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…

Tuberculosis - cough

Tuberculosis

Cite this article as: Paul Hotton. Tuberculosis, Don't Forget the Bubbles, 2014. Available at: https://doi.org/10.31440/DFTB.5410 Jamie is a 4 year old with ongoing pyrexia for a couple of weeks.  He has a mild cough but nothing else.  The family mention in passing that grandad recently had TB. Is this common in the developed world?  How…

Community needlestick injury in children

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

Infantile botulism

Cite this article as: Tessa Davis. Infantile botulism, Don't Forget the Bubbles, 2014. Available at: https://doi.org/10.31440/DFTB.5172Milla 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 anymore.  On examination, she has poor head…

Do rigors indicate serious bacterial infection?

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

Finding the fever

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

Bronchiolitis

Cite this article as: Henry Goldstein. Bronchiolitis, Don't Forget the Bubbles, 2013. Available at: https://doi.org/10.31440/DFTB.3581A 6-month-old child presents with cough and runny nose for 2 days with increased work of breathing.  She is working hard with moderate subcostal recession. Once you hear the cough, it can only mean one thing….the start of bronchiolitis season.  …

Empiric antibiotics for general infection

Cite this article as: Marc Anders. Empiric antibiotics for general infection, Don't Forget the Bubbles, 2013. Available at: https://doi.org/10.31440/DFTB.3846 Age if meningitis excluded if meningitis is NOT excluded if Staphylococcus aureus suspected < 3 months Amoxicillin 50 mg/kg q6hrGentamycin 7.5 mg/kg q24hr Amoxicillin 50 mg/kg q6hrGentamycin 7.5 mg/kg q24hr Cefotaxime 50 mg/kg q6hr Consider especially…

Chylothorax

Cite this article as: Marc Anders. Chylothorax, Don't Forget the Bubbles, 2013. Available at: https://doi.org/10.31440/DFTB.3685Definition: accumulation of lymphatic fluid or chyle in the pleural space (triglyceride level >1.1 mmol/l or total cell count >1000 cells/ml with >80% lymphocytes).

Low cardiac output syndrome

Cite this article as: Marc Anders. Low cardiac output syndrome, Don't Forget the Bubbles, 2013. Available at: https://doi.org/10.31440/DFTB.3711Definition: oxygen delivery provided by CO does not meet oxygen demand (or CI < 2.1 L/min/m2) due to inflammatory response of CPB, myocardial ischaemia from aortic crossclamp, hypo-/hyperthermia, reperfusion injury and surgical treatment (ventriculotomy).