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.

Orbital Floor Fractures

8 year old Albert was playing indoor cricket at school when he was struck in the face with the cricket bat.  Although he did not lose consciousness he is complaining of a severe headache and double vision. He has already vomited five times in the department.

Induced Hypothermia for Hypoxic-Ischaemic Encephalopathy – Part 2

Bottom Line: Consider and identify hypoxic ischaemic encephalopathy early Cooling improves mortality rates without additional adverse neurodevelopmental outcomes at 18 months If the child fits the FEAST criteria during or soon after resus, they might be a candidate for cooling Neonates must only be actively cooled in a tertiary neonatal centre Use your local guidelines…