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Paeds Vivaspreventive-and-community-paediatrics

Paeds Vivas · preventive-and-community-paediatrics

Climate change, heat and child health — branching viva

Structured oral on heat-stroke cool-first care, sports prevention and climate-equity counselling.

branching clinical structured oral1 min readVerification in progress

Target exams

RACP DCEMRCPCH Clinical
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Target exams

RACP DCEMRCPCH Clinical
Prompt
Sports day sideline: adolescent athlete collapsed and confused in humid heat. Separately, a well-child clinic family asks what climate change means for their children’s summer safety.

Opening (2 minutes)

Examiner: "This athlete is confused after collapsing in the heat. What is your working diagnosis and first priority?" [6] [7]

Strong answer: Exertional heat stroke until proven otherwise — heat stress plus CNS dysfunction. Cool immediately, ideally with cold-water immersion, while supporting ABC and arranging hospital care. Sweating does not exclude the diagnosis. [6] [7]

Paediatrics Fellowship Pro

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You have read the opening of this viva. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship library.

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References5ShowHide
  1. [3]Ahdoot S Climate Change and Children's Health: Building a Healthy Future for Every Child Pediatrics, 2024.PMID 38374808
  2. [5]Bergeron MF, Devore C, Rice SG Policy statement—Climatic heat stress and exercising children and adolescents Pediatrics, 2011.PMID 21824876
  3. [6]Bouchama A Heat stroke N Engl J Med, 2002.PMID 12075060
  4. [7]Miller KC Roundtable on Preseason Heat Safety in Secondary School Athletics: Prehospital Care of Patients With Exertional Heat Stroke J Athl Train, 2021.PMID 33290540
  5. [12]Budolfson KC Climate Change and Child Health Equity Pediatr Clin North Am, 2023.PMID 37422317
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