Oesophageal Button Battery = Emergency Refer Immediately
If anybody is symptomatic after button battery ingestion they need referral to the Surgical team for urgent endoscopic removal Read more
If anybody is symptomatic after button battery ingestion they need referral to the Surgical team for urgent endoscopic removal Read more
Brief Resolved Unexplained Event (BRUE) is now the recommended term for ALTE (Apparent Life Threatening Event).
BRUE is defined as an episode in an infant less than 12 months old characterized by:
Includes one or more of the following:
There is currently a national shortage of Intranasal Diamorphine therefore we are using Intranasal Fentanyl as a replacement.
Dose is 1.5micrograms/Kg for the initial dose and 0.75micrograms/kg 10 minutes later if required.
Draw up the appropriate dose plus 0.1ml to allow for the dead space in the Mucosal Atomizer Device
Attach the MAD to the syringe
Sit the child at 45 degrees insert MAD loosely into the nostril and press the plunger
Doses greater than 0.5ml should be split between 2 nostrils
The Paediatric Liaison Form (PLF is now part of EPR – how to guide)
This form alerts the Paediatric Liaison Team to your concerns so that they can investigate and provide appropriate support to the child & family.
You SHOULD inform the family that you are completing the form as the Paeds Liaison Team or other agencies (e.g. social services or school nurse)may contact them.
You SHOULD NOT use this form for patients who have either suffered or at risk of significant harm. In this case you should discuss directly with the paediatric consultant on-call.
PDF: Safeguarding Guide
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
The Yorkshire & Humber Paediatric Critical Care ODN, has released some useful guidance about the Post-ROSC phase of care
Night OWLS is a confidential support line for children, young people, their parents and carers who live in Bradford, Leeds, Calderdale, Kirklees and Wakefield. This is a pilot scheme funded till March 2022.
Read moreHyperammonaemia is a TIME CRITICAL medical emergency with the risk of death and serious neurological damage.
In the case of patient with Massive Haemorrhage weather that be from Trauma, Surgical, O&G, UGIB, you can activate the MTP
Diabetic Ketoacidosis – remember in paediatrics this may be the 1st presentation of diabetes.