Sweet and Salty – fluids in DKA

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

—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

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…

Drug dosing in obesity

Obese and overweight children are on the increase. A common area of confusion is – how we are supposed to calculate their medications given their weight? Cite this article as: Davis, T. Drug dosing in obesity, Don't Forget the Bubbles, 2015. Available at: http://doi.org/10.31440/DFTB.6917

Examination: the child with short stature

Tom has been referred to your clinic because of concerns that he has short stature. He is 5 years old and is below the 5th centile for his height. How do you approach the examination? Cite this article as: Davis, T. Examination: the child with short stature, Don't Forget the Bubbles, 2014. Available at: http://doi.org/10.31440/DFTB.6161


 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….

Labia Library

Increasing numbers of teenage girls are developing concerns about the appearance of their genitalia and are seeking cosmetic labioplasty etc. Cite this article as: South, M. Labia Library, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.4112

Sick day rules for diabetes

You receive a phone-call from the mother of a 7-year-old child with diabetes – 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…

T3 in cardiac surgery

Definition: triiodothyronine levels decrease in infants and children after cardiopulmonary bypass. Lower T3 concentration is associated with a more complicated recovery in PICU after congenital heart surgery. Cite this article as: Anders, M. T3 in cardiac surgery, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.3709

Diabetes Insipidus

 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 sodium and it’s 150. Is your brain hurting just thinking about it? Cite this article as: Davis, T. Diabetes Insipidus, Don't…

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