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Tips:  If particularly BiIG – go up 1-2 yrs If particularly SMALL – go down 1-2 yr Prepare ET Tubes 0.5mm bigger and smaller Chid’s… Read more

To maintain or restore patency of the ductus arteriosus Only to be used in infants who are ventilated or where ventilation is immediately available DO… Read more

Quick Ref Guide   Background Bronchiolitis is seasonal (winter) viral lower respiratory tract infection Affects children under 2 years – 1 in 3 infants will… Read more

A button battery lodged in the Oesophagus is a medical emergency as it can cause necrosis and significant GI bleed – Refer immediately If anybody… Read more

What is CONI? Parents who have experienced a sudden and unexpected death of a baby or child often feel anxious when they have another baby.… Read more

Quick Ref Guide Document Severity @ discharge:  Remember sometimes well children that it is appropriate to discharge can deteriorate. So ensure the reason for your… Read more

Diabetic children sometimes attend ED with hyperglycaemia, but not in DKA (what should we do?) Paeds have produced some advice to follow: Ketones over 0.6?… Read more

Diabetic Ketoacidosis – remember in paediatrics this may be the 1st presentation of diabetes. Fluid – are more considered that adults due to the risk… Read more

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… Read more

Background Defined as any traumatic injury to the head other than superficial facial injuries. The commonest cause of death and disability in people age 1-40… Read more

Unfortunately under 1 year olds are at a higher risk of NAI and this needs to be considered in ALL presentations. But remember if the… Read more

This is a relatively common  presentation within the ED that has a myriad of possible diagnoses ranging from sprain to malignancy. One thing to remember… Read more

Paediatric Hypoglycaemia (BM <2.6) is a relatively common presentation in the Emergency Department. However, if we don’t do the BM it’s easy to miss. Hypoglycaemia… Read more

RCPCH have released a GREAT series of podcasts on paediatric sepsis. It is from a paediatric slant, but is applicable to the ED and well… Read more

CAP is far less common than URTI’s, however, it needs to be considered within your differentials. Depending on severity there is a guide to investigation… Read more

Is a rare complication of I.V. Phenytoin, which presents with a triad of: Pain, Oedema & Discolouration, typically in the hand. In our case a… Read more

Don’t Preform intimate examinations on Sexual assault/Rape patients Unless life-threatening injuries are suspected e.g Haemorrhage. As our examination will inevitably destroy evidence that may aid this patients case… Read more

REALISTIC EMERGENCY MEDICINE  Read more

Painful Crisis Severe pain is the most common reason that patients with sickle cell, will attend the ED. The pain can be agonising (and often… Read more

Background Acute sore throats are often caused by a virus, last about a week and get better without antibiotics. withholding antibiotics rarely causes complications. Antibiotic… Read more

Which of theses fit best?   1. Choose a condition (Click the circle) 2. Assess Severity 3. Treat Read more

This applies to all children/young people under 16 years old and those 16-18 years who are considered vulnerable, engaging in sexual activity. Getting this right… Read more

Quick Ref Guide Background Viral respiratory infections are the most common cause of wheezing in infants and young children Risk factors include exposure to tobacco… Read more