A two year old girl presents with her parents after running into the edge of a coffee table. She sustained a 4cm frontal scalp laceration above her left eyebrow. There was no loss of consciousness and no other apparent injury.
Question
a. Discuss the anaesthetic options in managing this child. (100%)
Answer
FACEM VAQ Exam 2004.1 – Question 8
- The overall pass rate for this question was 59 / 69 (85.5%).
- Examiners commented that their expectations extended far past a simple list of possible methods of anaesthesia.
- In particular they expected that the answer would be focused on the clinical details of the presented case given that it specifically stated that this was a 2 year old child with a 4 cm forehead laceration.
- Answers that explored the interplay between adequate anaesthesia and cosmetic result were favoured.
- Better candidates also prioritised to show their preferred options and justified this choice, often by a suitable introduction.
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