One Pill Killers

Toddlers are a distinct species within paediatrics. Take the constitution of a goat, the mentality 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”


‘Just’ a headache..?

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…


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Thinking differently about Child Protection in the ED

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As society and the world in general becomes increasingly complicated, it might be outdated to only think of child abuse in the four domains we were traditionally taught about (emotional abuse, physical abuse, neglect, sexual abuse) – there are some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.

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NICE Bronchiolitis guidelines 2015 – doing ‘nothing’ with confidence…

PEMgeek3RSV has settled in for the season in the UK – cue the annual ‘nebulised-saline vs salbutamol vs TLC’ debate on every ward round. Well, this year we have a new bronchiolitis guideline from NICE which should help put the old arguments to bed – and remind us how few interventions actually do any good for this condition. Time to get comfortable doing nothing…

Continue reading “NICE Bronchiolitis guidelines 2015 – doing ‘nothing’ with confidence…”