The batphone rings at 5am. You are given a 5 minute ‘heads up’ by paramedics regarding a 3 year old child they are rushing to you with lights & sirens. She has a history of seizure disorder and has been actively seizing for 45 minutes….
We often see children with pyrexia and have to decide on whether or not they have a serious underlying bacterial infection. When the parent describes, or uses the word ‘rigors’ we all get a bit twitchy ourselves. But is there any evidence to suggest that rigors = serious bacterial infection?
This is a 2 1/2 month old male who presented to the ED with a 2 week history of intermittent low grade fevers. He was seen by his primary physician 2 weeks prior to this ED visit for chapped/bleeding lips and mucocutaneous lesions.
Jed is a thriving 8 month old brought in by his parents with a fever of 38.8oC; he’s tachycardic and grumpy. His fever began twelve hours ago, and aside from crankiness, he is otherwise well. He is fully immunised and there are no sick contacts at home. You get a call from your Mixed Emergency…
Paediatricians often have to make a decision about whether to just go ahead and give antibiotics in suspected meningitis, or wait for a lumbar puncture (LP) – this could be due to parental refusal, an unstable patient, or a failed attempt. There is often a discussion about repeating the LP later that day, or even…
6-year-old Chardonnay is brought to the emergency department by her mother. Two or three days ago she noticed what appeared to be a bite on her daughter’s eyelid. Despite warm compresses her eyelid has become progressively more red and inflamed with the swelling now extending onto her cheek.
An 8 year old boy is rushed into ED following a fall from a fourth story window. He landed on concrete and has obvious signs of external damage to his skull and a GCS of 5. He’s clearly sustained a serious traumatic brain injury – how is this best managed?