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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

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 fro everyone but as with most of EM trust in K.I.S.S. Not dehydrated – make sure they can tolerate… Read more

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

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

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

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

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

REALISTIC EMERGENCY MEDICINE  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

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

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

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

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