ConSEPT and EcLiPSE – Levetiracetam versus Phenytoin for Status Epilepticus

This week sees the publication of two hugely anticipated randomised controlled trials both published in the Lancet simultaneously which DFTB have been given exclusive access to.   Cite this article as: Roland D, Davis T. ConSEPT and EcLiPSE – Levetiracetam versus Phenytoin for Status Epilepticus, Don't Forget the Bubbles, 2019. Available at: http://doi.org/10.31440/DFTB.18696

An approach to irritability and pain in the severely neurologically impaired child.

Logan is a 6yo who is presented to ED by his mother, one Tuesday evening as “just not himself“. Logan is well known to your local paediatric team for management of his GMFCS 5 spastic quadriplegic cerebral palsy. He has a long list of comorbidities, frequent hospital attendance and multiple unplanned admissions for, variously, aspiration…

The Higher Tech Kid in the ED

This month’s Podcast of the Month is from the Pediatric Emergency Playbook. In a 30 minute podcast Tim Horeczko (Emergency Physician, and Educator) demystifies vagus nerve stimulators, intrathecal pumps, and ventricular assist devices. Through clinical cases, he provides some useful tips and tricks for what to do when the ‘higher tech kid’ presents to ED…

Spina bifida 4 – bladder and bowel management

This series is covering all you need to know about spina bifida. In the previous posts we looked at issues around diagnosis and antenatal counselling. In this post, we look at the bladder and bowel problems associated with spina bifida. Cite this article as: Garside, L. Spina bifida 4 – bladder and bowel management, Don't…

Infantile botulism

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…

Status epilepticus

The batphone rings at 5am. You are given a 5 minute ‘heads up’ by paramedics regarding a 3 year old child they are rushing to you with lights & sirens. She has a history of seizure disorder and has been actively seizing for 45 minutes…. Cite this article as: Partyka, C. Status epilepticus, Don't Forget…

Do antibiotics affect CSF results?

Paediatricians often have to make a decision about whether to just go ahead and give antibiotics in suspected meningitis, or wait for a lumbar puncture (LP) – this could be due to parental refusal, an unstable patient, or a failed attempt. There is often a discussion about repeating the LP later that day, or even…

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