Category: Paeds

Mitochondrial Disease

Mitochondrial diseases are a diverse group of inherited disorders characterised by dysfunction of the mitochondrial respiratory chain, resulting in impaired cellular energy production.

These conditions frequently affect multiple organ systems and can present significant challenges in the Emergency Department. Evidence to guide management remains limited, particularly for specific complications, and specialist advice is often required.

Key principles for emergency care:

Mitochondrial Disease Information

Access specialist NHS information about mitochondrial diseases, including clinical features, diagnosis and management.

View NHS Mitochondrial Disease Info

Clinical Care Guidelines

Access specialist NHS guidance for healthcare professionals on the assessment, management and ongoing care of patients with mitochondrial disease.

View NHS Clinical Care Guidelines

EMBRACE & Paediatric Critical Care

In our trust we don’t have paediatric critical care beds. However, in our region we use EMBRACE (a paediatric critical care transport team), who can transfer critically  ill children to specialist centers (in or out of region).

EMBRACE – website

Drugs:

  • Trust guide
  • Remember: Midazolam 10mg/2ml is used(not the 5mg/5ml we have  in ED)

 

Toddlers Fracture

Toddlers Fractures

  • Typically occur between 9months and 4yrs of age.
  • After a low energy twisting injury, such as;
    • Slipping and twisting while walking/running/jumping
    • Leg caught when sliding off parent/chair/toy
  • Clinical Features:
    • Wont put foot down
    • Not walking
    • Often little tenderness
    • Gentle twist of ankle and knee will be painful
  • Xray features:
    • Spiral fracture tibia (often seen best on lateral view
Read more

Major Haemorrhage Protocol

In the case of patient with Massive Haemorrhage weather that be from Trauma, Surgical, O&G, UGIB, you can activate the MHP

Remember:

  • Do the Basics – don’t forget ABCD
  • Inform Transfusion and get someone to run a G&S sample down
  • FFP can take up to 45min and platelets come from Leeds
  • If you no longer need the MTP – inform transfusion and return products ASAP
Read more

Medical Emergencies in Eating Disorders

Eating disorders* are relatively common and unfortunately patients who “look well” can have a significant mortality risk. MEED.org.uk have national risk tools to recognise those that would benefit from admission, which fit with our local mental health teams, and agreed by both acute medicine and paediatrics

(*anorexia nervosa, bulimia nervosa, binge eating or avoidant restrictive food intake disorder)

Risk Assessment