Emergency and Toxicology – Set 3

What this deck covers

Emergency and Toxicology – Set 3 in 50 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 50 cases, in order

1. Tea scald with a pale centre
2. Drowsy toddler after a night fire
3. Lifeguard’s first action
4. Collapse after football in the sun
5. Hot soup spilled on a thigh
6. How fast the gas leaves the blood
7. Toddler found in the villa pool
8. Cold boy found in a barn
9. Sizing a kettle scald
10. Headache after a bedroom fire
11. Pond rescue with a cold, wet child
12. Nurse suggests an antipyretic
13. Scoring distress in a scalded toddler
14. Confused boy after a flat fire
15. Paddling pool toddler needs a drip
16. Lost overnight at a desert camp
17. Can the local hospital keep him?
18. Watching a toddler after a house fire
19. Making the garden safe afterwards
20. Left in a parked car in summer
21. Bonfire burn two hours ago
22. Parents ask about a pressure chamber
23. Frozen lake and a silent monitor
24. Hump after the QRS in a cold boy
25. Crew’s estimate for a dress fire
26. Caravan fire with a rising lactate
27. Parents ask what foretells recovery
28. Dark urine six hours after a run
29. Drink or drip for a 7% scald?
30. Wheezy after a smoky corridor
31. Chatting again after a sea rescue
32. Pulseless after a snow-filled ditch
33. Severe pain and no cannula
34. Garage generator and a modest level
35. Thermal goals after the pulse returns
36. Soaked walker awaiting transfer
37. Hoarse after a kitchen gas fire
38. Going home after a charcoal heater
39. When is further effort futile?
40. Oozing a day after the cricket match
41. Catheter target for a burned boy
42. Both feet scalded to one level
43. Protecting the family at night
44. Stiff lungs after a pool arrest
45. Student reaches for the rule of nines
46. Next adrenaline at 31 degrees
47. Cold hand below a tight burn
48. Another clue to his outlook
49. Three round marks on a toddler’s hand
50. Dreading the dressing trolley

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Superficial epidermal burn, Exertional heat stroke, Circulatory overload from swallowed water, Oxygen only if his SpO2 falls below 94%, A 10 cm visual analogue line, To protect a possible spinal injury, Inflatable armbands whenever he is near the water, It cannot be used in children, Heart muscle damage that explains her fast pulse, Discharge with oral antibiotics to prevent pneumonia, It is too low to have caused any of his symptoms, Early intubation by an experienced anaesthetist, A laboratory artefact from a clotted blood sample, Sleep with the bedroom windows open.

Clinical pearls from this deck

• A painless burn is not a mild burn: it is full thickness.
• The pulse oximeter lies in carbon monoxide poisoning.
• Drowned child: five breaths first, no draining of water, a collar only after a dive.
• Hot and confused after exercise is heat stroke; sweating does not exclude it.
• Cool the burn, warm the child: 20 minutes of running water, worth doing up to 3 hours after.
• Air about 5 hours, 100% oxygen about 80 minutes, hyperbaric about 20 minutes.

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 toxicology case decks · pediatric reference values.