Paediatric Cardiac Arrest and Shockable Rhythms — Board-Style Questions

Paediatric Cardiac Arrest and Shockable Rhythms — Board-Style Questions
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Pediatric Case ReviewBoard-Style Questions
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What this deck covers

Paediatric Cardiac Arrest and Shockable Rhythms in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

  1. Collapsed on the pitch
  2. Charging to what
  3. Standing back to look
  4. Thirty-eight percent of nothing
  5. How deep, and does it change
  6. After the tube goes in
  7. The trace that jumped
  8. The dialysis he missed
  9. Pulled from the lake
  10. The drain that came out
  11. One hundred percent, and still climbing
  12. Breathing for him too fast
  13. Warm, two hours on
  14. Asking to stay
  15. A death with no error
  16. The box on the wall
  17. The brother nobody examined
  18. Which number to report

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Four joules for every kilogram he weighs, Because it lengthens the resuscitation, About a third of the depth of the chest, That the compressions have become deeper, A tension pneumothorax, The absence of any shockable rhythm so far, A chest radiograph, It should be increased in concentration, That she may stay only until the first shock, after, It identifies, The ambulance response time, An electrocardiogram only, The number of arrests.

Clinical pearls from this deck

  • Disorganised, pulseless, and a shock is on the table. That is the whole triage.
  • Four per kilogram, first shock and every shock.
  • After the shock the hands go back. The pulse can wait two minutes.
  • Hands off is the number that predicts the outcome, not the minutes elapsed.
  • A third of the chest is one rule that fits every child.
  • Once the airway is secured, the hands never come off.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all emergency and critical care case decks · pediatric reference values.

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