Coping with errors

When you lie in bed at night and have moments of reflection about your work, what do you think about? The patient whose abnormal blood result you didn’t spot? The time you prescribed the wrong drug dose for a patient? The child who died unexpectedly and you wonder what you should have done differently?

The ideal paediatric resuscitation

The first few minutes of a paediatric resuscitation are intimidating and crucial. Every basic life support update we do drills the DRSABCD mnemonic. The team from Princess Margaret in Perth have made this excellent video of what it ought to look like. Enjoy. If you want to be able to run a calmer resuscitation come…

Mechanical CPR in children

Sometimes a single tweet can stir up something deep inside me that I want to know the answer to.  This time it was Jim DuCanto, airway guru. Since this is a blog about paediatrics I won’t go into my opinions about mechanical CPR (mCPR) in grown ups. I’ll leave it to Robbie Simpson to rant…

Night shifts

You aren’t evolved to be awake at night. Your brain and body expect to be asleep during your biological night, so they can get on with the business of sleep, the essential caretaking tasks sleep does for you, when your eyes close and you dream the night away, The physiological drive that pushes you into…

The Hidden Curriculum – Empathy

When I mentioned the importance of acting as a role model in a recent post the esteemed Daniel Cabrera tweeted a short response – “Empathy, that’s all“. So what is it? Can we do without it? And if we can’t is it something we are born with or is it something we can learn and,…

Challenging consultations

A recent consultation with a patient did not go well. One initial seed of patient dissatisfaction could not be appeased and it just spiralled as the consultation went downhill. The patient left feeling unhappy, threatening to sue me if they died in the night, and I was left with a sinking sensation in the pit of…

Molluscum contagiosum

  It started as one or two raised little bumps under her arm. They didn’t seem to bother her but as time went on they seemed to increase in number.  As a handful became too many to count her parents became concerned. What were these fleshy little lumps? Why wouldn’t they go away? Could they…