Gastric volvulus is fortunately a rare pathology where the stomach rotates 180°. This causes a foregut obstruction but also strangulation of the stomach wall. This rapidly leads to necrosis, perforation and sepsis, and a mortality rate 42-56%.
Making Gastric Volvulus a surgical emergency! However it is easy to misdiagnosed especially as an upper GI bleed (UGIB).
If anybody is symptomatic after button battery ingestion they need referral to the Surgical team for urgent endoscopic removal. Liase immediately with our local surgical/ENT teams but be aware this may end up as a time critical transfer to Leeds especially if child <2years. Read more
See separate post for more resources and education if desired.
As there are now no longer a paediatric clinical team at HRI, the paediatric surgical pathway is up-dating, this is the current provisional pathway, to ensure care falls inline with GIRFT report.
(Multiple Magnets OR a single Magnet and Metallic Objects)
If unsure if magnet classes as a strong magnet ask to see others from parents. If clearly not a strong magnet from the rest of the alphabet letters parents have provided please manage as per Ingestion of Foreign Body and avoid unnecessary radiation. If there is any uncertainty follow the policy below!
Strong magnets (such as Neodymium)
Ingested:
Detection:
Severe pain is the most common reason that patients with sickle cell, will attend the ED. The pain can be agonising (and often underestimated by us), we need to act fast to help ease the symptoms Read more
As you know part of assesses sing an infant is asking about how well it is feeding, especially in Bronchiolitis. However, our paediatric colleagues have noticed that many infants are over fed, and although their intake may have reduced it would still be considered adequate for normal growth.
The tables below give an indication of what a healthy intake is and should be used when assessing how well an infant is feeding. Read more
