…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…

ILCOR 2015 – neonatal summary

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…

Induced Hypothermia for Hypoxic-Ischaemic Encephalopathy – Part 3

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…

Fatherhood

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)…  

Should we test RSV-positive infants for UTIs?

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…