Paeds Cases · respiratory-sleep-and-airway
Respiratory distress and failure in children — OSCE
OSCE assessment and communication station for a child in respiratory distress with a worried parent.
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Study tools
Target exams
MRCPCH ClinicalRACP DCE
Prompt
You have 9 minutes with a 2-year-old brought in by ambulance with worsening breathing over the day. Assess severity, outline your management and escalation plan, and update the anxious parent.
Station brief (candidate)
- Assess the severity of this child's respiratory distress using work, efficacy, and effect of breathing.
- Interpret the observations against age-normal ranges and identify features of impending failure.
- Outline an initial management and stepwise escalation plan.
- Update the anxious parent clearly, take their concern seriously, and agree what happens next. [1] [12]
References5ShowHide
- [1]Fleming S Normal ranges of heart rate and respiratory rate in children from birth to 18 years of age: a systematic review of observational studies. Lancet, 2011.PMID 21411136
- [2]Franklin D A Randomized Trial of High-Flow Oxygen Therapy in Infants with Bronchiolitis. N Engl J Med, 2018.PMID 29562151
- [8]Schlapbach LJ International Consensus Criteria for Pediatric Sepsis and Septic Shock. JAMA, 2024.PMID 38245889
- [11]Parshuram CS Effect of a Pediatric Early Warning System on All-Cause Mortality in Hospitalized Pediatric Patients: The EPOCH Randomized Clinical Trial. JAMA, 2018.PMID 29486493
- [12]Mills E Association between caregiver concern for clinical deterioration and critical illness in children presenting to hospital: a prospective cohort study. Lancet Child Adolesc Health, 2025.PMID 40451224