Scenario:
You have been called to the resuscitation room by a student nurse. She received a call for a 5-year-old girl who developed shortness of breath right after taken biscuit as lunch. You have a short time to prepare before the child arrives. Manage the child appropriately.

Mark Sheet:
Introduces self to team
Confirms skills and experience of nurse and junior doctor
Delegates tasks
Calls for paediatric cardiac arrest team
Performs correct calculations
Confirms cardiac arrest
Commences cardiopulmonary resuscitation with correct ratio of compressions
to ventilations
Ensures defibrillator is attached (with pads correctly placed)
Ensures intravenous or intraosseous access
When anaesthetist arrives (if help called for) asks for child to be intubated
After intubation allows asynchronous compressions and ventilations
Performs rhythm check at appropriate time
Recognises ventricular tachycardia
Recommences and continues cardiopulmonary resuscitation appropriately
Asks for adrenaline in correct dose
Considers reversible causes
Asks for blood gas if not done so earlier
When rhythm changes stops and asks for pulse to be checked
Recognises presence of a pulse and stops cardiopulmonary resuscitation
Reassesses ABCDE
Asks for full set of observations
Hands patient over to paediatrician/intensivist when they arrive
Makes appropriate plan for on-going care
Comments on need to contact/involve parents
Delegates tasks to other staff appropriately
Global mark from examiner
Global mark from team

Doctor: Homala
Assistants: Ivan, Nagaraj

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