Status epilepticus

Cite this article as: Partyka, C. Status epilepticus, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.4690 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…

Do rigors indicate serious bacterial infection?

Cite this article as: Davis, T. Do rigors indicate serious bacterial infection?, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.4674We 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…

Bleeding lips and cardiac arrest

Cite this article as: Yamamoto, L. Bleeding lips and cardiac arrest, Don't Forget the Bubbles, 2013. Available at: https://dontforgetthebubbles.com/bleeding-lips-and-cardiac-arrest/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…

Congenital heart disease in PEM

Cite this article as: Davis, T. Congenital heart disease in PEM, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.4454Cyanotic heart disease in acute paeds is a nightmare. How much oxygen to give? How much fluid to give? How quickly can google explain a Stage II Fontan?

Finding the fever

Cite this article as: Goldstein, H. Finding the fever, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.4641Jed 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…

Torn frenulum

Cite this article as: Tagg, A. Torn frenulum, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.4610Marcus, 15, looks very embarrassed as he is brought into the fast track cubicle by his mother. His shuffling gait and poor eye contact suggest he has a ‘personal problem’ but he doesn’t want to discuss it until his mother…

Low flow oxygen delivery quiz

Cite this article as: Davis, T. Low flow oxygen delivery quiz, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.4179Any doctor or nurse working a hospital should be familiar with mechanisms for delivering low flow oxygen. So you should know all the answers to this quick quiz…shouldn’t you?

Do antibiotics affect CSF results?

Cite this article as: Davis, T. Do antibiotics affect CSF results?, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3997Paediatricians 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,…

Peri-orbital vs orbital cellulitis

Cite this article as: Tagg, A. Peri-orbital vs orbital cellulitis, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.34156-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…

Traumatic brain injury - helmet

Traumatic brain injury

Cite this article as: Bartlett, A. Traumatic brain injury, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3381 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…

Problems with ear piercing

Cite this article as: Tagg, A. Problems with ear piercing, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3374Krystal is seven going on seventeen and is brought in by her mother because she is unable to take her earrings out.  She had her ears pierced a week ago.