Authors: Varsha Rao / Editor: Mark Winstanley / Reviewer: Peter Kilgour / Codes: RC2, RC4, RP1, RP5, SLO5 / Published: 14/09/2021

A 3-year-old child was brought into the Emergency Department by their mum. The child was running up the stairs with a handful of pistachio nuts and fell face forwards. Mum noticed she started to breathe rapidly and became blue in the face.

Initial Obs:

HR – 130/min,
RR – 40-45 /min
Spo2 – 85% on room air
BP – 116/70mmHg
Temperature – 36

Respiratory System – Reduced air entry over left lung base. No audible wheeze.

No rashes noticed on examination.

She was given high flow oxygen. Saturations continued to deteriorate and she eventually needed Bag valve mask ventilation and was intubated in view of hypoxia.