Don't Forget the Bubbles is a paediatric blog providing online medical education. It is run by Tessa Davis, Henry Goldstein, Ben Lawton and Andrew Tagg, and is a collaborative effort to create a Free Open Access Medical Education (FOAM) resource for paediatrics.

Ketamine dosing in obese adolescents

Whilst ketamine is widely used in children of all ages, previous studies (Green et al, 2009) have shown that adverse events associated with ketamine are more common in adolescents (including airway adverse events and vomiting). Additionally, there is a lack of clarity for calculating the ketamine dose in obese adolescent patients – should it be…

vodcast

Vodcast of the week – just a routine operation

Martin Bromiley is an airline pilot and a visionary in the movement to improve patient safety.  He has bravely shared his own family’s story, and the lessons that it contains are so powerful I think they should make this video mandatory viewing for anyone who works in healthcare.  I realise that is a strong statement…

Beyond Milestones

Some months ago, a few local consultants returned from a conference in Sydney. They were abuzz with stories of a new learning resource for professional education around behaviour and development. A Sydney Developmental Paediatrician had compiled these videos, and they were ‘just fantastic’, but at the time apparently very hard to get a look at….

vodcast

Vodcast of the week – Paediatric ECGs

This weeks vodcast compliments our recently added ECG central. The fantastic Amal Mattu talks us through paediatric ECGs highlighting some features that, while potentially worrying in an adult, are normal in the paediatric population.  If you lose track of the numbers as you go through the vodcast remember we have a table of normal ECG…

Spitting the dummy

A 4 month old male infant is brought to the emergency department by a fire and rescue squad after responding to a 911 call for respiratory distress. He was sucking on a pacifier when his caretakers noticed that he had sucked the pacifier into his mouth.

Children are people too – immigration detention centres

In May 2014, the Royal Australian College of Physicians submitted a report to the Human Rights Commission Inquiry into Children in Immigration Detention.  As health professionals in Australia, we have a responsibility to protect the interests of children in our country. It is clear that the basic rights of children are not being upheld when it…

SIDS…and kids

It’s been a tough week at work.  A 6 month old girl has been brought into your department.  To all intents and purposes she appears dead on arrival and despite the best efforts of the nursing and medical staff you were unable to resuscitate her.  You’ve been asked to lead the team debrief. SIDS and SUDI…

Podcast of the week: paediatric pain control

This week’s recommendation is a podcast from the SGEM who have brought us yet another ace paediatric podcast. Anthony Crocco analyses two papers. The first looks at the use of topical analgesia when using glue for repairing lacerations. The second looks at the use of music for pain relief when performing simple paediatric procedures. If you only…

Constipation week – Day 5 – Advice and information for parents

Education of the child and family of the physiology of constipation and mechanism of overflow soiling is important.  Below are some tips, tricks, and generally things not to forget. See our other Constipation Week posts   What other recommendations can I give? You can mix the PEG 3350 with other fluids: Whichever Macrogol PEG you use, you…