Question

A 5-month-old Aboriginal infant with bronchiolitis presents to a remote clinic 400 km from the nearest hospital. RR 60 breaths/min, moderate recession, SpO2 88% on room air, taking 30% feeds. What is the most appropriate management?

Accepted Answer

Arrange urgent retrieval to hospital with supplemental oxygen and feeding support

Answer

Observe in the clinic with no oxygen and review in 12 hours

Answer

Prescribe oral salbutamol and discharge home

Answer

Start oral antibiotics and monitor as outpatient

Answer

Discharge with parental reassurance only

Practice question

A 5-month-old Aboriginal infant with bronchiolitis presents to a remote clinic 400 km from the nearest hospital. RR 60 breaths/min, moderate recession, SpO2 88% on room air, taking 30% feeds. What is the most appropriate management?