You are a junior doctor in the Emergency Department and have been called to resus for a paediatric code blue.
Ambulance staff handover:
Situation: A 6-month-old has presented to the Emergency Department exhibiting symptoms of vomiting, drowsiness, and abdominal pain.
Background: The infant has had a 24-hour history of abdominal pain. The parents have reported a ‘jelly-like stool.’
Assessment: The child’s consciousness level varies, showing responsiveness to voice and pain (AVPU = V/P).
Recommendation: Full A-E assessment
- Your task is to conduct an acute assessment of this child using the A-E method
- Please note that you are not expected to take a history
- Be prepared to answer the examiner’s questions at the end
A 6 month old baby is present in the station.
He is called Jerry Salters.
He has had a 24-hour history of abdominal pain and a ‘jelly-like stool.’ He has also had vomiting and drowsiness.
Additional information for examiner:
This child is experiencing decompensated circulatory failure secondary to intussusception. His airway is compromised due to a decreasing level of consciousness. This is an acutely unwell child, who requires IV fluid replacement to restore circulating volume.
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