Dear All

Thank you for participating in the session today.

In RRR we discussed:

  • Failure of Resuscitation – causes & management
  • Bronchiolitis – Symptoms & Signs
  • Toddler Diarrhoea

The Video station was of a clip showing a newborn, noted to be ‘mucusy’ with mild respiratory distress noted at 2 hours, now ventilated, Xray was available. Dr D took the hotseat. A very good attempt was made at identifying the clues and asking relevant history and examination however some important cues were missed that were picked by other members. We had a very good discussion on physiology and further management.

The Learning points are:

  • See the video carefully – write what you have noted
  • Concentrate on other aspects of video (NOT what you have already)
  • Oesophageal atresia/tracheoesophageal fistula – was evident
  • Other important cues have to be also noted
  • VACTERAL association
  • Questions to ask – think of important condition – polyhydramnios
  • Airway management is First priority
  • While discussing Explain NORMAL before talking about ABNORMAL
  • Replogle tube: https://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/Replogle_tube_management/

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

Anil Garg