Curiosity is the wick: Ross Fisher at DFTB19

Cite this article as:
Team DFTB. Curiosity is the wick: Ross Fisher at DFTB19, Don't Forget the Bubbles, 2020. Available at:
https://doi.org/10.31440/DFTB.22124
This final talk from DFTB19 is something else. So sit down, pour yourself a cup of hot cocoa and listen to the mellifluous tones of Mr. Ross Fisher*.
* Ross will read your children bedtime stories if you ask him very nicely.
This talk was recorded live at DFTB19 in London, England. With the theme of  “The Journey” we wanted to consider the journeys our patients and their families go on, both metaphorical and literal. If you want our podcasts delivered straight to your listening device then subscribe to our iTunes feed or check out the RSS feed. If you are more a fan of the visual medium then subscribe to our YouTube channel. Please embrace the spirit of FOAMed and spread the word.
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The Travelling Doctors Suitcase: Fiona Reilly at DFTB19

Cite this article as:
Team DFTB. The Travelling Doctors Suitcase: Fiona Reilly at DFTB19, Don't Forget the Bubbles, 2020. Available at:
https://doi.org/10.31440/DFTB.20048
Fiona Reilly is many things as we found out at DFTB17. In this talk from the final plenary session of DFTB19 she takes us on a journey – from her early days working in rural Australia to now, working at a big city hospital – and she reminds us that there are always lessons we can learn along the way. Showing up can be hard, but with a little extra care, we can be there for our patients.
This talk was recorded live at DFTB19 in London, England. With the theme of  “The Journey” we wanted to consider the journeys our patients and their families go on, both metaphorical and literal. If you want our podcasts delivered straight to your listening device then subscribe to our iTunes feed or check out the RSS feed. If you are more a fan of the visual medium then subscribe to our YouTube channel. Please embrace the spirit of FOAMed and spread the word.
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Emotional Contagion: Andrew Tagg at DFTB19

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Andrew Tagg. Emotional Contagion: Andrew Tagg at DFTB19, Don't Forget the Bubbles, 2020. Available at:
https://doi.org/10.31440/DFTB.22095

I’ve always had an affinity for John Carter, as played by Noah Wyle, from the TV series ER. The night ER premiered on UK television happened to be my very first ED shift as a medical student at the Chelsea and Westminster Hospital.  I remember sneaking away to the lounge to watch it. My first ED experience was nothing like Carters but I was hooked.

I went to Chicago to do my elective and saw them filming in the snow in between shifts at Northwestern and when I returned to England to prepare for finals we would gather around the TV trying to make the diagnosis before the medicos on the television. We called it revising, but really it was escaping from the textbooks for a short time.

My interest wained nearer the end of the run. Carter had been through many trials, as had I, but one thing has stuck with me more than anything else. It was something passed down from David Morgenstern (William H. Macy) to Mark Greene (Anthony Edwards), and then more importantly from Greene to Carter. That is the basis for this talk. You can read the background here.

 

 

 

 

This talk was recorded live at DFTB19 in London, England. With the theme of  “The Journey” we wanted to consider the journeys our patients and their families go on, both metaphorical and literal.

If you want our podcasts delivered straight to your listening device then subscribe to our iTunes feed or check out the RSS feed. If you are more a fan of the visual medium then subscribe to our YouTube channel. Please embrace the spirit of FOAMed and spread the word.

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Subtle Signs in Safeguarding: Giles Armstrong at DFTB19

Cite this article as:
Team DFTB. Subtle Signs in Safeguarding: Giles Armstrong at DFTB19, Don't Forget the Bubbles, 2020. Available at:
https://doi.org/10.31440/DFTB.22259

Giles Armstrong reminds us that curiosity is needed for all of our young patients and that without it, we cannot truly care for them. We have to be the detectives and be prepared to ask the questions, not just to the routine questions, but to the unspoken ones. Giles presents us with some challenging, but very realistic scenarios, in which it is easy to miss the subtle clues if you don’t look for them.

This talk was recorded live at DFTB19 in London, England. With the theme of  “The Journey” we wanted to consider the journeys our patients and their families go on, both metaphorical and literal.

If you want our podcasts delivered straight to your listening device then subscribe to our iTunes feed or check out the RSS feed. If you are more a fan of the visual medium then subscribe to our YouTube channel. Please embrace the spirit of FOAMed and spread the word.

