Trauma education at RCH

Cite this article as: Andrew Tagg. Trauma education at RCH, Don't Forget the Bubbles, 2017. Available at: https://doi.org/10.31440/DFTB.11996If you are critically injured as a child in Victoria, Australia, the chances are that you will end up at the Royal Children’s Hospital in Melbourne. Every year they see approximately 320 severely injured children from all over…

Cotton buds

Cite this article as: Andrew Tagg. Cotton buds, Don't Forget the Bubbles, 2017. Available at: https://doi.org/10.31440/DFTB.11951Every now and then an article comes along that reminds me that some of the old wives tales are true. This is one of them…

Never Enough

Cite this article as: Andrew Tagg. Never Enough, Don't Forget the Bubbles, 2017. Available at: https://doi.org/10.31440/DFTB.11306As I transition into my new(-ish) role as an emergency physician in a department that sees only the occasional child I worry that my skills are becoming degraded. I am sure that I am not the only one.

Challenging consultations

Cite this article as: Tessa Davis. Challenging consultations, Don't Forget the Bubbles, 2017. Available at: https://doi.org/10.31440/DFTB.11089A recent consultation with a patient did not go well. One initial seed of patient dissatisfaction could not be appeased and it just spiralled as the consultation went downhill. The patient left feeling unhappy, threatening to sue me if they died…

Mandible x-rays

Cite this article as: Tessa Davis. Mandible x-rays, Don't Forget the Bubbles, 2016. Available at: https://doi.org/10.31440/DFTB.10597An orthopantomogram (OPG) is a good view to demonstrate most mandibular fractures.   A PA mandible shows the displacement of fractures. It also demonstrates symphysis menti fractures which can be missed on the OPG. If an OPG cannot be obtained,…

Ankle x-rays

Cite this article as: Tessa Davis. Ankle x-rays, Don't Forget the Bubbles, 2016. Available at: https://doi.org/10.31440/DFTB.9992The ankle consists of three bones – the tibia, the fibula, and the talus. The ankle also consist of two joints – the ankle joint (where the tibia, fibula and talus meet) and the syndesmosis joint (the joint between the…

Can’t intubate, Can’t Oxygenate

Cite this article as: Andrew Tagg. Can’t intubate, Can’t Oxygenate, Don't Forget the Bubbles, 2016. Available at: https://doi.org/10.31440/DFTB.9814Paediatric critical procedures are rare in the emergency department. Data from one Victorian network showed that 83% of emergency physicians had not performed one in a twelve month period. We also know from audit data that we seem…

Treadmill Burns

Cite this article as: Henry Goldstein. Treadmill Burns, Don't Forget the Bubbles, 2016. Available at: https://doi.org/10.31440/DFTB.9710Chase, 3, is brought in by ambulance with his hand wrapped in a towel. His sweaty father – wearing running gear – explains that Chase touched the treadmill whilst Dad was in full flight. A recently published paper in Burns…

Through the looking glass

Cite this article as: Andrew Tagg. Through the looking glass, Don't Forget the Bubbles, 2016. Available at: https://doi.org/10.31440/DFTB.9685As we head out winter in the southern hemisphere the northern hemisphere can see that ‘Winter is Coming’ and with it the scourge of the paediatric emergency departments – bronchiolitis.  It’s one of those diseases that the we…