Tessa Davis is a Consultant in Paediatric Emergency Medicine. She is from Glasgow and Sydney, but is currently living in London. @tessardavis | + Tessa Davis | Tessa's DFTB posts

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Knee X-rays

1.  Know your knee anatomy See the the anatomical landmarks on the diagrams below.   Remember that the knees of younger children will look different, as the patella forms, and the ossification centres form.   2. Look for an effusion There are two fat pads in the knee the suprapatellar fat pad the prefemoral fat…

Anaphylaxis Q+A

Jason is a 2 year boy who presents to ED with a rash and cough. He had peanut butter for the first time about 20 minutes ago, and he suddenly started vomiting then coughing. His face is swelling and he sounds very wheezy. 

Lumbar Punctures


This week’s Vodcast of the Week is Brad Sobolewski’s fantastic teaching on lumbar puncture in children. He covers indications, anatomy, and complications of LP; and the video includes a demonstration of positioning and optimising your technique. This is without a doubt the best and most comprehensive teaching I have seen on this procedure. You can…

Button Batteries

This week’s Podcast of the Week is from our favourite UK PEM team, St Emlyn’s. In this excellent 15 minutes podcast, Simon Carley and Natalie May discuss the dangers of button batteries. We have all been hearing in the new about how dangerous they, and this podcast tells us how to investigate, when to worry,…

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…