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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#iupedsgrandrounds – Child Physical Abuse

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Cite this article as: Davis, T. #iupedsgrandrounds – Child Physical Abuse, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3577 Child Protection is so important – we need to be able to recognise and deal with possible abuse. Here is a storify of Alex Djuricich’s tweets from Grand Rounds earlier this week; and we’ve added some…

Communication: refusing a lumbar puncture

Cite this article as: Davis, T. Communication: refusing a lumbar puncture, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3427 Scenario: you are the register in the Paediatric Emergency Department.  A febrile infant needs a lumbar puncture but the nurse tells you that the parents have refused.  What do you do?

Tolerance and withdrawal

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Cite this article as: Davis, T. Tolerance and withdrawal, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3887Definition: tolerance is the development of the need to increase the dose of a drug to achieve the same effect previously achieved with a lower dose.   Duration of therapy is the major factor associated with onset of tolerance and…

Are nebulisers or spacers better for managing acute asthma?

Cite this article as: Davis, T. Are nebulisers or spacers better for managing acute asthma?, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3278This Cochrane review was published this week and here’s my summary. This review looks at the question: Which is better for the delivery of salbutamol in acute asthma – spacers or nebulisers? The…

Needing a Diagnostic Kick-start

Cite this article as: Davis, T. Needing a Diagnostic Kick-start, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3254A 4 year-old boy has been brought to the emergency department by his worried parents. He has had fevers for the past 6 days. They are concerned because he is not getting better despite repeated visits to a…