Syringes, Glue, and Foreign Bodies

This week’s recommendation is a podcast by the wonderful Andrew Sloas at PEM ED Podcast. He tells us how to get foreign objects out of ears without the melodrama of drugs, sedation, and operating theatres. All you need is a 1ml syringe (or insulin syringe), some glue, and a steady hand. I cannot wait to try…

Carbon Monoxide Poisoning

4 year old Mariska is brought in by ambulance with her mother after being rescued from a house fire.  Neither appear to have sustained any significant injuries as they were woken by the screech of the smoke detector but your resident is worried about possible carbon monoxide poisoning and wants to do an arterial blood…

Drowning

  Bottom line Prevention is better than cure, we should all be vocal advocates for pool fences Respiratory support is the intervention most likely to be required Time to first breath is critical (hence those poolside CPR posters) Beware of respiratory deterioration Predicting prognosis is difficult but CPR for >30 mins is a bad sign…

The magic coin

This is a 20 month old female who presents to the emergency department after swallowing a coin, according to two older children who were playing with her at the time. They don’t know what type of coin it was.

Kids in cars

The mercury on the outside thermometer is inching past 40oC for the third day in a row and for once you are grateful to be in the cool, air-conditioned emergency department.  The emergency phone snaps you back into alertness. The paramedics are bringing in a toddler that has been liberated from the back of a…

Lockie on Little Adults

This week’s recommendation is from the team at the Intensive Care Network –  The Intensive Care Podcasts. It’s Fran Lockie (a Paediatrician in Adelaide) discussing how to manage little adults in resus situations.

Head injury – who to scan?

Kids come into emergency EVERY day with head injury. In many cases imaging decisions are simple. Especially when the child rolled off the bed, cried straight away & is now tearing up the ED – BUT plenty of cases present a diagnostic dilemma for physicians.