HIGHLIGHTS

In our second episode of ‘The Three Muskapeers’ Drs Damian Roland, Alasdair Munro and Ian Lewins have a chat about what’s new in the literature about COVID-19, including current challenges and controversies in Paediatrics. Contains scenes of rib-tickling.

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We all know that chickenpox can be really unpleasant for children and their parents are often anxious to make them feel better by bringing the temperature down. So there’s no harm in treating them with ibuprofen, is there? Or could the Facebook groups be right and ibuprofen should be avoided at all costs. In this podcast, originally recorded for ‘2 Paeds In A Pod’ Ian Lewins attempts to get to the truth with Dr Alasdair Munro, a clinical research fellow in Paediatric Infectious Diseases based in Southampton.

Imagine a world where you could teach CPR from a thousand miles away, a world where you can guide clinicians on the other side of the world. In this groundbreaking talk from DFTB19 Camilla Sørensen tackles another side of virtual reality. This one involves the clinician as power user.

Wellness programmes are very in vogue at the moment but how do you go about setting up one from scratch in your own Emergency Department and do they *really* make a difference? We asked these questions, and more, of Dr Dan Magnus, PEM Consultant in Bristol and found out about the ‘You Got This’ programme he is involved in.

One of the challenges of paediatrics is how to distill a life of experience down to something more tangible. When you are asked “How did you know s/he was sick?” you need to be able to give a better answer than “I just know”. In this session from DFTB19  we challenged three clinicians to explain just why they think the way they do.

In this final session that was designed to challenge up and coming paediatricians to be a little better Dr Alan Grayson brought up the boogie-monster in the paediatric emergency department – sepsis.

One of the challenges of paediatrics is how to distill a life of experience down to something more tangible. When you are asked “How did you know s/he was sick?” you need to be able to give a better answer than “I just know”. In this session from DFTB19  we challenged three clinicians to explain just why they think the way they do.  

Rheumatic Fever is one of those conditions that all good paediatric trainees diligently learn about and then promptly never see for 10 years. Unless of course you happen to live and work in the Northern Territory of Australia. In this episode of the podcast we talk to Dr Claire Chandler, a paediatric registrar in Alice Springs, about the clinical features and management of Rheumatic Fever and why, in her practice and population, she sees at least a couple of cases of the condition every week.

One of the challenges of paediatrics is how to distill a life of experience down to something more tangible. When you are asked “How did you know s/he was sick?” you need to be able to give a better answer than “I just know“. In this session from DFTB19  we challenged three clinicians to explain just why they think the way they do.

Nikki Abela challenges the assumption that we are great at assessing hydration status in children. We could all do better. We are right between 25% and 80% of the time. That huge spread of exactitude does not just encompass the experience of years.

Perhaps it was the story of Ezra and his mum, Sorina, who Tom had treated as a PICU registrar that fuelled his interest in research? But what he recognized, when he went to work in the ED, is that despite having seen the worst possible outcome s is that not all children with a petechial illness have meningo-coccaemia.  Our current practice guidelines are based on data from a time before vaccination.

Kerry Woolfall is a social scientist and senior lecturer at the University of Liverpool. This talk, our second from the PERUKI track, she talks about doing research without prior parent and patient consent.  Following legislative changes in 2008 it is now possible (in the UK at least) to enter a child into a trial of potentially life-saving treatment then seek consent after the fact. But how would parents react to this? How would clinicians? What would happen if a child died during the trial, as may understandably occur if we are looking at potentially life-saving interventions?

This talk is not just about a researchers point of view but also details Kerry’s experience from the other side of the clipboard as a NICU parent.

The research embodies a core principle of engagement.

In this first session from the PERUKI track Meriel Tolhurst-Cleaver spoke about her research into peri-orbital cellulitis. As a self-confessed non-academic she led the first trainee-led PERUKI study and reminds us that we can all get involved in research. She talks about some of the challenges in undertaking her study but most importantly she releases some of the results.

Spurred on by the idea that we are not following the guidelines that we have she asked an important question… why do we not have one standard guideline and why do we not follow the ones we have?