16

Gastro

O I M I

Question 17

Vomiting DDx what is OIMI?

Answer 17

Obstruction

Infection

Metabolic

Injury

Question 18

Vomiting child what kinds of obstruction?

Answer 18

Intussesception
Appendicitis
Hernia

Question 19

Vomiting child what is in infection?

Answer 19

UTI

Meningitis

Question 20

Vomiting child what kind of metabolic conditions?

Answer 20

Diabetic Ketoacidosis

HUS

Question 21

Vomiting child, what is in injury?

Answer 21

Raised intracranial Pressure

Question 22

Dehydrated child, ask about what 3 things?

Answer 22

Intake
Wet nappies
Losses

Question 23

Dehydrated child, intake, when to worry?

Answer 23

Less than 50%

Question 24

Dehydrated child, wet nappies when to worry?

Answer 24

> 8h

Question 25

Dehydrated child, losses, when to worry?

Answer 25

>5 vomiting and | >5 diarrhoea

Question 26

Describe mild dehydration

Answer 26

Thirsty Reduced wet nappies Dry mucosa Mild tachy

Question 27

Describe moderate dehydration

Answer 27

Lethargy Sunken Fontaine lies/eyes Reduced skin turner

Question 28

Describe severe dehydration

Answer 28

- Decrease level of consciousness | - shock: perfusion, hypotension

Question 29

In mild dehydration, how to treat?

Answer 29

Frequent breast feeds Oral rehydration 1/5 juice If not tolerated NGT fluids IV fluids

Question 30

Treatment of dystonic reaction to prochlorperazine in <1?

Answer 30

Anticholinergic antihistmine, diazepam

Question 31

Treatment of dystonic reaction to prochlorperazine in >1?

Answer 31

Benztropine (Cogentin)

Question 32

Near drowning child. PRevention?

Answer 32

Watch child Fence around pool Education Swimming programs