Paediatric Emergency Trauma, Burns, Sepsis, and Critical Resuscitation — WACS Viva & Clinical Scenarios (Paediatrics & Day Care)

Exam-style paediatric emergency trauma, burns, sepsis, and critical resuscitation viva scenarios with examiner probes and model answers for ANAESTHESIA…

Scenarios covered

• SCENARIO 1: A 7-year-old child weighing 22 kg is brought to the resuscitation room following a fall from a 4-metre mango tree. GCS is 7 (E1V2M4), blood pressure is 135/60 mmHg, heart rate is 52 bpm, and respirations are irregular. The right pupil is 6 mm and sluggish. Detail your emergency airway management, neuroprotective anaesthetic strategy, induction agents, and intracranial pressure management.
• SCENARIO 2: A 2-year-old child weighing 12 kg sustains a 40% scald burn involving the anterior torso, neck, and both upper limbs 6 hours prior. The child is crying weakly, heart rate is 185 bpm, capillary refill time is 4 seconds, and core temperature is 35.1°C. Outline your comprehensive resuscitation plan for the first 24 hours, including vascular access, fluid formulas, airway considerations, and pain control.
• SCENARIO 3: A 4-year-old child with generalised peritonitis secondary to typhoid intestinal perforation presents with severe septic shock. Heart rate is 190 bpm, blood pressure is 62/34 mmHg, pulses are thready, and serum lactate is 5.8 mmol/L. Outline your anaesthetic plan, including pre-induction optimization, vasopressor and inotrope selection, induction technique, and intraoperative support.
• SCENARIO 4: During an emergency exploratory laparotomy for blunt liver trauma in an 8-year-old child, the patient suddenly arrests with pulseless electrical activity (PEA). Describe your step-by-step cardiopulmonary resuscitation protocol according to PALS guidelines, highlighting reversible causes (H's and T's) specific to paediatric abdominal trauma.