…And they were all yellow

3 day old Christopher was born at term via normal vaginal delivery. There were no problems during or after the birth and he and his mother were discharged on day 2. The domiciliary midwife had been out to do their routine check this morning and thought he was looking a bit yellow and so has…

Craig on Resuscitation and Drugs

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…

Sedation for the agitated adolescent

For paediatric ED doctors who come from a paediatric training background, dealing with the agitated adolescent can be very stressful. There is so much more to managing the agitated adolescent than just drugs, but sometimes sedation is necessary. As we are not used to sedating children in this way, choosing drugs and doses can be difficult. This…

IO, IO – It’s off to work we go!

Intraosseous access is one of those skills that is rarely used but can be a lifesaver. In the critically ill child IV access can be challenging. It is easy to get tunnel vision and try and try again to insert a cannula whilst losing focus on the reason for access – circulatory support. In order…

Pro tips for LPs in kids

Though less commonly performed than it used to be, the lumbar puncture remains a key skill to master for anyone practising acute paediatrics. December’s Archives of Disease in Childhood Education and Practice contains an excellent paper entitled “How to use… lumbar puncture in children” (1), which flashes more pearls than a 4th of July garden…

Trampoline injuries

4 year old Calvin received the best Christmas present ever – a trampoline of his very own! After spending the morning bouncing with his older brother, Iggy, he started to complain of pain in his left knee.  The trampoline was safety-netted so his parents were happy that he couldn’t have fallen out and so, mystified that…

Inhaled foreign bodies

Two year old Joseph and four year old Jacques are visiting your emergency department today. Jacques has been miserable and pulling at his right ear. His parents are concerned that he may have another ear infection, his fifth this year. As you come back in with the otoscope little Joseph starts to cough and turn…

Topical anaesthetic creams

Six year old Angela comes into your department with a three day history of diarrhoea and vomiting. You determine that she needs cannulation both to assess her renal function and to begin treatment. You know that cannulating children can be a painful and traumatic experience and are keen to make it as stress-free as possible….