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Paeds Casesacute-care-resuscitation-and-toxicology

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

Manage a child after cardiac arrest in PICU — OSCE

OSCE management station: setting temperature, oxygen, carbon dioxide, blood pressure and EEG targets for a comatose child after return of spontaneous circulation, and talking to the parents about prognosis.

acute management and escalation station1 min readSource-verified ·

Target exams

MRCPCH ClinicalRACP DCERCPSC Pediatrics
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Target exams

MRCPCH ClinicalRACP DCERCPSC Pediatrics
Prompt
A 6-year-old girl is in PICU one hour after return of spontaneous circulation following an out-of-hospital arrest. She is intubated and comatose, with a temperature of 38.0 °C, SpO2 100% on FiO2 1.0 and a low blood pressure for age. Set the post-arrest targets and speak with her parents.

Candidate brief

A 6-year-old girl is in PICU one hour after return of spontaneous circulation. She is intubated and comatose. Her temperature is 38.0 °C, SpO2 is 100% on FiO2 1.0, and her blood pressure is low for age. Set the post-arrest targets and talk to her parents. [1]

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References1ShowHide
  1. [1]Lasa JJ, Dhillon GS, Duff JP, et al. Part 8: Pediatric Advanced Life Support: 2025 American Heart Association and American Academy of Pediatrics Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation, 2025.PMID 41122885
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