Anaphylaxis Q+A

Jason is a 2 year boy who presents to ED with a rash and cough. He had peanut butter for the first time about 20 minutes ago, and he suddenly started vomiting then coughing. His face is swelling and he sounds very wheezy. 

Medication Safety Monday – Part 3

Nearly ten years ago, I undertook an project for my Pharmacy degree, with the title “Minimising Medication Errors for Paediatric Inpatients”. The TGA’s recent alert about Paracetamol dosing in addition to events in the Australian national news  have lead me to consider some of the newer literature in and around the of inpatient medication safety in…

Button Batteries

This week’s Podcast of the Week is from our favourite UK PEM team, St Emlyn’s. In this excellent 15 minutes podcast, Simon Carley and Natalie May discuss the dangers of button batteries. We have all been hearing in the new about how dangerous they, and this podcast tells us how to investigate, when to worry,…

SonoKids Pneumonia

This week’s vodcast is a great new series by SonoKids. Kasia Hampton gives us a crash course in diagnosing pneumonia using ultrasonography. In this vodcast that is less than ten minutes long, Kasia covers all the basics. It starts with an overview of the normal lung anatomy as seen on ultrasound and continues right through to…

Do corneal abrasions cause crying in neonates?

Crying babies are a common presentation, and our list of differential diagnosis includes: viral and bacterial infections; fractures; hair tourniquets; intussusception; subdural haematomas; supraventricular tachycardia; and corneal abrasions. This study looks at the prevalence of corneal abrasions and aims to identify whether corneal abrasions are associated with fingernail length and increased crying. Shope TR, Rieg TS,…

Overdosing paracetamol

This week saw an alert from the Therapeutic Goods Administration about measuring doses using the syringe provided with the Panadol Colourfree Suspension for 1-5 year olds.   The syringe provided with the medicine measures differently from most other syringe known to mankind. The correct way to measure is from the top of the plunger. The image…

Postnatal depression

Six week old Sasha has been brought to your emergency department because she won’t stop crying.  As the nurses handover her chart they catch your eye,  “This is the third time her mum has brought her in.  There’s nothing wrong with the baby. Why don’t you find out how the mum is coping?”   Bottom…

Ketamine dosing in obese adolescents

Whilst ketamine is widely used in children of all ages, previous studies (Green et al, 2009) have shown that adverse events associated with ketamine are more common in adolescents (including airway adverse events and vomiting). Additionally, there is a lack of clarity for calculating the ketamine dose in obese adolescent patients – should it be…

Spitting the dummy

A 4 month old male infant is brought to the emergency department by a fire and rescue squad after responding to a 911 call for respiratory distress. He was sucking on a pacifier when his caretakers noticed that he had sucked the pacifier into his mouth.

SIDS…and kids

It’s been a tough week at work.  A 6 month old girl has been brought into your department.  To all intents and purposes she appears dead on arrival and despite the best efforts of the nursing and medical staff you were unable to resuscitate her.  You’ve been asked to lead the team debrief. SIDS and SUDI…

Paediatric Pain Control

This week’s recommendation is a podcast from the SGEM who have brought us yet another ace paediatric podcast. Anthony Crocco analyses two papers. The first looks at the use of topical analgesia when using glue for repairing lacerations. The second looks at the use of music for pain relief when performing simple paediatric procedures. If you only…