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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

Child (<16) presents with PAROXSYMAL EVENT – episode of loss of consciousness, blank starring or other brief unusual behaviour History Detailed description of event Before… Read more

Quick Ref Guide Asthma is common and potentially fatal. Severity – Severe or Life threatening – think RESUS Treatment within 30 min – bronchodilators and… 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

Unlike RAID, our colleagues in CAMHS won’t take referrals form nursing staff. So there is no point arguing about it. A Dr or ACP will… 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

Paediatric gastroenteritis can be a pain for everyone but as with most of EM – Keep It Simple Not dehydrated – make sure they can… 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

Ending up in the ED as a result of alcohol and or substance use is NOT normal behaviour Children who use alcohol or other substances… 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

the iNFANT is truly a design enigma, it is simple yet complicated, amazing yet frustrating, beautiful yet disgusting. And due to a unique production method,… 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

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… 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

RCEM 2012 Safe sedation in the ED and RCEM Ketamine for paediatric procedural sedation guideline. Please read these documents in full or participate in RCEM… Read more

The Paediatric Liaison Form has been updated This form alerts the Paediatric Liaison Team to your concerns so that they can investigate and provide appropriate… 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

Have you ever wanted an infant to PU faster? Gentle suprapubic cutaneous stimulation with gauze soaked in cold fluid (the Quick-Wee method) led to 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

Safeguarding is massively important but often not done! This can be due to lack of recognition OR not knowing what help there is. Often our… 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

Occasionally children (<18 yrs) unfortunately will either die in ED or be brought in dead, this is obviously a terrible time for the child’s family… Read more

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

Working out what your patient might have been vaccinated for can be tricky, and more so if they were raised outside of the UK. Luckily… 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