Diagnosing DDH

Cite this article as: Tagg, A. Diagnosing DDH, Don't Forget the Bubbles, 2018. Available at: http://doi.org/10.31440/DFTB.13704When people approach me to ask about writing for DFTB I usually suggest that they write about what they know.  That is certainly my approach and why I started to write the Normal Neonate series a year ago. The littlest…

Focus on PEM POCUS

Cite this article as: Snelling, C. Focus on PEM POCUS, Don't Forget the Bubbles, 2018. Available at: http://doi.org/10.31440/DFTB.15772Point-of-care ultrasound (POCUS) is a disruptive technology that has the potential to change the standard way children are evaluated and managed, particularly in the paediatric emergency medicine (PEM) department.  POCUS is a complex skill that needs to be…

Paediatric c-spine injuries

Cite this article as: Partyka, C. Paediatric c-spine injuries, Don't Forget the Bubbles, 2017. Available at: http://doi.org/10.31440/DFTB.13658A 14 year old male presents to your Emergency Department by private car with neck pain following a failed back-flip whilst playing on the family trampoline at home.

C-spine x-ray interpretation

Cite this article as: Partyka, C. C-spine x-ray interpretation, Don't Forget the Bubbles, 2017. Available at: http://doi.org/10.31440/DFTB.13656The ABC’s of the cervical spine provide a helpful mnemonic to guide the systematic assessment of these x-rays. Remember; you require all three views (lateral, AP and odontoid/open mouth view) for an adequate study.

Mandible x-rays

Cite this article as: Davis, T. Mandible x-rays, Don't Forget the Bubbles, 2016. Available at: http://doi.org/10.31440/DFTB.10597An orthopantomogram (OPG) is a good view to demonstrate most mandibular fractures.   A PA mandible shows the displacement of fractures. It also demonstrates symphysis menti fractures which can be missed on the OPG. If an OPG cannot be obtained,…

Can you see what I see?

Cite this article as: Tagg, A. Can you see what I see?, Don't Forget the Bubbles, 2016. Available at: http://doi.org/10.31440/DFTB.10302When it comes to imaging children we are all about the ALARA (as low as reasonably achievable) approach. One of the best ways to do this is not to use radiation at all. Unfortunately not all…

Ankle x-rays

Cite this article as: Davis, T. Ankle x-rays, Don't Forget the Bubbles, 2016. Available at: http://doi.org/10.31440/DFTB.9992The ankle consists of three bones – the tibia, the fibula, and the talus. The ankle also consist of two joints – the ankle joint (where the tibia, fibula and talus meet) and the syndesmosis joint (the joint between the…

Through the looking glass

Cite this article as: Tagg, A. Through the looking glass, Don't Forget the Bubbles, 2016. Available at: http://doi.org/10.31440/DFTB.9685As we head out winter in the southern hemisphere the northern hemisphere can see that ‘Winter is Coming’ and with it the scourge of the paediatric emergency departments – bronchiolitis.  It’s one of those diseases that the we…

Sedation for transport

Cite this article as: Tagg, A. Sedation for transport, Don't Forget the Bubbles, 2016. Available at: http://doi.org/10.31440/DFTB.8397One of your colleagues, Andy, has been lucky enough to grab a ticket to a prestigious international conference to be held in Dublin. He is thinking about taking his children but wonders how to keep them happy on the…

Knee X-rays

Cite this article as: Davis, T. Knee X-rays, Don't Forget the Bubbles, 2014. Available at: http://doi.org/10.31440/DFTB.64711.  Know your knee anatomy See the the anatomical landmarks on the diagrams below.   Remember that the knees of younger children will look different, as the patella forms, and the ossification centres form.   2. Look for an effusion…

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