Lockie on Little Adults

Cite this article as: Davis, T. Lockie on Little Adults, Don't Forget the Bubbles, 2013. Available at: https://dontforgetthebubbles.com/podcast-week-lockie-little-adults/This week’s recommendation is from the team at the Intensive Care Network –  The Intensive Care Podcasts. It’s Fran Lockie (a Paediatrician in Adelaide) discussing how to manage little adults in resus situations.

Hypertension

Cite this article as: Reynolds, B. Hypertension, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3011 A 3 year old attends the ED with a vomiting illness.  Routine observations include a blood pressure measured consistently as 125/80. Should you ignore it?

Head injury – who to scan?

Cite this article as: Ings, A. Head injury – who to scan?, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.4582 Kids come into emergency EVERY day with head injury. In many cases imaging decisions are simple. Especially when the child rolled off the bed, cried straight away & is now tearing up the ED – BUT…

How many white cells v red cells do we allow in CSF?

Cite this article as: Davis, T. How many white cells v red cells do we allow in CSF?, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.4722Unless your skills are tip top, the chances are that you will have had a traumatic tap before (studies suggest up to 40% of lumbar punctures). Blood in the CSF on…

Finger Tips

Cite this article as: Tagg, A. Finger Tips, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.42874 year old Dudley is brought into your emergency department by his hysterical mother. In between breathless sobs she tells you how she accidentally slammed the car door shut on his hand.  She is convinced he has lost a finger…

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…