Stabilisation with limited paediatric resources — formative SAQs · Paeds SAQs

Prompt

Stabilisation with limited paediatric resources: definition, escalation and equity

SAQ 1 (10)

A two-year-old with septic shock arrives at a small rural emergency department with one paediatric-experienced nurse and no on-site paediatrician overnight. [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]

SAQ 2 (10)

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]

References

[1]Haynes SC et al. The Use of Telemedicine for Stabilization of Neonates Transferred from Rural Community Hospitals. Telemed J E Health, 2021.PMID 33691080
[2]Klionsky DJ et al. Guidelines for the use and interpretation of assays for monitoring autophagy (3rd edition). Autophagy, 2016.PMID 26799652
[3]Sanddal TL et al. Analysis of preventable trauma deaths and opportunities for trauma care improvement in utah. J Trauma, 2011.PMID 21206286
[4]Gava F et al. Overcoming challenges in the implementation of chimeric antigen receptor (CAR) T-cell therapy in resource-constrained settings: Lessons from Brazil and India. Cytotherapy, 2026.PMID 42462591
[5]Yue C et al. The shifting burden of early-onset inflammatory bowel disease: a global analysis. Pediatr Res, 2026.PMID 42463801
[6]Haynes SC et al. Development of a Virtual Transition Program for Adolescents and Young Adults With Type 1 Diabetes: Three-Stage User-Centered Design Study. JMIR Pediatr Parent, 2026.PMID 42461963

SAQ 1 (10)

A two-year-old with septic shock arrives at a small rural emergency department with one paediatric-experienced nurse and no on-site paediatrician overnight. [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]

SAQ 2 (10)

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]

References

[1]Haynes SC et al. The Use of Telemedicine for Stabilization of Neonates Transferred from Rural Community Hospitals. Telemed J E Health, 2021.PMID 33691080
[2]Klionsky DJ et al. Guidelines for the use and interpretation of assays for monitoring autophagy (3rd edition). Autophagy, 2016.PMID 26799652
[3]Sanddal TL et al. Analysis of preventable trauma deaths and opportunities for trauma care improvement in utah. J Trauma, 2011.PMID 21206286
[4]Gava F et al. Overcoming challenges in the implementation of chimeric antigen receptor (CAR) T-cell therapy in resource-constrained settings: Lessons from Brazil and India. Cytotherapy, 2026.PMID 42462591
[5]Yue C et al. The shifting burden of early-onset inflammatory bowel disease: a global analysis. Pediatr Res, 2026.PMID 42463801
[6]Haynes SC et al. Development of a Virtual Transition Program for Adolescents and Young Adults With Type 1 Diabetes: Three-Stage User-Centered Design Study. JMIR Pediatr Parent, 2026.PMID 42461963