Paeds Cases · clinical-assessment-and-reasoning
Rising PEWS overnight — structured clinical encounter
Bedside structured encounter testing PEWS interpretation, incomplete observations, caregiver concern, age-adapted ABCDE, MET activation, handover, disposition and systems reflection.
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Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
Maya, 3 years 2 months, ward viral wheeze with rising multi-parameter PEWS, incomplete blood pressure documentation, and maternal concern that she is getting worse, in a regional hospital without on-site PICU.
Station brief (candidate)
You are the paediatric night registrar in a regional hospital without on-site PICU. The nurse asks you to review Maya, aged 3 years 2 months, admitted yesterday with viral wheeze. Her multi-parameter PEWS has risen over three observation sets. Blood pressure was not recorded at the last two checks. Mother says, “She is getting worse.” You have 12 minutes at the bedside (simulated) and 5 minutes for discussion. [1]
References11ShowHide
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