You are the duty anaesthetist at a tertiary paediatric centre. A 6-year-old boy is being brought in following a collision with a car while he was playing on a friend's e-scooter.
You arrive in the emergency department as the child is brought in and notice bruising to his head and chest. The paramedics have managed to obtain 22G IV access and have administered some IV analgesia, dosing to an estimated weight of 20 kg. His parents are on their way.
Initial observations are:
HR 130 bpm
BP 100/50 mmHg
RR 36 breaths per min
SpO2 92% on 4 L/min via a Hudson mask
GCS 13 (E3, V5 – screaming, M5 – flailing around)
Sections covered in this viva
Section 1 – Assessment and management of an agitated paediatric trauma patient requiring imagingSection 2 – Induction and ventilation of a paediatric trauma patient with head injury and pulmonary contusionSection 3 – Recognition and management of a tension pneumothorax during imaging in a ventilated paediatric trauma patient