Major Paediatric Trauma: Haemorrhage and Airway — Board-Style Questions

What this deck covers

Major Paediatric Trauma: Haemorrhage and Airway 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. He can speak, and it pours
2. Slowed, but still welling
3. Where the binder sits
4. Comfort, or something else
5. Units, or the whole protocol
6. Borrowed from an adult text
7. Oozing from every needle
8. Still on the board
9. A line across the belly
10. Hungry, and asking to go home
11. Warm foot, worsening pain
12. Two failed cannulas
13. Booked for the morning
14. Fifty minutes away
15. Eight minutes out
16. Nothing seen on the scan
17. Undressed for the assessment
18. Which number to publish

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Protection of the nerve and vessel, The failure of two units to raise the blood pressure, The cold has caused vessels to constrict, It should have stayed until the spine was cleared, A plain abdominal radiograph, Nerve injury from the fracture, Irrigation of the wound in the department, Whether imaging done here has established the source, The weight, Nothing, provided the room is kept warm, The number received.

Clinical pearls from this deck

• If it is pouring onto the floor, it comes before the airway.
• Slowed is not stopped. A loose tourniquet is worse than none.
• Over the trochanters, and you only get to feel a pelvis once.
• A femoral splint is a haemorrhage intervention wearing an orthopaedic coat.
• The protocol is called on prediction. Proof arrives too late to help.
• A child’s blood pressure falls last. By then it is not a target.

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.