Paediatric Pearls

With apologies for missing March – time management issues….

Functional abdominal pain this month with a link to a handy patient information leaflet, pubertal and growth issues, neonatal spots and some not-for-the-faint-hearted youtube videos on intraosseous line insertion for the ED practitioners amongst you.  Do leave comments!

This is the first time in ages I’ve managed to get the finalised version on line in time for the end of the month!  NICE on autism this month, a bit on the use of corticosteroids in croup with help from the Cochrane Library, update on secondary prevention of meningococcal disease and a pointer to our local educational psychologist service which is hoping to make stronger links with the borough’s GPs (see also below).  Our feeding series continues with an article on colic from one of the junior paediatricians with lots of useful links and updates.

…are here!  A bit on TB for your interest, pain scoring tools and links to growth charts.  Also some pointers towards useful e-learning tools.  Do leave comments below.

Well the BMJ produces 2 journals in one in August so why can’t I?  All the topics featured this month are relevant for both GPs and ED doctors – for once – so you have a joint newsletter.  I have covered headache this month, Vitamin D (by popular request) and we have started the “Feeding” series requested by my ED senior colleagues.  It seems appropriate to have covered breastfeeding first.  Do leave comments below.

Less text boxes this month because of the importance of the parental responsibility issues in the ED, highlighted in the featured GMC 0-18 document.  Also a brief look at the recently reapproved UTI NICE guideline.  Did you know they did a section called “Do not do recommendations”?  We have done a quick round up of relevant academic papers for you this month and pointed you to a site aimed at improving our woeful pick up rate of childhood brain tumours.  Do leave comments here.

The ED version of May 2011′s “Pearls” is available here!  NICE on otitis media with effusion, inguinal hernias, measles, the child with a limp and the significance of a high anion gap.  Do leave comments below.

This month’s emergency department version of Paediatric Pearls has information on the NICE guideline on head injury, what to do if you find a child has an undescended testis and some pointers to sites on asthma inhalers.  Download the January 2011 ED version here.

This month’s emergency department version of Paediatric Pearls has information on dehydration from the NICE guideline on gastroenteritis in the under 5s, a bit on seizures and the evidence behind our reluctance to let you request chest x-rays for children.  I’ve featured the NICE guideline on antibiotics for respiratory illness in primary care too as they are also relevant for the children we see in EUCC and the Emergency Department.  I hope you find it helpful; I think the average length of time for each infection is useful information to be able to hand on to parents.  Download December’s Paediatric Pearls here.

Have a look at the November 2010 Paediatric Pearls PDF digest for information on bronchiolitis, heart murmurs and burns.  The featured NICE guideline this month was Nocturnal Enuresis which, even with the best will in the world, has very little to do with Accident and Emergency!  Those of you who are interested in the topic could look at this month’s GP version.

Click here for snippets on paediatric cardiac arrythmias, a link to a good site on how to read paediatric ECGs, NICE on coeliac disease and suggestions on how to look at paediatric elbow x-rays.  Please leave any comments here.