Incomplete Kawasaki Disease

Cite this article as:
Courtney, A. Incomplete Kawasaki Disease, Don't Forget the Bubbles, 2017. Available at:
http://doi.org/10.31440/DFTB.12282

  A four year old Japanese male was brought into Emergency with 5 days of fevers, non-exudative bilaterally injected sclerae, erythematous pharynx and irritability. Wondering about the possibility of Kawasaki Disease, I turned to check the 2017 update of the American Heart Association Scientific Statement, focusing on considering a diagnosis of Incomplete Kawasaki Disease.  …

Quadrivalent Meningococcal Vaccination: W(135)hat’s all the fuss about?

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Williams, P. Quadrivalent Meningococcal Vaccination: W(135)hat’s all the fuss about?, Don't Forget the Bubbles, 2017. Available at:
http://doi.org/10.31440/DFTB.12309

I’ll never forget the throbbing, pounding headache that heralded the onset of meningococcal meningitis and septicaemia as a 14 year old girl; the complete overwhelm of the horrifying physical sensation that is sepsis. Within two hours I was unconscious – but thanks to a vocal family member advocating their concern for how sick I was,…

A gentle nudge…

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Davis, T. A gentle nudge…, Don't Forget the Bubbles, 2017. Available at:
http://doi.org/10.31440/DFTB.11516

Children have a right to receive healthcare regardless of the decisions made by their parents. This week, the RACP released a further statement citing refusal to treat patients for non-vaccination as ‘unethical coercion’. Whilst the majority of paediatricians are clear on the benefits of vaccinations, parents can choose not to vaccinate their children. Under the…

CVADs – a survival guide

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Ullman, A. CVADs – a survival guide, Don't Forget the Bubbles, 2016. Available at:
http://doi.org/10.31440/DFTB.10530

This guest post is from Amanda Ullman, Tricia Kleidon, Anna Dean and the Paediatric Vascular Assessment and Management Service, Lady Cilento Children’s Hospital, Brisbane. We all love reliability. Central venous access devices (CVADs) are everywhere – across disciplines and departments, and we just want them to work reliably, without complication. But every day, somewhere in your…

Big Picture Paediatrics : Adverse Childhood Experiences

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Goldstein, H. Big Picture Paediatrics : Adverse Childhood Experiences, Don't Forget the Bubbles, 2016. Available at:
http://doi.org/10.31440/DFTB.10082

So much of paediatrics, and medicine in general, is focussed on small experimental or observational studies. This series of posts takes the wider view; we’re talking here about some of the biggest and longest running studies that help us frame, measure and understand childhood through time and across the world. References: Felitti, VJ, Anda RF,…

A new approach to febrile infants

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Goldstein, H. A new approach to febrile infants, Don't Forget the Bubbles, 2016. Available at:
http://doi.org/10.31440/DFTB.9565

The fortnight has seen two hot off the press articles by a group from the Basque Country. They are challenging the existing paradigm in the investigation and management of febrile infants with their “Step by step” approach. The approach questions the relative supremacy of the Rochester criteria as a basis for investigating and managing infants under…

Key trials in developing countries – 2015-2016

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Tagg, A. Key trials in developing countries – 2015-2016, Don't Forget the Bubbles, 2016. Available at:
http://doi.org/10.31440/DFTB.7460

Here is a recently published booklet which summarises much of the latest research on child health in developing countries. It consists of evidence derived from all the randomised trials published over the last year. Professor Trevor Duke, Intensivist at the Royal Children’s Hospital in Melbourne has put together this excellent summary of some of the…

Probiotics in review

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Goldstein, H. Probiotics in review, Don't Forget the Bubbles, 2016. Available at:
http://doi.org/10.31440/DFTB.9304

Like almost every other human entering a pharmacy in the ten last years, I was offered some probiotics when I collected a prescription recently. On my walk back to the car I mused about the evidence behind the shop-assistant’s attempted up-sale. I reminded myself of the use of probiotics to prevent necrotising enterocolitis, and was…

Whoop, Whoop, Hooray

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Tagg, A. Whoop, Whoop, Hooray, Don't Forget the Bubbles, 2016. Available at:
http://doi.org/10.31440/DFTB.8344

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

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Tagg, A. Passing the TORCH, Don't Forget the Bubbles, 2016. Available at:
http://doi.org/10.31440/DFTB.8541

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…

How long is a piece of string? – antibiotic treatment duration in paediatrics

Cite this article as:
Lawton, B. How long is a piece of string? – antibiotic treatment duration in paediatrics, Don't Forget the Bubbles, 2016. Available at:
http://doi.org/10.31440/DFTB.9011

  It’s 2am on your fourth night shift in a row. Johnny is 2 years old and has osteomyelitis of his toe. He looks pretty well and doesn’t like sitting still for cannulas. Poor Johnny has marks on both hands and both elbows from recent IVs that have not gone the distance and now you…