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POCUS: Russ Horowitz and Cian McDemott at DFTB19

Cite this article as:
Team DFTB. POCUS: Russ Horowitz and Cian McDemott at DFTB19, Don't Forget the Bubbles, 2020. Available at:
https://doi.org/10.31440/DFTB.22174

Where would the world of paediatrics be without POCUS? We’d still be trying (and failing) to cannulate chubby toddlers by feel alone, we’d still be using radioactive waves to determine if the child in front of us has pneumonia and we wouldn’t have this eye-opening talk from Russ and Cian.

©Ian Summers

 
Russ and Cian co-ordinated the wonderful pre-conference ultrasound workshop in London.  Here is one of our favourite pearls is you want to help identify the bladder before performing a SPA. The bladder, looking just like a slice of toast, makes the perfect target.
 
 
 
If this talk has whetted your appetite then why not sign up for one of the www.dftb20.com ultrasound workshops.

This talk was recorded live at DFTB19 in London, England. With the theme of  “The Journey” we wanted to consider the journeys our patients and their families go on, both metaphorical and literal.

If you want our podcasts delivered straight to your listening device then subscribe to our iTunes feed or check out the RSS feed. If you are more a fan of the visual medium then subscribe to our YouTube channel. Please embrace the spirit of FOAMed and spread the word.

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Selected References

Sii F, Barry RJ, Abbott J, Blanch RJ, MacEwen CJ, Shah P. The UK Paediatric Ocular Trauma Study 2 (POTS2): demographics and mechanisms of injuries. Clinical ophthalmology (Auckland, NZ). 2018;12:105.

What’s your preferred BRUE?: Sarah McNab at DFTB19

Cite this article as:
Team DFTB. What’s your preferred BRUE?: Sarah McNab at DFTB19, Don't Forget the Bubbles, 2020. Available at:
https://doi.org/10.31440/DFTB.22639

Sarah McNab, Director of General Paediatrics at the Royal Children’s Hospital in Melbourne, takes us through an interactive case of a child with an apparent, life-threatening event. At least that is what we used to call it. Is it a BRUE or is it something more serious? Should parents buy a home apnoea monitor? The guidelines say ‘No’ but Sarah offers an alternative view.

This talk was recorded live at DFTB19 in London, England. With the theme of  “The Journey” we wanted to consider the journeys our patients and their families go on, both metaphorical and literal. DFTB20 will be held in Brisbane, Australia.

If you want our podcasts delivered straight to your listening device then subscribe to our iTunes feed or check out the RSS feed. If you are more a fan of the visual medium then subscribe to our YouTube channel. Please embrace the spirit of FOAMed and spread the word.

It’s Only Wheeze – Treatment Is Simple, Isn’t It?: Meredith Borland at DFTB19

Cite this article as:
Team DFTB. It’s Only Wheeze – Treatment Is Simple, Isn’t It?: Meredith Borland at DFTB19, Don't Forget the Bubbles, 2020. Available at:
https://doi.org/10.31440/DFTB.20828

Meredith Borland is a paediatric emergency physician and the Director of Emergency Medicine at Perth Children’s Hospital in Perth, Western Australia. She was a founding member of the PREDICT Executive and is the current chair of PREDICT.

Last year at DFTB18, Meredith continued an ongoing discussion about the use of steroids in wheeze. This year, she took us on a journey through an emergency department visit for a number of children who may or may not receive various interventions. This was a fun, interactive and thought-provoking talk that highlighted some common differences in practice.

#doodlemed on this talk by @char_durand below

This talk was recorded live at DFTB19 in London, England. With the theme of  “The Journey” we wanted to consider the journeys our patients and their families go on, both metaphorical and literal.

If you want our podcasts delivered straight to your listening device then subscribe to our iTunes feed or check out the RSS feed. If you are more a fan of the visual medium then subscribe to our YouTube channel. Please embrace the spirit of FOAMed and spread the word.

Does Every Child With Fever Have Sepsis? Damian Roland at DFTB19

Cite this article as:
Team DFTB. Does Every Child With Fever Have Sepsis? Damian Roland at DFTB19, Don't Forget the Bubbles, 2020. Available at:
https://doi.org/10.31440/DFTB.20382

Damian Roland is a Paediatric Emergency Medicine and Honorary Associate Professor, who is also the chair PERUKI (Paediatric Emergency Research United Kingdom and Ireland). Damian delivered this thought-provoking talk on guidelines, gestalt and real-world practice on behalf of Rachel Rowlands, who was unable to attend. You can follow him in Twitter at @Damian_Roland 

#doodlemed on this talk by @char_durand below

This talk was recorded live at DFTB19 in London, England. With the theme of  “The Journey” we wanted to consider the journeys our patients and their families go on, both metaphorical and literal. DFTB21 will be held in Brisbane, Australia.

