SIDS and ALTE

Question 1

ALTE

Answer 1

Apparent Life Threatening Event

Question 2

Signs of ALTE

Answer 2

Apnea, choking, gagging-marked change in muscle tone
Color change (pale or blue)

Question 3

Age range for ALTE

Answer 3

Most cases between 2 and 3 months

Uncommon in children >2 years

Question 4

Potential causes of ALTE

Answer 4

Cardiac dysrhythmias; congential heart disease
Child abuse
Gastroesophageal reflux
Infections
Metabolic disorders
Respiratory compromise
Neurologic compromise

Question 5

General Assessment Triangle Components

Answer 5

Appearance
Work of Breathing
Circulation to skin

Question 6

ABCDE

Answer 6

Airway 
Breathing
Circulation
Disability
Exposure

Question 7

SIDS potential etiology

Answer 7

Delayed development of respiratory control
Sleep apnea
Airway/circulatory compromise when prone
Hereditory

Question 8

Demographics of SIDS

Answer 8

Rare under 1 monrh (1%) ad over 1 year of age
95% of cases under 1 year
88% of cases under 6 months
Peak incidence 2-4 months age

Question 9

Risk factors for SIDS

Answer 9

Prematurity and low birth weight
Tobacco use during and after pregnancy
Young maternal age
Prone sleeping position

Question 10

SIDS signs

Answer 10

Cold skin
Frothy or blood tinged fluid in the mouth and nose
Lividity or dark, reddish-blue mottling on the dependent side of the body
Normal hydration and nurition
Rigor mortis
Vomitus (uncommon)

Question 11

When would you not transport a child to the hospital because it is a crime scene?

Answer 11

Postmortem lividity
Rigor mortis
Decapitation
Incineration
Evisceration of brain tissue