CTG scenarios

CTG examples from
https://www.slideshare.net/fathi1957/ctg-lecture-for-undergraduates-by-associate-profdr-aisha-elbareg

Fetal tachycardia

Late decelerations & Early decelerations

Variable deceleration

Prolonged decelerations & Mild and severe variable deceleration

Late decelerations

Consent for Bone Marrow Aspiration - Peds

Pediatrics Consultation Session

1: Ask for a chaperone

2: Talk to the parents/ guardian who bring the children

    - Ask if they know about bone marrow aspiration

    - what are their concern

    - will they need another person to sit in and listen

3. Describe reasons for having a bone marrow aspiration

    - to confirm diagnosis

    - to check iff there are any blast cell

    - after retrieving the samples, it will be sent for culture, biochemical test... ...

4. The way procedure was done

    - Sedation for kids? 

    - local anesthesia?

    - are parents allowed to be in the room

    - any media distraction for the child while procedure is ongoing

      

5.  Time and Cost

    - how long is the procedure

    - the cost, and ask if parents are able to pay for the procedure

    - recovery time after procedure 

6. Any complication?

    - possibilities of infection if not deal with care

    - child need to be put in a position that can be uncomfortable.

    - try to reassure the mother/father about the success rate of bone marrow aspiration

            - that it is safe

            - eg. cases like this are common

7. Ask if they have any questions

    - be patient and confident in what you say (make sure it is right)

    - try to comfort the parents

    - no big medical term.

    - always ask if they understand what you say

8. Ask for consent and permission

    - Do you agree?......

This template can be useful for lumbar puncture for children after a few minor changes.

TQ and good luck!