Cite this article as:
Tessa Davis. 6 PEM papers that could change your practice – #6 – getting urine from neonates, Don't Forget the Bubbles, 2014. Available at: https://doi.org/10.31440/DFTB.5039
Simon Binks, an Emergency Medicine doc in Wollongong Hospital recently gave an awesome talk on six papers that changed his paediatric emergency medicine practice in the last year. This week we are posting one each day. You can hear the talk on Joe Lex’s Free Emergency Medicine Talks site.
Author: Tessa DavisTessa Davis is a Consultant in Paediatric Emergency Medicine at the Royal London Hospital and a Senior Lecturer at Queen Mary University of London.
6 PEM papers that could change your practice – #6 – getting urine from neonates
Tags: spa, urine sample
Tessa Davis. 6 PEM papers that could change your practice – #6 – getting urine from neonates, Don't Forget the Bubbles, 2014. Available at:
https://doi.org/10.31440/DFTB.5039
Simon Binks, an Emergency Medicine doc in Wollongong Hospital recently gave an awesome talk on six papers that changed his paediatric emergency medicine practice in the last year. This week we are posting one each day. You can hear the talk on Joe Lex’s Free Emergency Medicine Talks site.
Here I summarise the sixth paper he identified and his key points.
We have all spent time pondering over how long to wait for a urine sample and when to just do an in-out catheter or suprapubic aspiration.
A paper in Archives of Disease in Childhood looked at a new way of collecting urine in neonates.
Sounds great, what's the new way?
Give the baby a feed and then wait for 25 mins.
Get one other person to help you.
Hold the baby up (under the arms); tap on the bladder (100 taps per minutes) for 30 seconds; and massage the lower back for 30 seconds.
And they wee!
Looks amazing.
Who were the patients?
This study looked at 89 patients. They were all neonates – with a mean age of six days.
And did it work?
86% voided within five minutes. The mean time to void was 57 seconds.
References
About Tessa Davis
View all posts by Tessa Davis | Website