Sarnat III — RACP Paediatrics MCQ

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ModerateNeonatalSarnat IIIRACP Paediatrics

Post-asphyxia: comatose, absent reflexes, flaccid, no respiratory effort, fixed dilated pupils. What Sarnat stage?

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Correct answer: C — Sarnat III

Coma, flaccidity, absent reflexes, no respiration, fixed pupils = Sarnat III (severe). Cooling should still be offered. Prognosis is poor.

Reference: RCH Melbourne – 2023 – HIE CPG