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…

Pyloric stenosis

Key points: Think of pyloric stenosis in a vomiting infant. Only about 1 in 7 cases will have the classic triad of projectile vomiting, visible peristalsis and the palpable “olive”. Hypokalemia suggests several weeks of symptoms. Ultrasound is the most common diagnostic modality, in addition to Hx & Examination. Rehydrate and correct electrolyte disturbances before…

DFTB in Dublin – the Workshops

Having braved international flights half of the team from DFTB (Andy and Henry) have made it to SMACCDub. For those of you not in the know the Social Media And Critical Care conference is in it’s fourth year now and partly inspired us to start Don’t Forget The Bubbles.  Although the editors regularly chat online…

Breast anomalies

—Most breast lesions in children and adolescents are benign and self limiting. However, it is important not to overlook the impact that abnormal breast development can have on an adolescent’s self-esteem and self-confidence. Here Catherine Boorer (Plastic and Reconstructive Surgeon) discusses the spectrum of presentations. Polythelia (accessory nipples) —Can occur anywhere along the mammary ridge…

Examining for a cleft palate

A 6 week old baby is referred with poor feeding. On examination you notice a cleft palate that has been previously undetected at the earlier babychecks. What is the best way to examine newborns in order to detect all cleft palates? The RCPCH and NICE have released a joint consensus guideline (October 2014) on best…

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