Neonates have rashes of all shapes and sizes. It’s important for us to be able to reassure parents where appropriate and act when we need to. This two part series deals with neonatal dermatology. In Part 1, we looked at the benign conditions, but in Part 2 we will look at the conditions that you shouldn’t…
Bronchopulmonary dysplasia (BPD) is a common outcome in premature neonates, from 85% in 22/40 infants, to about 33% of neonates born in the 27th week of gestation. This recent study, published in the NEJM trialled a potential new therapy to reduce BPD.
Pain in children is often under-recognised and under-treated. This is the screencast of the talk I gave at the recent Emergency Registrars Regional Conference held at Sunshine Hospital in Melbourne.
The International Liaison Committee on Resuscitation (ILCOR) is a collaboration between resuscitation groups worldwide. Every few years, they do an enormous evidence based review of resuscitation science which informs resuscitation guidelines all over the world. The 2015 ILCOR consensus document (International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations) was published…
Bottom Line: Consider and identify hypoxic ischaemic encephalopathy early Induced hypothermia aka cooling improves mortality rates without additional adverse neurodevelopmental outcomes at 18 months If the child fits the FEAST criteria during or soon after resus, they might be a candidate for cooling Neonates must only be actively cooled in a tertiary neonatal centre Use…
Bottom Line: Consider and identify hypoxic ischaemic encephalopathy early Cooling improves mortality rates without additional adverse neurodevelopmental outcomes at 18 months If the child fits the FEAST criteria during or soon after resus, they might be a candidate for cooling Neonates must only be actively cooled in a tertiary neonatal centre Use your local guidelines…
Bottom Line: Consider and identify hypoxic ischaemic encephalopathy early Cooling improves mortality rates without additional adverse neurodevelopmental outcomes at 18 months If the child fits the FEAST criteria during or soon after resus, they might be a candidate for cooling Neonates must only be actively cooled in a tertiary neonatal centre Use your local guidelines…
This video speaks for itself. It’s a beautiful animated narrative on what it’s like to be the father of a sick baby. As it’s Father’s Day in some parts of the world, it seems particularly relevant (from The Telegraph)…
RSV-positive bronchiolitis in infants is one of the most common reasons for admission to hospital. Sometimes they spike temperatures. It is widely recognised that the rate of serious bacterial infection in these infants is low. But what about the rate of UTIs? Should we be doing urine dips on all febrile babies with bronchiolitis, or…
Covering the Birthsuite can be wonderful and terrifying. Neonatal resus should be both easy and scary, every time. If you’re not even a little, tiny bit scared, you’re quite possibly “doing it wrong”, and almost always, sticking to the algorithm ensures that you do the right thing for the patient.
Covering the Birthsuite can be wonderful and terrifying. Neonatal resus should be both easy and scary, every time. If you’re not even a little, tiny bit scared, you’re quite possibly “doing it wrong”, and almost always, sticking to the algorithm ensures that you do the right thing for the patient.
…And they were all yellow
3 day old Christopher was born at term via normal vaginal delivery. There were no problems during or after the birth and he and his mother were discharged on day 2. The domiciliary midwife had been out to do their routine check this morning and thought he was looking a bit yellow and so has…