Vascular Access: Amanda Ullman at DFTB18

Cite this article as:
Team DFTB. Vascular Access: Amanda Ullman at DFTB18, Don't Forget the Bubbles, 2019. Available at:
https://doi.org/10.31440/DFTB.18669

We were pleased that Amanda Ullman took up our offer to speak at DFTB after the great post she and the Vascular Access Management Service wrote for us on management of paediatric central access devices. This talk comes complete with trigger warnings. We’ve all been in the situation when we have been confronted with doughy armed toddlers and no sign of a vein in site. The parents, and that patient, are relying on you to get it right.


Given the prime directive of physicians of Primum Non Nocere (First Do No Harm) it is worth considering if we should be cannulating the child in the first place. In a study by Holloway et al. (2017) they found that 22% of PIVCs were unused after insertion. With a success rate of around 60% in our well children, we really to sway the odds further in our favour.

But is also worth considering the flipside – cannulation may be less painful than heel prick for blood sampling in neonates. Amanda asks us to consider if you are the right person to put in that cannula. Should you just ‘give it a go anyway’? Have you been up half the night and can barely focus? Have you just missed you last six cannulae and have something to prove?

This talk was recorded live at DFTB18 in Melbourne, Australia. With the theme of ‘Science and Story‘ we pushed our speakers to step out of their comfort zones and consider why we do what we do. Caring for children is not just about acquiring the scientific knowhow but also about taking a look beyond a diagnosis or clinical conundrum at the patient and their families.

If you want our podcasts delivered straight to your listening device then subscribe to our iTunes feed or check out the RSS feed. If you are more a fan of the visual medium then subscribe to our YouTube channel. Please embrace the spirit of FOAMed and spread the word.

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Selected References

Deitcher SR, Gajjar A, Kun L, Heideman RL. Clinically evident venous thromboembolic events in children with brain tumors. The Journal of pediatrics. 2004 Dec 1;145(6):848-50.

Hollaway W, Broeze C, Borland ML. Prospective observational study of predicted usage of intravenous cannulas inserted in a tertiary paediatric emergency department. Emergency Medicine Australasia. 2017 Dec;29(6):672-7.

Kleidon TM, Cattanach P, Mihala G, Ullman AJ. Implementation of a paediatric peripheral intravenous catheter care bundle: A quality improvement initiative. Journal of paediatrics and child health. 2019 Jan 31.

Stolz LA, Cappa AR, Minckler MR, Stolz U, Wyatt RG, Binger CW, Amini R, Adhikari S. Prospective evaluation of the learning curve for ultrasound-guided peripheral intravenous catheter placement. The journal of vascular access. 2016 Jul;17(4):366-70.

Takashima M, Schults J, Mihala G, Corley A, Ullman A. Complication and failures of central vascular access device in adult critical care settings. Critical care medicine. 2018 Dec 1;46(12):1998-2009.

Ullman AJ, Cooke M, Kleidon T, Rickard CM. Road map for improvement: point prevalence audit and survey of central venous access devices in paediatric acute care. Journal of paediatrics and child health. 2017 Feb;53(2):123-30.

Gender Identity: Stephen Stathis at DFTB18

Cite this article as:
Team DFTB. Gender Identity: Stephen Stathis at DFTB18, Don't Forget the Bubbles, 2019. Available at:
https://doi.org/10.31440/DFTB.18596

Associate Professor Stephen Stathis has fellowships in both paediatrics and psychiatry. As Medical Director of the Child and Youth Mental Health Services in Brisbane, Australia. He heads up the gender dysphoria service at Queensland Children.s Hospital and in this talk he expands the DFTB queericulum.

In 2017 Aidan Baron started a conversation about the challenges and rewards of communicating with all colours of the LGBTQIA+ rainbow. In this talk Stephen talks about the development of gender expression and helps clarify some of the misunderstandings about being gender diverse. By improving our knowledge, allowing these conversations to take place, we hope we can provide a safe environment for children to be able explore their concerns, without fear of judgement.

 

 

This talk was recorded live at DFTB18 in Melbourne, Australia. With the theme of ‘Science and Story‘ we pushed our speakers to step out of their comfort zones and consider why we do what we do. Caring for children is not just about acquiring the scientific knowhow but also about taking a look beyond a diagnosis or clinical conundrum at the patient and their families. Tickets for DFTB19, which will be held in London, UK, are now on sale from www.dftb19.com.

