Refugee, immigrant and humanitarian paediatrics — formative SAQs · Paeds SAQs

Prompt

Refugee, immigrant and humanitarian paediatrics: definition, escalation and equity

SAQ 1 (10)

A newly arrived refugee family presents with an under-immunised preschooler, dental pain and sleep disturbance after displacement. [1] [2]

a) Define the problem in one sentence and state the first safety priorities. (3 marks) [1]

b) Classify the situation using urgency, setting and equity axes. (3 marks) [1] [2]

c) List red flags that force immediate escalation or retrieval. (2 marks) [1]

d) Document the handover elements you would include in an SBAR call. (2 marks) [2]

Local capability is limited and the family faces transport and cultural barriers. [1] [3]

a) Explain how you adapt the pathway honestly to local resources without delaying essentials. (3 marks) [1]

b) Describe cultural safety and interpreter actions you would take. (3 marks) [2]

c) Outline the stay-versus-go decision framework. (2 marks) [1]

d) Give safety-net and follow-up instructions for the family. (2 marks) [3]

[1]Driollet B et al. Association of severe maternal morbidity with epilepsy diagnosis in children: a population-based birth cohort study. Int J Epidemiol, 2026.PMID 42435418
[2]Murphy L et al. Utilization of emergency departments by individuals with refugee status: a systematic review of studies using data from Canadian care centers. CJEM, 2026.PMID 42118511
[3]Brown BH et al. A Qualitative Analysis of the Experiences, Attitudes, Preparation, and Barriers of Primary Care Providers Related to Their Care for Patients With Refugee Backgrounds. J Prim Care Community Health, 2026.PMID 41910624
[4]Accorinti I et al. Epilepsy in refugee camps in Algeria: clinical characteristics, treatment gaps, and environmental challenges in a low-resource setting. Epilepsy Behav, 2026.PMID 42176500
[5]Taha S et al. Factors influencing access to primary healthcare services for refugee children under five in the Palestinian West Bank: a qualitative study with female caregivers. BMJ Glob Health, 2026.PMID 42150816
[6]Karmacharya BM et al. Deployment of COVID-19 Vaccines for Refugees and Migrants in Nepal. Kathmandu Univ Med J (KUMJ), 2025.PMID 42023566