If you want our podcasts delivered straight to your listening device then subscribe to our iTunes feed or check out the RSS feed. If you are more a fan of the visual medium then subscribe to our YouTube channel. Please embrace the spirit of FOAMed and spread the word.

Change the System, not the people: Neil Spenceley at DFTB19

Cite this article as:
Team DFTB. Change the System, not the people: Neil Spenceley at DFTB19, Don't Forget the Bubbles, 2020. Available at:
https://doi.org/10.31440/DFTB.22275

Neil Spenceley is a paediatric intensivist and is the National Lead for Paediatric Patient Safety.

This talk is packed with nuggets that will change the way you view the world in which you practice. Neil explains Safety 1 and Safety 2 thinking. The talk is wide-ranging and covers poor behaviours in healthcare both at a personal level and at an institutional level.

If you just want to read one key paper to get you started then read this one from paediatric surgeon, Lucian Leape.

Leape LL. Error in medicine. Jama. 1994 Dec 21;272(23):1851-7.

If you want to read two papers (and we suggest you should) then download this one too.

Hollnagel E. Human error. InPosition paper for NATO conference on human error 1983 Aug.

 

 

 

Doodle medicine sketch by @char_durand 

 

©Ian Summers

 

 

This talk was recorded live at DFTB19 in London, England. With the theme of  “The Journey” we wanted to consider the journeys our patients and their families go on, both metaphorical and literal. DFTB20 will be held in Brisbane, Australia.

If you want our podcasts delivered straight to your listening device then subscribe to our iTunes feed or check out the RSS feed. If you are more a fan of the visual medium then subscribe to our YouTube channel. Please embrace the spirit of FOAMed and spread the word.

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Selected References

 
Cook RI, Nemeth CP. “Those found responsible have been sacked”: some observations on the usefulness of error. Cognition, Technology & Work. 2010 Jun 1;12(2):87-93.
 
Katz D, Blasius K, Isaak R, Lipps J, Kushelev M, Goldberg A, Fastman J, Marsh B, DeMaria S. Exposure to incivility hinders clinical performance in a simulated operative crisis. BMJ quality & safety. 2019 May 31:bmjqs-2019.
 
Kellogg KM, Hettinger Z, Shah M, Wears RL, Sellers CR, Squires M, Fairbanks RJ. Our current approach to root cause analysis: is it contributing to our failure to improve patient safety?. BMJ Qual Saf. 2017 May 1;26(5):381-7.
 
Hollnagel E, Amalberti R. The emperor’s new clothes: Or whatever happened to “human error”. InProceedings of the 4th international workshop on human error, safety and systems development 2001 Jun 11 (pp. 1-18). Linköping University.
 
Peerally MF, Carr S, Waring J, Dixon-Woods M. The problem with root cause analysis. BMJ Qual Saf. 2017 May 1;26(5):417-22.
 
Wu AW. Medical error: the second victim: the doctor who makes the mistake needs help too. BMJ Online 2000

The Lightning Talks at DFTB19

Cite this article as:
Team DFTB. The Lightning Talks at DFTB19, Don't Forget the Bubbles, 2020. Available at:
https://doi.org/10.31440/DFTB.22628

We want to encourage a new generation of educators and so at DFTB19 Henry Goldstein invited a bright and enthusiastic group to the stage. Their challenge? To condense the findings of a key paper, chosen by Henry, into just seven minutes. How did they do? You can be the judge of that as you watch:-

Katie Barnes

Apgar V. A proposal for a new method of evaluation of the newborn. Classic Papers in Critical Care. 1952;32(449):97.

Ruth Bird

Curley A, Stanworth SJ, Willoughby K, Fustolo-Gunnink SF, Venkatesh V, Hudson C, Deary A, Hodge R, Hopkins V, Lopez Santamaria B, Mora A. Randomized trial of platelet-transfusion thresholds in neonates. New England Journal of Medicine. 2019 Jan 17;380(3):242-51.

Carrie Thomas

Kirpalani H, Whyte RK, Andersen C, Asztalos EV, Heddle N, Blajchman MA, Peliowski A, Rios A, LaCorte M, Connelly R, Barrington K. The Premature Infants in Need of Transfusion (PINT) study: a randomized, controlled trial of a restrictive (low) versus liberal (high) transfusion threshold for extremely low birth weight infants. The Journal of pediatrics. 2006 Sep 1;149(3):301-7.