 

If you want our podcasts delivered straight to your listening device then subscribe to our iTunes feed or check out the RSS feed. If you are more a fan of the visual medium then subscribe to our YouTube channel. Please embrace the spirit of FOAMed and spread the word.

 

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An aboriginal perspective of teen pregnancy: Cally Jetta at DFTB18

Cite this article as:
Team DFTB. An aboriginal perspective of teen pregnancy: Cally Jetta at DFTB18, Don't Forget the Bubbles, 2019. Available at:
https://doi.org/10.31440/DFTB.18537

Aboriginal and Torres Strait Island teenagers have a fertility rate four times higher than the general population (57/1000). This disparity is even higher in Western Australia where, in 2014, there were 88 births per 1000 in the Aboriginal and Torreds Strait Islander population compared to just 15 per 1000 in the general population.

Cally Jetta administers the Blackfella Revolution Facebook page – an Aboriginal activism and educational forum that encourages and supports education and understanding.  In this talk she shares her experience and the voices of some brave young women.

 

 

 

This talk was recorded live at DFTB18 in Melbourne, Australia. With the theme of ‘Science and Story‘ we pushed our speakers to step out of their comfort zones and consider why we do what we do. Caring for children is not just about acquiring the scientific knowhow but also about taking a look beyond a diagnosis or clinical conundrum at the patient and their families. Tickets for DFTB19, which will be held in London, UK, are now on sale from www.dftb19.com.

If you want our podcasts delivered straight to your listening device then subscribe to our iTunes feed or check out the RSS feed. If you are more a fan of the visual medium then subscribe to our YouTube channel. Please embrace the spirit of FOAMed and spread the word.

 

iTunes Button

 

Braithwaite J, Hibbert PD, Jaffe A, White L, Cowell CT, Harris MF, Runciman WB, Hallahan AR, Wheaton G, Williams HM, Murphy E. Quality of health care for children in Australia, 2012-2013. Jama. 2018 Mar 20;319(11):1113-24.

McGlynn EA, Asch SM, Adams J, Keesey J, Hicks J, DeCristofaro A, Kerr EA. The quality of health care delivered to adults in the United States. New England journal of medicine. 2003 Jun 26;348(26):2635-45.

Nolan T, Resar R, Haraden C, Griffin F, Gordon A. Improving the Reliability of Health Care. Institute for Healthcare Improvement 2004.

O’Brien M. Leading Reliability Improvement for Safer Healthcare. The Cognitive Institute, 2015.

 

Married to the Mob: Clare Dimer at DFTB18

Cite this article as:
Team DFTB. Married to the Mob: Clare Dimer at DFTB18, Don't Forget the Bubbles, 2019. Available at:
https://doi.org/10.31440/DFTB.18327

Clare Dimer is a senior social worker in WA’s Department of Health. In this talk she talks of the challenges faced by indigenous Australians today.

At the beginning of the 18th century there were over 250 languages spoken in Australia. By the start of this century only 150 are in daily use.  Language and culture pay a huge part in healthcare and an understanding of this should helps inform how we – as doctors, nurses, social workers – can help our indigenous patients.

 

This talk was recorded live at DFTB18 in Melbourne, Australia. With the theme of ‘Science and Story’ we pushed our speakers to step out of their comfort zones and consider why we do what we do. Caring for children is not just about acquiring the scientific knowhow but also about taking a look beyond a diagnosis or clinical conundrum at the patient and their families. Tickets for DFTB19, which will be held in London, UK, are now on sale from www.dftb19.com.

 

If you want our podcasts delivered straight to your listening device then subscribe to our iTunes feed or check out the RSS feed. If you are more a fan of the visual medium then subscribe to our YouTube channel. Please embrace the spirit of FOAMed and spread the word.

 

iTunes Button

 

Braithwaite J, Hibbert PD, Jaffe A, White L, Cowell CT, Harris MF, Runciman WB, Hallahan AR, Wheaton G, Williams HM, Murphy E. Quality of health care for children in Australia, 2012-2013. Jama. 2018 Mar 20;319(11):1113-24.

