Thank you for participating in the session today and making it so interactive.

We reviewed two video clips one of a nine month old baby with respiratory distress and the second of a thin looking 12-year-old boy with a gastroscopy and a central venous access and alopecia.

Dr DS and Dr S took the hotseat. Observation of clinical signs was good and discussion followed smoothly hence we were able to see 2 scenarios.
Learning points:

• See the video clip carefully – sequence of clinical signs is very important
• Sequence will affect management of the case.
• Do NOT use abbreviations when describing. Very easy to mis-hear on the net and lead to confusion.
• History and examination pointes have to be very ‘crisp’.
• Do not ramble in your presentation.
• Acute asthma – check BTS guidelines
• Sudden significant deterioration – think of pneumothorax
• Avoid painful stimuli / tests if possible in respiratory compromised children till help is available.
• Saturation monitors do NOT substitute for Electrical heart monitoring.

Visit www.mrcpchonline.org to add your comments or points I may have missed. Video of session will be available for 2 weeks.

Anil Garg