Doing nothing is sometimes hard

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Roland, D. Doing nothing is sometimes hard, Don't Forget the Bubbles, 2013. Available at:
http://doi.org/10.31440/DFTB.2919

It's 6.30pm in a busy children's Emergency Department. Archie, 19 months, presents with his mother and grand-father. At triage his mother say he hasn't been well for a couple of days but today he has gone off his food and has had a high temperature.

Baby Tim's Cries

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Davis, T. Baby Tim's Cries, Don't Forget the Bubbles, 2013. Available at:
http://doi.org/10.31440/DFTB.2935

Baby Tim is 3 months-old and has been crying inconsolably.  His exhausted mother has brought him into the emergency department at one in the morning desperate for help.

Microscopic haematuria

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Lawton, B. Microscopic haematuria, Don't Forget the Bubbles, 2013. Available at:
http://doi.org/10.31440/DFTB.2916

A previously well 3 year old girl presented to your ED with a history of fever. You have confidently diagnosed otitis media and are just about to discharge the child when the nurse mentions a urine was requested at triage and has come back positive for blood.

Febrile neutropenia

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Goldstein, H. Febrile neutropenia, Don't Forget the Bubbles, 2013. Available at:
http://doi.org/10.31440/DFTB.2912

You’re working as the paeds reg overnight at a regional centre when ED phones you about an incoming patient – Josef, 8 – who’s in a delayed intensification cycle of his treatment for ALL and has a fever of 38.6oC. Josef’s last chemotherapy was last week, and an FBC done 2 days ago showed WCC…