Ankle x-rays

The 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 tibia and fibula which is help together by ligaments). There are three main sets of…

Can’t intubate, Can’t Oxygenate

Paediatric 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 to have a lower first pass success rate (around 78%) when it comes to paediatric intubation. We…

Treadmill Burns

Chase, 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 reviews the epidemiology of treadmill burns; Goltsman D, Li Z, Connolly S, Meyerowitz-Katz D4, Allan…

Through the looking glass

As 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 should all be able to spot but the real challenge is picking up those that present as…

Trethewie on death in the acute setting

We have teamed up with APLS to share the videos from their Paediatric Acute Care Conferences. These videos have never been open access before, so if you weren’t able to attend the conferences, then now’s your chance to catch up. The PAC Conference is run each year by APLS and consists of presentations on a…

Whoop, Whoop, Hooray

Henry Goldstein wrote an excellent article on pertussis a few years ago.  With some interesting new data coming to press with regard to risk factors for complications of the disease we thought it might be worthwhile doing some spaced repetition. “My childhood was full of deep sorrow – colic, whooping cough, dread of ghosts, hell,…

Passing the TORCH

6 year old Ella has been sent home from school as she has been itching all day.  When her mum, Val, picked her up she noticed a few spots and thought she better get them checked out.  You see the classical rash of chickenpox and reassure of the relatively benign nature of the illness and…

DFTB in Dublin – the Final Day

By means of performance enhancing substances (caffeine) we made it to the final sessions of #SMACCdub – voices somewhat subdued by trying to converse at the gala dinner, held in the historical Guinness Storehouse. The pains of struggling bandwidth were ameliorated  by a drop in attendance. An all female panel took to the stage for the first plenary…