Sweet and Salty – fluids in DKA

Cite this article as:
Lawton, B. Sweet and Salty – fluids in DKA, Don't Forget the Bubbles, 2018. Available at:

During our training in paediatric emergency medicine most of us will have been cautioned repeatedly of the dangers of over-zealous fluid administration in children with diabetic ketoacidosis. Cerebral oedema is the feared complication of this disease process and, as traditional wisdom would have it, either rapid fluid administration or the use of any hypotonic IV…

Breast anomalies

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Boorer, C. Breast anomalies, Don't Forget the Bubbles, 2016. Available at:

—Most breast lesions in children and adolescents are benign and self limiting. However, it is important not to overlook the impact that abnormal breast development can have on an adolescent’s self-esteem and self-confidence. Here Catherine Boorer (Plastic and Reconstructive Surgeon) discusses the spectrum of presentations. Polythelia (accessory nipples) —Can occur anywhere along the mammary ridge…

Grindlay on disasters

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Davis, T. Grindlay on disasters, Don't Forget the Bubbles, 2015. Available at:

The DFTB team 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…


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Antoine, J. Obesity, Don't Forget the Bubbles, 2014. Available at:

 A 10 year old girl, Gemma, has been admitted to the general paediatric unit with an acute exacerbation of asthma. She weighs 70kg and is 1.4m tall. Her symptoms have improved and discharge planning has begun. At the end of your round the consultant asks you to go and discuss Gemma’s weight with her family.

Sick day rules for diabetes

Cite this article as:
Davis, T. Sick day rules for diabetes, Don't Forget the Bubbles, 2013. Available at:

You receive a phone-call from the mother of a 7 year old diabetic – he’s been unwell all day with temps and coryzal symptoms and he’s off his food.  The BSLs have been creeping up all day and are now 16 mmol/l.  She’s not sure what else to do so they are on their way…

Diabetes Insipidus

Cite this article as:
Davis, T. Diabetes Insipidus, Don't Forget the Bubbles, 2013. Available at:

 A 5 year old girl is on the ward following a resection of a craniopharyngioma.  The nurses call you because her urine output has increased dramatically over the last few hours.  You check her Na and it’s 150. Is your brain hurting just thinking about it?

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