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The SUDIC Protocol

Pathophysiology: Sudden Infant Death Syndrome (SIDS)

Risk Factors: at a glance

The Correct Sleeping Environment

Clinical Assessment

Timeline: The Emergency Department – The Resuscitation

Timeline: The Emergency Department – History and Examination

Timeline: The Emergency Department – Investigations

The Joint Agency Response

Timeline: After Emergency Department

Sources of Family Support

The SUDIC Protocol – Post Test

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The SUDIC Protocol – Post Test

The SUDIC Protocol
The SUDIC Protocol – Post Test

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Question 1 of 5

1. Question

A term baby is delivered at home by a midwife and is sadly born with no signs of life, despite adequate NLS resuscitation.

This death is classified as a SUDI, true or false?

True
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False
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Question 2 of 5

2. Question

Which of the following best describes the purpose of a Child Safeguarding Practice Review (CSPR)?

To identify any public health concerns from a death
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To establish whether there has been a failure in medical care delivered by healthcare professionals
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To determine how a child died
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To establish what lessons are to be learned from a case, to safeguard and promote the welfare of children
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Question 3 of 5

3. Question

A 12-week-old is brought in to the Emergency Department having been found unresponsive. There are clear signs of rigor mortis and the crew haven’t been able to get an airway. The rhythm has been asystole throughout. CPR has been ongoing for 25 mins.

Which of the following is the most appropriate management?

Continue doing CPR at the parent’s request until they feel comfortable for the team to stop.
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Alert paediatrics, continue CPR whilst you gather information from the crew/parents and make a team decision to stop once lack of reversible causes is established.
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Stop as soon as you do your first signs of life check, as CPR is clearly futile.
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Alert paediatrics and call the anaesthetic team to establish an airway, continue CPR whilst you gather information from the crew/parents and make a team decision to stop once lack of reversible causes is established.
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There is no black and white rule about when to stop CPR although ERC recommends that CPR should be withdrawn after 20 minutes of asystole, in the absence of a reversible cause [17].
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Question 4 of 5

4. Question

Following a SUDIC, which of the following is normally carried out by paediatrics in the Emergency Department? (Select all that apply)

Taking a detailed history from the parents
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Examining the child
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Taking samples for investigation
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Taking blood or urine samples from the parents for drug testing
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Informing the GP and Health Visitor of the child’s death
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Taking photographs of the place of death
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Giving feedback to parents after the final case discussion
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Question 5 of 5

5. Question

Which of the following should raise child protection concerns in a SUDIC case? (Select all that apply)

Previous child protection concerns in the family
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Co-sleeping arrangements
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Parental drug abuse
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Other unexplained infant deaths in the immediate family
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Bruising in a non-mobile infant
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9 Comments

Dr Syed Shahbaz Ahmer January 26, 2023 at 11:45 am

Excellent learning session

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Dr Jasman Bir Singh - February 2, 2023 at 5:19 am

Good Learning.

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Dr Khusro Shamim February 2, 2023 at 12:59 pm

good case

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Dr Ahmed Adel Abdelaziz Hassan February 8, 2024 at 1:14 pm

Very effective learning module

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Dr Rania El-Amin El-Sanhouri July 14, 2024 at 7:52 pm

Good

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Dr Visvakumaran Reddy November 26, 2024 at 7:19 am

Excellent Course

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Dr Harigaashini Sehar July 14, 2025 at 4:49 pm

Excellent session

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Dr Jasmine Anna Armour-Marshall October 30, 2025 at 9:57 pm

Many thanks

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Dr Lucky Osakue Idemudia March 15, 2026 at 9:36 am

Great

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