It is the weekend and you are the anaesthetist on-duty at a remote regional hospital. You receive a request from the Emergency Department (ED) registrar to assist in the management of an 8-year-old boy who has hit a tree whilst mountain biking.
The boy has an open mid-shaft fracture of the femur and the ED staff have been unable to secure intravenous access.
Past Medical History:
asthma
attention-deficit/hyperactivity disorder
Medications:
methylphenidate 20mg daily
salbutamol 100 mcg prn
fluticasone 100 mcg daily
Sections covered in this viva
Paediatric Trauma with Difficult IV AccessPost-Intubation PneumothoraxPostoperative Pain and Compartment Syndrome