An Acquired Taste

“Bad tasting medicines” date as far back as Asclepius and the Eye of Horus, and have a long and storied history through centuries of patent medicines, tonics and Cod Liver Oil. The idea that a bad tasting medicine is good for you has become pervasive in culture. “… a person trained in pharmacy would have many…

Feel the heat

In this third post in an occasional series questioning some of the basics of paediatric assessment we are going to look at measuring temperature in children.  It’s one of the few vital signs that parents measure themselves before even coming in to the emergency department. But just how accurate is their assessment?

Can’t intubate, Can’t Oxygenate

Paediatric critical procedures are rare in the emergency department. Data from one Victorian network showed that 83% of emergency physicians had not performed one in a twelve month period. We also know from audit data that we seem to have a lower first pass success rate (around 78%) when it comes to paediatric intubation. We…

The space between…

The readers of Don’t Forget the Bubbles are clearly well educated and try their best to keep up to date with the literature.  We do what we can to help bring the latest research to you to help reduce the knowledge translation window (and have a new project on the horizon to help even more)….

Big Picture Paediatrics : The Dunedin Study

So much of paediatrics, and medicine in general, is focussed on small experimental or observational studies. This series of posts takes the wider view; we’re talking here about some of the biggest and longest running studies that help us frame, measure and understand childhood through time and across the world. Are there similar studies? There…

Send in the clowns

Clowns – you either love them or you hate them.  There is no middle ground.  But what do children think about them? Hospitals can be strange, scary places, even in daylight. So some have introduced ‘clown’ doctors to help allay fears. But do they? (Editor note: If you have *coulrophobia then don’t read this post)

Opioids and Constipation

Opioids and constipation   The bottom line -Opioids are an illogical choice for treating pain associated with constipation -Pain needs to be treated promptly and effectively -Abdominal pain requiring opioids should raise suspicion of a surgical diagnosis   Why are we talking about opioids and constipation? This post arose from a twitter conversation that began…

Treadmill Burns

Chase, 3, is brought in by ambulance with his hand wrapped in a towel. His sweaty father – wearing running gear – explains that Chase touched the treadmill whilst Dad was in full flight. A recently published paper in Burns reviews the epidemiology of treadmill burns; Goltsman D, Li Z, Connolly S, Meyerowitz-Katz D4, Allan…

Intersex – the background

Most of us consider sex as a black or white issue. You are either male or female. But the truth is not as simple as that. The development of sexual characteristis lies on a spectrum. The arbitrary terms of male or female are a human definition rather than a natural one. A person may be born…