This week, London experienced the type of incident some would say we have been anxiously dreading, having watched our European neighbours in Paris, Berlin and Nice suffer similar senseless violence in recent months. A vague unease that ‘something might happen here’ suddenly became realised, the picture pulled into focus as an anticipated nebulous threat materialised into a set of concrete events. Five people (at the … Continue reading Minor musings on a Major Incident
PAEDIATRICFOAM.COM Firstly, an unashamed plug for a new project I am excited to be involved with. The London School of Paediatrics is venturing into the FOAMed world, and our new site is launching this month – you can see it here http://www.paediatricfoam.com. Take a look at @jround999’s brilliant ‘Inotropes made simple’ or this post by yours truly on Kawasaki Disease. DON’T PUT YOUR … Continue reading PEM Review 022 – NEW FOAMed // LISFRANC INJURY // TEG // TRAUMA // BRUEs //
With coughs and sneezes aplenty in the paediatric emergency department (and that’s just the staff) it’s high time for a winter PEM FOAMed review:
Continue reading “PEM REVIEW 021: WINTER IS COMING: CROUP // BRONCHIOLITIS // CRP ESR // FRACTURES // ANATOMY // SICKLE CELL”
This piece of writing has one thing in common with its subject matter – it doesn’t really belong where it’s ended up. It has no direct relevance to paediatric emergency medicine, so if you are here as a doctor please forget that for a moment and continue to read as a human, for it has every relevance in this respect. I am not a martyr … Continue reading On refugees, in crisis
Toddlers are a distinct species within paediatrics. Take the stubbornness of a goat, the morals of a used-car salesman, the dexterity of a plastic surgeon and the temperament of Bruce Banner – and you end up with what is basically a tiny, intellectually challenged ninja, with the capacity to do alarmingly stupid things with incredible speed and skill.
Continue reading “One Pill Killers”
Headaches are such a common acute paediatric presentation – most are thankfully benign, but how do you make sure you don’t miss something more sinister?
This post is based on a talk I went to recently by HeadSmart – a charity focused on raising awareness of symptoms of brain tumours in children. The following points are adapted from their guide for doctors…
Continue reading “‘Just’ a headache..?”
Child protection is sadly a huge part of our workload in ED.
As society and the world in general becomes increasingly complicated, it might be outdated to only think of child abuse in the four domains we were traditionally taught about (emotional abuse, physical abuse, neglect, sexual abuse) – there are some forms of abuse or potential harm that don’t sit neatly in any of those corners. Unless we start to think about child protection differently, some very vulnerable children might slip through the net.
Continue reading “Thinking differently about Child Protection in the ED”