As the Intensive Care specialist on call in a regional hospital, you are asked to assist in the management of a 3 week old infant who has presented in extremis to the Emergency Department.

Paediatric scenario- a 9 month old baby with suspected intracranial sepsis

This focussed on a paediatric trauma scenario and involved interpretation of CT abdomen (hepatic and renal laceration) and abnormal biochemistry and blood gases.

Clinical case.

Paediatrics 
Scenario: 
“Your Paediatric Intensive Care colleagues have asked you for advice regarding a 10 year old boy

Paediatrics

“A 14 year old girl presents with a history of chronic renal failure due to Haemolytic Uraemic Syndrome 6 years ago.
She had a failed renal transplant and is currently managed on nightly peritoneal dialysis.

 Paediatric

Clinical case:  Material presented regarding management of a hypothermic infant after a drowning episode: a blood gas demonstrating a mixed metabolic and respiratory acidosis, CXRs demonstrating lung infiltrates and pneumothoraces, and equipment (single bottle un

Paediatric

 Paediatrics.    Material presented included an intra-osseous needle, and an ECG demonstrating supra-ventricular tachycardia. X-rays demonstrated cardiomegaly and pulmonary oedema, and cystic changes in lung.

The management of an infant with failed extubations, including management of stridor post-extubation. Nine out of twelve candidates passed this section.

Paediatrics.  Material presented included an extra long un-cuffed endotracheal tube, and a simple device to facilitate emergency airway access. X-rays demonstrated congenital heart disease, and intravascular devices.

Paediatrics. ECGs demonstrating atrial flutter/fibrillation, heart block, bundle branch block, prolonged QT syndrome and WPW syndrome

Management of 3 month old child with bronchiolitis

 Paediatrics
CXR of bronchiolitis in a 2mth old, RFT in an asthmatic, ECG with prolonged QT syndrome, Jackson Rees modification of the Ayres T piece.

Initial assessment and treatment of an 8 month old baby with meningitis.

Paediatric investigations including  gastric  dilatation  after MVA,  widened  mediastinum after  horse  kick,  pleural  effusion  and  pneumothorax.

Paediatric Basic Life Support on a manikin

Dear CICM, that is not how you spell "mannequin". I am embarrassed. 

Paediatric investigations 
Included blood proflles of DKA and TTP and CXR of endobronchial intubation.