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Paeds Casesacute-care-resuscitation-and-toxicology

Paeds Cases · acute-care-resuscitation-and-toxicology

Cool, resuscitate, safeguard — a scalded child in the resuscitation bay

A bedside structured clinical encounter testing recognition of a burned child, correct cooling, age-adjusted TBSA estimation, modified-Parkland fluid resuscitation titrated to urine output, recognition of the evolving airway, safeguarding in parallel, communication, and structured handover.

structured clinical encounter (burns resuscitation leadership)4 min readVerification in progress

Target exams

RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
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Study tools

Target exams

RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
A three-year-old is brought to the resuscitation bay after pulling a cup of hot tea onto her face, chest and arm. She is crying but alert, the burn is blistered and painful, and her father reports the injury happened about 30 minutes ago.

Station status

This is one MedVellum formative structured clinical encounter. The scoring, prompts and performance descriptions are educational feedback tools. They are not an official college station, timing, mark allocation, pass score or reproduced examination format. The encounter assesses first-impression recognition, correct cooling, age-adjusted TBSA estimation, modified-Parkland fluid resuscitation titrated to urine output, recognition of the evolving airway, communication, safeguarding in parallel, and safe handover. [2] [3]

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References6ShowHide
  1. [2]Hettiaratchy S, Papini R Initial management of a major burn: II--assessment and resuscitation BMJ, 2004.PMID 15242917
  2. [3]Cuttle L, Fear M, Wood FM, et al. Management of non-severe burn wounds in children and adolescents: optimising outcomes through all stages of the patient journey The Lancet Child and Adolescent Health, 2022.PMID 35051408
  3. [4]Cuttle L, Kempf M, Kravchuk O, et al. The efficacy of Aloe vera, tea tree oil and saliva as first aid treatment for partial thickness burn injuries Burns, 2008.PMID 18603378
  4. [7]Stevens JV, Prieto NS, Ridelman E, et al. Weight-based vs body surface area-based fluid resuscitation predictions in pediatric burn patients Burns, 2023.PMID 35351355
  5. [8]Toon MH, Maybauer MO, Greenwood JE, et al. Management of acute smoke inhalation injury Critical Care and Resuscitation, 2010.PMID 20196715
  6. [9]Mullen S, Begley R, Roberts Z, et al. Fifteen-minute consultation: Childhood burns: inflicted, neglect or accidental Archives of Disease in Childhood - Education and Practice, 2019.PMID 29934360
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