Thank you for participating in the session.

In RRR we discussed:

• Shock
• Rheumatic fever
• Cerebellar tumour

The Video station was of a 6 week old baby with respiratory difficulty and getting oxygen.

Dr S took the hotseat and did a very good attempt at recognising the clinical signs and with clinical reasoning. A few minor points were helped by Dr I along with current management guideline.

The Learning points are:

• Have a differential diagnosis of the condition
• Signs of deterioration in clinical condition
• How will you monitor deterioration of a child
• What instructions will you give the nurse / junior
• Think for 5 seconds – organising your thoughts before replying
• Observation is key – be very careful
• Try and ‘see’ different aspects when reviews the video clip.

Please visit www.mrcpchonline.org to add your comments or points I have missed.

Anil Garg