An 11-month-old child was given breakfast cereal containing cashew nuts following which he suddenly developed stridor and is struggling to breathe. The patient was brought to the emergency room tired and unable to cough. On examination, he is found to be conscious, and there is no rash. Auscultation did not reveal any abnormal breath sounds.What is the most appropriate next step in the management of this child?
A 15-month-old boy was brought to the hospital following a high-velocity road traffic accident. His car seat was thrown forward into the front passenger seat. He has sustained multiple injuries, including a fractured pelvis and suspected skull fracture.On initial assessment in the emergency department, the child was lying supine with c-spine immobilized. His eyes were closed, and he was motionless. He did not respond to voice commands. He cried and produced weak vocal sounds to pain but did not open his eyes. He tries to move away from the examining hand.What is the Paediatric Glasgow Coma Scale score of this child?
An 8 year old girl presents with a chest injury, following a road traffic accident. You intubate and ventilate her. However, at some point you notice that the girl becomes tachycardic and her blood pressure drops. Her trachea is displaced to one side and neck veins appear quite distended. What should you do next?
A 16 year old dies in a road traffic accident. What is the mortality proportion attributed to accidents in this age group?
A severe asthma exacerbation according to the British Thoracic Society suggests an oxygen saturation that is less than:
A child is admitted with a febrile illness. Which of the following is of concern?
A male child presents with pallor and bruising. He is deaf and his thumbs are dysplastic. Clinical and paraclinical exams suggest an acute myeloid leukaemia. What is the most probable diagnosis?
6 day old twins are being exclusively breastfed. They are both jaundiced, requiring admission for phototherapy, and have lost 12% and 13% of their birthweights, respectively. They both have serum sodium levels of 145 mmol/L. What is the best advice about fluid management over the next 48 h?
A 6 year old boy presents with a tibial fracture in a cast and continuous pain. You suspect a compartment syndrome injury. Which of the following represents a late sign of the condition?
A 6 year old girl presents with a history of palpitations and light headedness. Her heart rate is 200 beats per minute so you try with vagal manoeuvres and repeated boluses of adenosine up to a maximum dose of 500mcg/kg. What would you do next?