0-12yrs WETFLAG
September 7, 2019Tips: 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
Afebrile Seizure (Paed)
August 22, 2020Child (<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
Alprostadil
June 28, 2018To 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
Asthma – Paeds
September 1, 2018Quick Ref Guide Asthma is common and potentially fatal. Severity – Severe or Life threatening – think RESUS Treatment within 30 min – bronchodilators and… Read more
Bronchiolitis
September 1, 2018Quick Ref Guide Background Bronchiolitis is seasonal (winter) viral lower respiratory tract infection Affects children under 2 years – 1 in 3 infants will… Read more
Button Battery Ingestion
July 9, 2018A 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
CAMHS – referral
December 24, 2017Unlike 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
Care of the Next Infant (CONI)
January 7, 2020What 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
COVID-19 (Paediatric multisystem inflammatory syndrome)
May 13, 2020AKA: Paediatric Inflammatory Multi-system Syndrome – Temporally associated with SARS-CoV 2 Although COVID-19 seems a benign disease in almost all children there are increasing evidence (however… Read more
Croup
September 1, 2018Quick 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
D&V in kids
December 22, 2017Paediatric 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 Hyperglycaemia (Kids)
September 20, 2019Diabetic 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
DKA in Kids
December 22, 2017Diabetic Ketoacidosis – remember in paediatrics this may be the 1st presentation of diabetes. Fluid – are more considered that adults due to the risk… Read more
Drugs & Alcohol misuse in young people
March 6, 2018Ending 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
EMBRACE & Paediatric Critical Care
July 18, 2019In 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
Head Injury
February 27, 2018Background 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
iNFANT – user guide
June 29, 2018the 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
Injuries in Non-Mobile Children
May 28, 2019Unfortunately 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
Limping Child
April 21, 2018This 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
Massive Transfusion Pathway
February 6, 2018In 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 – Time Critical Transfers (non-trauma)
June 14, 2020Definition of a time critical transfer Transfer of a patient for life, limb or organ saving treatment when the time taken to provide this treatment… Read more
Paediatric Hypoglycaemia
November 30, 2018Paediatric 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
Paediatric Ketamine Sedation
June 4, 2020RCEM 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
Paediatric Mental Health
October 26, 2020The provision of out of hours mental health services for Children and young people (under the age of 18) is changing: – Between 8pm and… Read more
Paediatric Sepsis Podcast (RCPCH)
June 10, 2019RCPCH 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
Paeds Liaison Form
May 31, 2018The 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
Pneumonia – Paeds
December 24, 2017CAP 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
Purple Glove Syndrome – Case
September 23, 2018Is 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
Quick-Wee method
March 27, 2018Have 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
Rape & Sexual Assault
March 6, 2018Don’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… Read more
RCEM CPD Conference Day 3
April 4, 2019REALISTIC EMERGENCY MEDICINE Read more
Safeguarding Adult & Child
January 7, 2018Safeguarding 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
Sickle Cell Crisis
June 7, 2019Painful 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
Sore Throat
March 17, 2018Background 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
SUDIC – Sudden Unexpected Death In Child
March 13, 2018Occasionally 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
The Wheezy Kid <5yrs
September 1, 2018Which of theses fit best? 1. Choose a condition (Click the circle) 2. Assess Severity 3. Treat Read more
Underage Sexual Activity
April 5, 2018This 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
Vaccination Schedules UK & International
March 27, 2019Working 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
Viral Induced Wheeze
September 1, 2018Quick 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
