Tessa Davis is a paediatric emergency registrar from Glasgow and Sydney, but currently living in London. Tessa tries to spend time with her 3 kids in between shifts. @tessardavis | + Tessa Davis | Tessa’s DFTB posts

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The effect of oximetry on hospital admission for bronchiolitis

Bronchiolitis is a very common presentation to paediatric emergency departments. In the absence of any effective treatments, most of care focuses around supportive measures e.g. oxygen or feeding supplementation. There is no clear cut-off for the requirement for supplemental oxygen, but this generally varies between 90 and 95% saturation. These cut-offs are often used for…

Thrombocytosis

Jenna presents to ED with a mild exacerbation of her asthma and a temp. She seems to have improved and is about to be sent home when the registrar notices that her platelet count is 600 x 109 Will this just resolve or should we do something about it?

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…

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…