Gastrostomy, tracheostomy and central-line troubleshooting — OSCE

Station brief (candidate)

• Assess the child before the device, and recite the National Tracheostomy Safety Project paediatric emergency algorithm in order to resolve the obstruction.
• Manage the tube that has fallen out entirely, using the tract-maturity rule to decide between bedside replacement and ventilation-with-surgical-call.
• Recognise a late tracheostomy bleed as a tracheoinnominate artery fistula and give the immediate cuff, pressure and referral actions.
• State the disposition after a device emergency and the equipment that must be at the bedside. ^{[4] [8]}