MedBugs: SAQ #249

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Case: Unresponsive infant

A 6-month-old girl is brought to a tertiary ED unrousable after a nap. She was reportedly well earlier that morning. On arrival she is barely responsive. Weight approximately 7 kg. Initial assessment: A – maintaining own airway B – RR 12, SpO2 97% RA, chest clear C – HR 90, BP 65/45, capillary refill 4 s D – unresponsive, bilateral extensor posturing, BSL 6 mmol/L; left pupil 8 mm unreactive, right pupil 2–3 mm sluggish E – Temp 36.5°C, no obvious signs of trauma

1. Outline your management priorities for this child. 6 marks

2. Give two imaging investigations you would order with justification. 2 marks

3. Her haemoglobin is 60. Give the doses (mL/kg) of the following blood products in the initial massive transfusion protocol. 4 marks

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Case: Unresponsive infant

1. Outline your management priorities for this child. 6 marks

2. Give two imaging investigations you would order with justification. 2 marks

3. Her haemoglobin is 60. Give the doses (mL/kg) of the following blood products in the initial massive transfusion protocol. 4 marks

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