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Remote retrieval – status epilepticus — RACP Paediatrics MCQ

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ModerateEmergencyRemote retrieval – status epilepticusRACP Paediatrics

A 4-year-old in a remote community 500 km from the nearest paediatric hospital has status epilepticus that has been terminated with benzodiazepines. The child is post-ictal with GCS 10 and requires ongoing monitoring. The local hospital has nursing staff but no doctor. What is the most appropriate retrieval plan?

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Correct answer: A — Aeromedical retrieval

A child requiring ongoing monitoring after status epilepticus in a remote location without medical staff needs aeromedical retrieval to a paediatric centre. In Australia, retrieval services (PIPER in Victoria, Newborn and Paediatric Emergency Transport Service in NSW, RSQ in Queensland) coordinate specialist retrieval. Telehealth support should be provided to the local team until retrieval arrives.

Reference: RACP Paediatric Curriculum – Emergency/Retrieval; RCH Melbourne – 2023