Prevent the spread of infections by ensuring: routine immunisation, high standards of personal hygiene and practice, particularly hand-washing, and maintaining a clean environment. However, Public Health England recommend exclusion in some conditions.
Category: Paeds
Button Battery Ingestion
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
Brief Resolved Unexplained Event (BRUE)
Brief Resolved Unexplained Event (BRUE) is now the recommended term for ALTE (Apparent Life Threatening Event).
Definition:
BRUE is defined as an episode in an infant less than 12 months old characterized by:
- < 1 minute duration (typically 20-30s)
- Followed by return to baseline state
- Not explained by identifiable medical conditions
Includes one or more of the following:
- Central cyanosis/pallor
- Absent, decreased or irregular breathing
- Marked change in tone (hyper or hypotonia)
- Altered level of consciousness
Intranasal Fentanyl
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.
Drug Delivery
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
Contraindications
- Blocked nose due to upper respiratory illness or epistaxis
- Respiratory depression
- Hypovolaemia
- Altered consciousness
- Hypersensitivity to fentanyl
- Children below 1 year old
Paeds Liaison Form – EPR
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
Infant Feed Volumes – what is expected?
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
Paeds Post-ROSC guide
The Yorkshire & Humber Paediatric Critical Care ODN, has released some useful guidance about the Post-ROSC phase of care 
NightOWLS – Overnight Crisis
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 – Paed
Hyperammonaemia is a TIME CRITICAL medical emergency with the risk of death and serious neurological damage.
Massive Transfusion Pathway
In the case of patient with Massive Haemorrhage weather that be from Trauma, Surgical, O&G, UGIB, you can activate the MTP
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
