4 month old, admitted yesterday with RSV + bronchiolitis. Pt is on nasal prong oxygen @ 1l/min. Sim commences with Mother calling for help, is concerned that baby’s breathing is faster. The infant has mod – severe resp effort. Respiratory compromise progresses with apnoea prior to on call help arrives.
1. Recognize and manage respiratory distress, impending respiratory failure and apnea in an infant, using appropriate clinical interventions such as airway suction, airway positioning, nasopharyngeal airway insertion, use of high-concentration oxygen, bag-valve-mask, and intubation preparation as appropriate.
2. Apply crisis resource management principles: Call for help early, effective leadership, teamwork, role delineation, communication and handover.
3. Initiate Paediatric ALS Algorithm.
4. Preparation for intubation using Standardized Safe Intubation Package.
Bundle of Rays / Queensland Health
Emergency medicine, Pediatrics