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

Paediatric Basic Life Support on a manikin

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