McGlynn EA, Asch SM, Adams J, Keesey J, Hicks J, DeCristofaro A, Kerr EA. The quality of health care delivered to adults in the United States. New England journal of medicine. 2003 Jun 26;348(26):2635-45.

Nolan T, Resar R, Haraden C, Griffin F, Gordon A. Improving the Reliability of Health Care. Institute for Healthcare Improvement 2004.

O’Brien M. Leading Reliability Improvement for Safer Healthcare. The Cognitive Institute, 2015.

 

Inequalities in Healthcare : Andrew McDonald at DFTB18

Cite this article as:
Team DFTB. Inequalities in Healthcare : Andrew McDonald at DFTB18, Don't Forget the Bubbles, 2019. Available at:
https://doi.org/10.31440/DFTB.18304

Dr Andrew McDonald worked as a paediatrician for many years before entering the world of politics. In his years as Shadow Minister for Health he continued to practice one day a week. In both roles he saw the impact that socio-economic status has on health and continues to do what he can to make difference. Why should those that need access to excellent health care not be afforded more healthcare resources? If you can afford to pay you can get in to see a private paediatrician in a week but if you are relying on the public system it is a matter of months. Andrew McDonald challenges the audience to think on this, and who they are really helping.

It can be hard to stand up to the status quo but if you are serious about helping people you must.

 

This talk was recorded live at DFTB18 in Melbourne, Australia. With the theme of ‘Science and Story’ we pushed our speakers to step out of their comfort zones and consider why we do what we do. Caring for children is not just about acquiring the scientific knowhow but also about taking a look beyond a diagnosis or clinical conundrum at the patient and their families. Tickets for DFTB19, which will be held in London, UK, are now on sale from www.dftb19.com.

 

If you want our podcasts delivered straight to your listening device then subscribe to our iTunes feed or check out the RSS feed. If you are more a fan of the visual medium then subscribe to our YouTube channel. Please embrace the spirit of FOAMed and spread the word.

 

iTunes Button

 

Braithwaite J, Hibbert PD, Jaffe A, White L, Cowell CT, Harris MF, Runciman WB, Hallahan AR, Wheaton G, Williams HM, Murphy E. Quality of health care for children in Australia, 2012-2013. Jama. 2018 Mar 20;319(11):1113-24.

McGlynn EA, Asch SM, Adams J, Keesey J, Hicks J, DeCristofaro A, Kerr EA. The quality of health care delivered to adults in the United States. New England journal of medicine. 2003 Jun 26;348(26):2635-45.

Nolan T, Resar R, Haraden C, Griffin F, Gordon A. Improving the Reliability of Health Care. Institute for Healthcare Improvement 2004.

O’Brien M. Leading Reliability Improvement for Safer Healthcare. The Cognitive Institute, 2015.

 

Cutting edge burns management: Fiona Wood at DFTB18

Cite this article as:
Team DFTB. Cutting edge burns management: Fiona Wood at DFTB18, Don't Forget the Bubbles, 2019. Available at:
https://doi.org/10.31440/DFTB.18295

Professor Fiona Wood, AM, is one of the worlds leading burns surgeons.  Having qualified from St Thomas’ in London she decided to do what so many of us do and move down under. Since the early days of her career, she has recognized that to improve the outcomes of burns victims involves not just scarless skin but also healing in mind and spirit. Along with Marie Stoner, she pioneered the use of ‘spray-on skin’ and is well known for the care she provided to the victims of the Bali bombings back in October 2002.

In this talk, she talks about the past, the present and the future of burns care whilst championing the roles of women in medicine and surgery. As a mother of six children, she reminds us all that there is nothing that cannot be achieved if you ask for it.

 

This talk was recorded live at DFTB18 in Melbourne, Australia. With the theme of ‘Science and Story’ we pushed our speakers to step out of their comfort zones and consider why we do what we do. Caring for children is not just about acquiring the scientific knowhow but also about taking a look beyond a diagnosis or clinical conundrum at the patient and their families.

If you want our podcasts delivered straight to your listening device then subscribe to our iTunes feed or check out the RSS feed. If you are more a fan of the visual medium then subscribe to our YouTube channel. Please embrace the spirit of FOAMed and spread the word.

 

iTunes Button