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Intussusception — RCPSC EM MCQ

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HardPaediatric emergenciesIntussusceptionRCPSC EM

An otherwise healthy 5-month-old has bronchiolitis with subcostal indrawing, poor feeding and oxygen saturation 88% on room air. Which management package is most appropriate?

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Correct answer: E — Provide oxygen, hydration support and gentle nasal suctioning

The best answer is “Provide oxygen, hydration support and gentle nasal suctioning”. This infant needs supportive bronchiolitis care and likely admission because of hypoxaemia, increased work of breathing and poor intake. Oxygen, hydration or assisted feeding and gentle nasal suctioning are the mainstays. Routine salbutamol, corticosteroids, antibiotics, chest physiotherapy and nebulized epinephrine do not improve typical bronchiolitis outcomes.

Reference: Canadian Paediatric Society: Bronchiolitis—Diagnosis, Monitoring and Management: https://cps.ca/documents/position/bronchiolitis