A gentle nudge…

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

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

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,…

Whoop, Whoop, Hooray

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

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…

Parechovirus

A 2 week old baby, Isabelle, is rushed into the emergency department by her frantic parents. She is tachycardic to 220bpm, febrile to 39.5°C, with a widespread, blanching red rash. She is screaming and looks very unwell. She is rushed into a resus bay and the septic workup begins…