PEM REVIEW 021: WINTER IS COMING: CROUP // BRONCHIOLITIS // CRP ESR // FRACTURES // ANATOMY // SICKLE CELL

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:

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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…

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