Through the looking glass

As 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 should all be able to spot but the real challenge is picking up those that present as…

Whoop, Whoop, Hooray

Henry Goldstein wrote an excellent article on pertussis a few years ago.  With some interesting new data coming to press with regard to risk factors for complications of the disease we thought it might be worthwhile doing some spaced repetition. “My childhood was full of deep sorrow – colic, whooping cough, dread of ghosts, hell,…

DFTB in EMA #3 – Easing the Wheeze

The team at DFTB had our third article published in the series for Emergency Medicine Australasia Journal. Wheezing children commonly present to the ED. Bronchiolitis, preschool wheeze and asthma are common causes of such presentations. It is important to note that the term ‘wheeze’ is frequently misused by parents to describe a number of respiratory noises,…

Asthma Exacerbations & Therapeutic Positioning

Idea: Sitting erect vs slouching or slumping improves air flow in moderate-severe exacerbations of asthma. A pale, breathless 7 year old with a known history of asthma presents to your department. Oxygen saturations are hovering in the mid-80’s with marked tracheal tug, subcostal, substernal, intercostal and supraclavicular recessions in addition to accessory muscle usage. He’s…

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