3 yrs old unwitnessed fall, buckle fracture radius in x ray, her parents were in wedding, the girl says clearly (I fall from table on my hand) the fracture was manged adequate, what to do?

A 2-year-old child from Egypt presents with 2 days of vomiting and diarrhoea and is initially tachycardic (PR 120), tachypnoeic (RR 28), mildly hypoxic (SpO₂ 94%), febrile at 37.5°C, with delayed capillary refill (4 seconds), reduced GCS (10), and low glucose (3 mmol/L). After 30 minutes, the child deteriorates with worsening tachycardia (PR 160), irregular breathing, higher fever (38°C), GCS 8, and SpO₂ 92%. What is the next step?

A 3-year-old child is brought to the Emergency Department after accidentally swallowing a small button battery while playing at home. The parents witnessed the ingestion and came to hospital immediately. The child is currently well, with no drooling, vomiting, respiratory distress, or abdominal pain.

An urgent X-ray confirms the battery is in the stomach. What is the most appropriate next step?

A 4-year-old child falls from a chair and is found by parents to be drowsy, unsteady, and difficult to rouse. On arrival at the Emergency Department, the child’s GCS is 6, raising concern for a significant head injury. A CT brain is performed and is completely normal. Within a short time, the child returns to full consciousness, What is the diagnosis?

A 6-year-old boy is brought to the Emergency Department after possibly swallowing a small object while playing. He is well, has no choking, drooling, or respiratory distress. A chest and abdominal X-ray shows no visible foreign body, but the parents report he was playing with the contents of a toolbox. The team considers using a hand-held metal detector to help identify the swallowed object.

Which type of material may not be visible on an X-ray but can be detected by a metal detector?

A 7-year-old child has been intubated in the Emergency Department for severe respiratory distress secondary to pneumonia. During ambulance transfer to a tertiary centre, the child suddenly becomes pulseless and unresponsive. The paramedic team quickly confirms that the ET tube is in place and there is equal air entry bilaterally. What is the next step in management?

A 17-year-old teenager is brought to the Emergency Department unresponsive after a party, with bradycardia, slow respirations, and dilated pupils. Arterial blood gas shows severe metabolic acidosis (pH 7.2). Which substance is most likely responsible?

An 8-year-old on a ventilator has high CO2, high O2, inspiratory time of 0.8, VR 20, PIP 28, PEEP 6, PO2 20, and PCO2 15. What is the recommended action?

What is the best initial management for a neonate with SVT (HR=300) who is not shocked?

A 5-year-old child presents with partial-thickness burns covering 15% of total body surface area and is unable to tolerate oral fluids due to discomfort. Vital signs show mild tachycardia but stable blood pressure, and the child is alert. What is the best fluid?

A 16-year-old adolescent presents to the Emergency Department with 3 days of excessive urination (polyuria), extreme thirst (polydipsia), and fatigue. Which investigation is most appropriate for acute management of this patient?

A 3-week-old term infant admitted with respiratory distress from bronchiolitis was initially managed on CPAP. After six hours, the infant deteriorated, showing increased work of breathing with nasal flaring and subcostal retractions, SpO₂ dropped to 85% despite FiO₂ 0.6, and episodes of apnea were noted. CXR was done, what is the immediate action?

Where is the tip of the central line typically located?

What is the appropriate fluid management for a baby with meningitis, BP 71/45, CRT of 3 seconds, and on 50ml/kg maintenance?