Ibuprofen versus Paracetamol

This week’s recommendation is a podcast from Brad Sobolewski at PEM Currents. This podcast is a nice, short (12 minute) summary of the differences between ibuprofen and paracetamol. Ok, so he calls it acetaminophen, but we will let that pass. Is one better than the other? Will ibuprofen send your patients into a spiral towards renal failure? If…

Febrile seizures

Febrile seizures

An 8 month old baby has been referred to you by the Accident and Emergency Department with the first episode of febrile convulsion. He has been coryzal over the last couple of days with spikes of temperature up to 38oC. The episode lasted for 5 minutes, the baby felt hot at the time and following…

Paeds Fever Hangout

Casey Parker of Broomedocs invites some friends to discuss fevers in kids.  They share some useful insights and fascinating facts.  Our conflict of interest can be recognised by the Glaswegian accent. You can listen to the podcast here.

Ondansetron in Gastro

This week’s recommendation is a podcast by the fabulous Brad Sobolewski at PEM Currents. We use ondansetron all the time in kids with gastro. This bite-sized podcast explains how it works, if it’s any good, and what the potential side effects are. If you only listen to one podcast this week. Make it this one. Listen to the…

CRITOE Quick Quiz

This quick quiz is to test your CRITOE knowledge. See this post for how to interpret an elbow x-ray. Click on the image to see them in full size…   Q1: What age is this child? Q2: What is the abnormality in the XR of this child who sustained a fall onto the lateral aspect…

Paediatric sepsis

Welcome to our new “vodcast of the week” section, where we will share what we have enjoyed watching from around the FOAMasphere. To start us off in style Simon Carley over at St Emlyn’s shares his talk from the retrieval 2014 conference.   He takes us on an engaging journey through the easy parts and…

Spider Bites

6 year old Charlotte is carried into  your emergency department by her father. She had been helping him tidy up the garage and she thought she had scratched herself on an old box of toys.  An hour later she was inconsolable and refusing to walk. Bottom line Redback spider bites, though painful, don’t kill you….

Appendectomy or antibiotics?

Appendicitis is a common diagnosis in ED, and once it is confirmed clinically or on ultrasound, the patient usually goes pretty quickly to theatre for an appendectomy. But is a course of antibiotics just as effective as taking these kids to theatre?

Syringes, Glue, and Foreign Bodies

This week’s recommendation is a podcast by the wonderful Andrew Sloas at PEM ED Podcast. He tells us how to get foreign objects out of ears without the melodrama of drugs, sedation, and operating theatres. All you need is a 1ml syringe (or insulin syringe), some glue, and a steady hand. I cannot wait to try…

Carbon Monoxide Poisoning

4 year old Mariska is brought in by ambulance with her mother after being rescued from a house fire.  Neither appear to have sustained any significant injuries as they were woken by the screech of the smoke detector but your resident is worried about possible carbon monoxide poisoning and wants to do an arterial blood…

Drowning

  Bottom line Prevention is better than cure, we should all be vocal advocates for pool fences Respiratory support is the intervention most likely to be required Time to first breath is critical (hence those poolside CPR posters) Beware of respiratory deterioration Predicting prognosis is difficult but CPR for >30 mins is a bad sign…