Or Not…

With an impending new arrival I was excited about the educational opportunities that would arise.  I’d read up my fetal physiology and was eagerly awaiting the chance to write a series of posts on what normal babies do.  I had planned to take pictures of meconium filled nappies and film normal neonatal reflexes. I’d made…

Big Picture Paediatrics : Adverse Childhood Experiences

So much of paediatrics, and medicine in general, is focussed on small experimental or observational studies. This series of posts takes the wider view; we’re talking here about some of the biggest and longest running studies that help us frame, measure and understand childhood through time and across the world. References: Felitti, VJ, Anda RF,…

Are you okay?

Today (8th September) in Australia is RUOK? day. It’s a time for people to come together and think about more than themselves and meaningfully connect with others. I wrote recently about the prevalence of bullying in medical society and some of it’s consequences. The 2013 Beyond Blue survey on depression in the medical workforce showed that one…

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…

DFTB in EMA #4 – Spoonful of sugar: Improving the palatability of emergency department visits for children and their families

Whilst it has been available online for some time now the fourth EMA article from the DFTB team has just hit doormats across Australia. “Pain, fever, fatigue and fear can all add to anxiety and distress for unwell children and their families, as well as making assessment of their clinical state even more difficult. This…

Communication: Drug error

Scenario: you are the register on the General Paediatric Ward. As you are reviewing patients, you realise that one of your patients, 9 month old Kayleigh, has been prescribed and given the wrong dose of paracetamol. She received one dose that was 5 x the recommended dose. You need to speak to the family and…

What is autism?

As paediatricians we may not be required to diagnose autism, but we should be able to understand and recognise the main features. There are two main diagnostic areas under the new DSM V criteria A. Persistent deficits in social communication and social interaction B. Restricted, repetitive patterns of behaviour, interests, or activities For a diagnosis…