Status epilepticus

Cite this article as: Partyka, C. Status epilepticus, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.4690 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…

Should we put a drain in?

Cite this article as: Yamamoto, L. Should we put a drain in?, Don't Forget the Bubbles, 2013. Available at: https://dontforgetthebubbles.com/put-a-drain-in/This is a 15-year old male with a history of severe chronic lung disease and bronchopulmonary dysplasia since birth. He was premature, and since then has required multiple hospitalizations for acute exacerbations of his chronic lung…

Do rigors indicate serious bacterial infection?

Cite this article as: Davis, T. Do rigors indicate serious bacterial infection?, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.4674We often see children with pyrexia and have to decide on whether or not they have a serious underlying bacterial infection.  When the parent describes, or uses the word ‘rigors’ we all get a bit twitchy…

Bleeding lips and cardiac arrest

Cite this article as: Yamamoto, L. Bleeding lips and cardiac arrest, Don't Forget the Bubbles, 2013. Available at: https://dontforgetthebubbles.com/bleeding-lips-and-cardiac-arrest/This is a 2 1/2 month old male who presented to the ED with a 2 week history of intermittent low grade fevers. He was seen by his primary physician 2 weeks prior to this ED visit…

Congenital heart disease in PEM

Cite this article as: Davis, T. Congenital heart disease in PEM, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.4454Cyanotic heart disease in acute paeds is a nightmare. How much oxygen to give? How much fluid to give? How quickly can google explain a Stage II Fontan?

Finding the fever

Cite this article as: Goldstein, H. Finding the fever, Don't Forget the Bubbles, 2013. Available at: http://doi.org/10.31440/DFTB.4641Jed is a thriving 8 month old brought in by his parents with a fever of 38.8oC; he’s tachycardic and grumpy. His fever began twelve hours ago, and aside from crankiness, he is otherwise well. He is fully immunised…