Katie Nash

Kaufman, J., Tosif, S., Fitzpatrick, P., Donath, S., Hopper, S., Bryant, P. and Babl, F., 2016. Quick-Wee: A novel non-invasive urine collection method for infants in the emergency department. Paediatrics & Child Health21(5), p.E95.

Sarah Cave-McMullan

Goldenhar LM, Brady PW, Sutcliffe KM, Muething SE. Huddling for high reliability and situation awareness. BMJ Qual Saf. 2013 Nov 1;22(11):899-906.

Roisin Begley

Hibberd O, Nuttall D, Watson RE, Watkins WJ, Kemp AM, Maguire S. Childhood bruising distribution observed from eight mechanisms of unintentional injury. Archives of disease in childhood. 2017 Dec 1;102(12):1103-9.

Felix Hay

Cronin JJ, McCoy S, Kennedy U, an Fhailí SN, Wakai A, Hayden J, Crispino G, Barrett MJ, Walsh S, O’Sullivan R. A randomized trial of single-dose oral dexamethasone versus multidose prednisolone for acute exacerbations of asthma in children who attend the emergency department. Annals of emergency medicine. 2016 May 1;67(5):593-601.

Rebecca Paxton

Powell CV, Kolamunnage-Dona R, Lowe J, Boland A, Petrou S, Doull I, Hood K, Williamson PR, MAGNETIC study group. MAGNEsium Trial In Children (MAGNETIC): a randomised, placebo-controlled trial and economic evaluation of nebulised magnesium sulphate in acute severe asthma in children. Health Technology Assessment (Winchester, England). 2013 Oct;17(45):v.

Felicity Mitchell

Bradford S, Rickwood D. Young people’s views on electronic mental health assessment: Prefer to type than talk?. Journal of child and family studies. 2015 May 1;24(5):1213-21.

Keir Shiels

Hanahan D, Weinberg RA. The hallmarks of cancer. cell. 2000 Jan 7;100(1):57-70.

©Ian Summers

This talk was recorded live at DFTB19 in London, England. With the theme of  “The Journey” we wanted to consider the journeys our patients and their families go on, both metaphorical and literal. DFTB20 will be held in Brisbane, Australia.

If you want our podcasts delivered straight to your listening device then subscribe to our iTunes feed or check out the RSS feed. If you are more a fan of the visual medium then subscribe to our YouTube channel. Please embrace the spirit of FOAMed and spread the word.

Neonatal procedures: Elizabeth Osmond at DFTB19

Cite this article as:
Team DFTB. Neonatal procedures: Elizabeth Osmond at DFTB19, Don't Forget the Bubbles, 2020. Available at:
https://doi.org/10.31440/DFTB.22310

Neonatal procedures can be broken down into two broad categories. There are those that are needed to stabilize the child in front of you (such as vascular access or intubation) and there are those with a more diagnostic intent (such as a lumbar puncture or SPA). Newborns are unpredictable so Beth Osmond asks us to consider those things that we do have control over – yourself, the team and your environment and equipment.

 

 

This talk was recorded live at DFTB19 in London, England. With the theme of  “The Journey” we wanted to consider the journeys our patients and their families go on, both metaphorical and literal.

If you want our podcasts delivered straight to your listening device then subscribe to our iTunes feed or check out the RSS feed. If you are more a fan of the visual medium then subscribe to our YouTube channel. Please embrace the spirit of FOAMed and spread the word.

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Going the extra millimetre in neonatal care: Hazel Talbot at DFTB19

Cite this article as:
Team DFTB. Going the extra millimetre in neonatal care: Hazel Talbot at DFTB19, Don't Forget the Bubbles, 2020. Available at:
https://doi.org/10.31440/DFTB.22282

Hazel Talbot graduated from one of the countries leading medical schools just one year after Andrew Tagg. Whilst he has fled the NHS for warmer climes she has remained in the UK and works as a neonatologist for Embrace, the Yorkshire and Humber Infant and Children’s Transport service, part of Sheffield Children’s Hospital. She is also an Honorary Consultant at Leeds Children’s Hospital where she is allowed to indulge her desire to look after kids in a slightly less restrictive space than in the back of an ambulance.

 

 

This talk was recorded live at DFTB19 in London, England. With the theme of  “The Journey” we wanted to consider the journeys our patients and their families go on, both metaphorical and literal. DFTB20 will be held in Brisbane, Australia.

If you want our podcasts delivered straight to your listening device then subscribe to our iTunes feed or check out the RSS feed. If you are more a fan of the visual medium then subscribe to our YouTube channel. Please embrace the spirit of FOAMed and spread the word.

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