0-12yrs WETFLAG

September 7, 2019

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

Afebrile Seizure (Paed)

August 22, 2020

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


June 28, 2018

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

Asthma – Paeds

September 1, 2018

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


September 1, 2018

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

Button Battery Ingestion

July 9, 2018

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

CAMHS – referral

December 24, 2017

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

Care of the Next Infant (CONI)

January 7, 2020

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

COVID-19 (Paediatric multisystem inflammatory syndrome)

May 13, 2020

AKA: 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


September 1, 2018

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

D&V in kids

December 22, 2017

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 Hyperglycaemia (Kids)

September 20, 2019

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

DKA in Kids

December 22, 2017

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

Drugs & Alcohol misuse in young people

March 6, 2018

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

EMBRACE & Paediatric Critical Care

July 18, 2019

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

Head Injury

February 27, 2018

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

iNFANT – user guide

June 29, 2018

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

Injuries in Non-Mobile Children

May 28, 2019

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

Limping Child

April 21, 2018

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

Massive Transfusion Pathway

February 6, 2018

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 – Time Critical Transfers (non-trauma)

June 14, 2020

Definition 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, 2018

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

Paediatric Ketamine Sedation

June 4, 2020

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

Paediatric Mental Health

October 26, 2020

The 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, 2019

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

Paeds Liaison Form

May 31, 2018

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

Pneumonia – Paeds

December 24, 2017

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

Purple Glove Syndrome – Case

September 23, 2018

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

Quick-Wee method

March 27, 2018

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

Rape & Sexual Assault

March 6, 2018

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… Read more

RCEM CPD Conference Day 3

April 4, 2019


Safeguarding Adult & Child

January 7, 2018

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

Sickle Cell Crisis

June 7, 2019

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

Sore Throat

March 17, 2018

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

SUDIC – Sudden Unexpected Death In Child

March 13, 2018

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

The Wheezy Kid <5yrs

September 1, 2018

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

Underage Sexual Activity

April 5, 2018

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

Vaccination Schedules UK & International

March 27, 2019

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

Viral Induced Wheeze

September 1, 2018

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