Paeds

Question 1

Criteria for potentially serious head injury?

Answer 1

LOC > 5minAmnesia > 5min3x discrete episodes of vomitingNAI suspicion. Post traumatic seizure with no Hx of epilepsy. GCS 1y)Signs of skull fractureHigh energy mechanism5cmGET A CT

Question 2

Burns management

Answer 2

ABCPain control, treat shock, wound care (cling film). Refere if more than 5% full thickness or 10% partial. Cold water only used briefly to large burns due to excessive cooling.

Question 3

Alcohol poisoning. Adverse effects and management

Answer 3

Hypoglycaemia, coma, resp failure. Monitor glucose and IV glucose if needed

Question 4

TCAs poisoning. Adverse effects and management

Answer 4

Tachycardia, conduction disorder. Dry mouth, blurred vision, agitation, confusion, convulsions. Hypotension, Resp depression. Activated charcoal if

Question 5

Treatment for fetal SVT

Answer 5

digoxin or flecanide