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.

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…

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…

Ibuprofen versus Paracetamol

This week’s recommendation is a podcast from Brad Sobolewski at PEM Currents. This podcast is a nice, short (12 minute) summary of the differences between ibuprofen and paracetamol. Ok, so he calls it acetaminophen, but we will let that pass. Is one better than the other? Will ibuprofen send your patients into a spiral towards renal failure? If…

Febrile seizures

Febrile seizures

An 8 month old baby has been referred to you by the Accident and Emergency Department with the first episode of febrile convulsion. He has been coryzal over the last couple of days with spikes of temperature up to 38oC. The episode lasted for 5 minutes, the baby felt hot at the time and following…

Ondansetron in Gastro

This week’s recommendation is a podcast by the fabulous Brad Sobolewski at PEM Currents. We use ondansetron all the time in kids with gastro. This bite-sized podcast explains how it works, if it’s any good, and what the potential side effects are. If you only listen to one podcast this week. Make it this one. Listen to the…

CRITOE Quick Quiz

This quick quiz is to test your CRITOE knowledge. See this post for how to interpret an elbow x-ray. Click on the image to see them in full size…   Q1: What age is this child? Q2: What is the abnormality in the XR of this child who sustained a fall onto the lateral aspect…

Paediatric sepsis

Welcome to our new “vodcast of the week” section, where we will share what we have enjoyed watching from around the FOAMasphere. To start us off in style Simon Carley over at St Emlyn’s shares his talk from the retrieval 2014 conference.   He takes us on an engaging journey through the easy parts and…

Spider Bites

6 year old Charlotte is carried into  your emergency department by her father. She had been helping him tidy up the garage and she thought she had scratched herself on an old box of toys.  An hour later she was inconsolable and refusing to walk. Bottom line Redback spider bites, though painful, don’t kill you….

Appendectomy or antibiotics?

Appendicitis is a common diagnosis in ED, and once it is confirmed clinically or on ultrasound, the patient usually goes pretty quickly to theatre for an appendectomy. But is a course of antibiotics just as effective as taking these kids to theatre?