By Andrew P. Winrow, Michael A. Gatzoulis, G. Supramaniam
The 1st identify within the new Paediatric Revision sequence. This booklet includes of a hundred specified medical pictures with questions designed for the candidate venture the MRCP(paed) half 2 exam. each one question/answer is followed through suitable evidence and information plus assisting references. the images and questions hide many universal and weird scientific instances visible in daily scientific perform, and likewise within the exam. the pictures are new and feature no longer been formerly released.
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Indications for intubation • Airway obstruction • Cardiorespiratory collapse. ANAPHYLAXIS Anaphylactic reaction? 5 mg Child less than 6 months 250 micrograms/kg 5 Hydrocortisone (IM or slow IV) 200 mg 100 mg 50 mg 25 mg Fig. 5 Immediate management of anaphylaxis. Reproduced from Soar J et al. (2008). Emergency treatment of anaphylactic reactions—guidelines for healthcare providers, Resuscitation 77: 157–69, with permission of Elsevier. 33 34 CHAPTER 3 Paediatric resuscitation & CC outreach Managing the intubation • If the child has airway obstruction with stridor, call for urgent anaesthetic and ENT support • Give epinephrine 10 mcg/kg IM and epinephrine 5mL 1:1000 nebulized • If intubation is required the child will require gas induction by an experienced anaesthetist.
9 10 CHAPTER 1 An introduction to PIC The multidisciplinary approach The paediatric intensivist leads and integrates the complex multidisciplinary care of the critically ill child. 2). 2 Open versus closed units • Traditionally intensive care grew out of anaesthesia. Consultant anaesthetists would undertake practical procedures and make decisions relating to airway, breathing, and circulation (ABC) but relied heavily on paediatric specialists to advise on differential diagnosis, investigation, and other non-ABC management.
Advances in technology have stimulated major advances in PICM. The advent of gas analysis on small samples of blood (Severinghaus and Clark electrodes) revolutionized the care of the ventilated patient as did the introduction of sophisticated positive pressure ventilators. Currently PICM is established all over the world. In the developing world, where resources are few, PICM may be less technology dependent but the same principles of intensive care are increasingly applied in the management of seriously ill children.