headache

‘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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CP 1

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As society and the world in general becomes increasingly complicated, it might be outdated to only think of child abuse in the four domains we were traditionally taught about (emotional abuse, physical abuse, neglect, sexual abuse) – there are some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

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…

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backdrop

PEM review 017: ANTIBIOTIC RESISTANCE // CONSENT // INJURIES // H.U.S // NIGHTS

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Happy new year! 2015 was a busy one for this new blog – over 15,000 hits from 120 different countries – unbelievable :) Thank you to everyone who has visited, commented, contributed, and welcomed me to the FOAMed community. In 2016 you will be seeing more of the popular PEM Reviews, but also a variety of other posts; always happy to take feedback and suggestions of what you’d like more of. Onwards!

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diabetes

Paediatric DKA Guideline 2015 – What’s new?

PEMgeek3I put up the link to the revised BSPED DKA guideline recently, so I thought I’d follow up with this post to explain exactly what all the changes are. Most of them relate to fluid management and seem to be geared towards making sure we don’t end up overshooting with rehydration and putting kids in danger of cerebral oedema – seems pretty reasonable😉

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