MedBugs: SAQ #479

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Case: Collapsed neonate

A 14 day old term baby is brought to your suburban mixed ED at 6am. Parents reported the breathing rate seemed a little higher than usual yesterday and he did not wake to feed overnight. This morning he is blue, mottled and inactive with poor tone. Vitals signs on arrival are:

HR 240 bpm
RR 38 /min

SpO² 81% Non-Invasive BP is not recording well. Birth weight 3.0 kg

1. List (5) key early differentials. (5 marks) 5 marks

2. List your (6) initial management steps; for any drugs given, please provide dose and route. (6 marks) 6 marks

The baby develops progressive bradycardia.

3. Below what HR are chest compressions indicated? 0 marks

Unfortunately, the child dies 20 minutes after arrival despite appropriate resuscitative measures.

4. State (6) actions that should be undertaken. (6 marks) 6 marks

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Case: Collapsed neonate

1. List (5) key early differentials. (5 marks) 5 marks

2. List your (6) initial management steps; for any drugs given, please provide dose and route. (6 marks) 6 marks

3. Below what HR are chest compressions indicated? 0 marks

4. State (6) actions that should be undertaken. (6 marks) 6 marks

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