ED attendance following MenB vaccination

In September  2015, the UK introduced the 4Conjugate Meningococcal B vaccine to the routine immunisation schedule, to be given at 2 and 4 months of age. Those of us who’ve witnessed the devastating effects of meningococcal sepsis welcomed this warmly. There was however a small catch. It was recognised that one of the effects of…

QTc

When I started my training, if you had asked me what the QTc was, I would probably have told you it was one of those funny shopping channels on cable TV. Then cisapride came along (Google it, kids) and changed all that. Nowadays every colleague who asks me to review an ECG tells me the…

Kawasaki Disease – Beware the Incomplete!

  A four year old Japanese male was brought into Emergency with 5 days of fevers, non-exudative bilaterally injected sclerae, erythematous pharynx and irritability. Wondering about the possibility of Kawasaki Disease, I turned to check the 2017 update of the American Heart Association Scientific Statement, focusing on considering a diagnosis of Incomplete Kawasaki Disease.  …

Syncope

This month’s Podcast of the Month is from PEM ED Podcast. In a 2 x 45 minute series Andrew Sloas and Buck Kyle discuss paediatric syncope, with a focus on the cardiogenic causes that you don’t want to miss. They also cover common reasons why kids pass out, and throw in a little ECG revision…

Quadrivalent Meningococcal Vaccination: W(135)hat’s all the fuss about?

I’ll never forget the throbbing, pounding headache that heralded the onset of meningococcal meningitis and septicaemia as a 14 year old girl; the complete overwhelm of the horrifying physical sensation that is sepsis. Within two hours I was unconscious – but thanks to a vocal family member advocating their concern for how sick I was,…

Deciduous dental damage

As my youngest daughter continues to her quest for her two front teeth, my eldest has lost two of hers. They came out naturally with minimal fuss though as they were hanging on by a (peri-odontal) thread she asked me lots of questions about teeth. Given that I was not trained as a dentist I thought…

Teething trouble

As the smallest member of the clan grows older it’s time for my reality based revision to move on from normal neonates to something else. We’ve made it through neonatal nasties and tourniquets on toes. It’s something more commonplace that keeps us up at night – something we’ve all been through – teething.

Supervision

I’ve been lucky enough to be one of the few paediatric registrars allocated to an Adolescent Inpatient Mental Health ward for a 6 month rotation. Although I’d worked in (adult) Psych wards before, I had few well formed ideas about psychiatric theory or practice past how to “do a takedown”. In Shem’s House of God,…

Caring for children with disabilities

`I recently completed my first rotation as a doctor in the Emergency Department. Prior to entering the medical workforce, I had spent most of my employed life as a respite carer looking after and assisting children with developmental disabilities. I thought about these kids and how difficult an Emergency Department (ED) environment would be for…