Leading a paediatric arrest — OSCE

Station brief (8–10 minutes)

A 4-year-old weighing approximately 16 kilograms is brought to the emergency department by ambulance after collapsing at home. Cardiopulmonary resuscitation is in progress. On arrival the child is unresponsive, and the monitor shows ventricular fibrillation. Intraosseous access is in place. You are the registrar leading the resuscitation, with a skilled nurse and a junior doctor present. Demonstrate the advanced life support loop, state the correct shock and drug doses, search for reversible causes, and outline post-arrest care. Name the source for each threshold. ^{[1] [5]}