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Paediatric trauma resuscitation — DIPIMC MCQ

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ModeratePaediatric and Obstetric EmergenciesPaediatric trauma resuscitationDIPIMCDipIMC

A 4-year-old is shocked after blood loss in a road traffic collision. The child is tachycardic with a prolonged capillary refill time, and the weight has been estimated.

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Give a 10 mL/kg bolus of blood or crystalloid and reassess.

A shocked injured child is resuscitated with a 10 mL/kg bolus of blood, which is preferred in trauma, or crystalloid, reassessing after each bolus and avoiding large fixed adult volumes. Repeated large crystalloid boluses dilute clotting factors and worsen outcomes. Weight-based dosing avoids both over-resuscitation and under-resuscitation.

Reference: APLS (Advanced Paediatric Life Support)