Parechovirus

Cite this article as:
Smith, A. Parechovirus, Don't Forget the Bubbles, 2016. Available at:
http://doi.org/10.31440/DFTB.8851

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…

Measles – A brief historical & clinical review

Cite this article as:
Goldstein, H. Measles – A brief historical & clinical review, Don't Forget the Bubbles, 2015. Available at:
http://doi.org/10.31440/DFTB.7413

Bella, 11m, is brought to your emergency department by her parents. She’s had 3 days of cough with fears over 40oC, conjunctivitis and just today has developed a bright red rash along her hairline. Although you’ve never seen a case before, you suspect measles. Bottom Line: Measles is one of the classic febrile exanthematous illnesses….

Williams on Emerging Viral Infections

Cite this article as:
Davis, T. Williams on Emerging Viral Infections, Don't Forget the Bubbles, 2015. Available at:
https://dontforgetthebubbles.com/apls-pac-williams/

The DFTB team are really excited to announce an upcoming video series…We 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.

Dark red stools – could it be another intussusception?

Cite this article as:
Yamamoto, L. Dark red stools – could it be another intussusception?, Don't Forget the Bubbles, 2014. Available at:
https://dontforgetthebubbles.com/dark-red-stools-another-intussusception/

A 7-month old male infant arrived in the ED at 7:45 a.m. after passing a dark maroon colored stool with clots at 7:00 a.m. He has passed small amounts of blood in his stools intermittently since 4 months of age, but this current episode is the worst it has ever been.

Community needlestick injury in children

Cite this article as:
Goldstein, H. Community needlestick injury in children, Don't Forget the Bubbles, 2014. Available at:
http://doi.org/10.31440/DFTB.5241

Alfie, 6, is playing at local playground under Mum’s watchful eye. He goes down the slide and jumps off, landing on his hands and feet. He starts to cry and shows his Mum a syringe lying in the bark and a needlestick injury of his left hand. Mum is distraught when she brings Alfie into…

Infantile botulism

Cite this article as:
Davis, T. Infantile botulism, Don't Forget the Bubbles, 2014. Available at:
http://doi.org/10.31440/DFTB.5172

Milla is a 4 month old girl, brought into ED by her parents.  She’s been quieter than normal for the last couple of days and today seems really weak and not sucking on the breast any more.  On examination she has poor head control and marked hypotonia.  They also mention a history of constipation for…

Do rigors indicate serious bacterial infection?

Cite this article as:
Davis, T. Do rigors indicate serious bacterial infection?, Don't Forget the Bubbles, 2013. Available at:
http://doi.org/10.31440/DFTB.4674

We often see children with pyrexia and have to decide on whether or not they have a serious underlying bacterial infection.  When the parent describes, or uses the word ‘rigors’ we all get a bit twitchy ourselves.  But is there any evidence to suggest that rigors = serious bacterial infection?

Finding the fever

Cite this article as:
Goldstein, H. Finding the fever, Don't Forget the Bubbles, 2013. Available at:
http://doi.org/10.31440/DFTB.4641

Jed is a thriving 8 month old brought in by his parents with a fever of 38.8oC; he’s tachycardic and grumpy. His fever began twelve hours ago, and aside from crankiness, he is otherwise well. He is fully immunised and there are no sick contacts at home. You get a call from your Mixed Emergency…

Needing a Diagnostic Kick-start

Cite this article as:
Davis, T. Needing a Diagnostic Kick-start, Don't Forget the Bubbles, 2013. Available at:
http://doi.org/10.31440/DFTB.3254

A 4 year-old boy has been brought to the emergency department by his worried parents. He has had fevers for the past 6 days. They are concerned because he is not getting better despite repeated visits to a number of doctors. Each time they were told he had a viral illness.