Lots about diarrhoea this month. Also ADHD and no need any more for an ECG prior to starting medication. Obesity in A&E; can we at least start the journey towards a more healthy future in the Emergency department?
Tag Archives: cardiology
October 2020 PDF
Testicular torsion this month – a surgical emergency with good outcomes if operated on less than 6 hours since the pain started.
Also, links to helpful health and well being websites for young people and to good ECG CPD for psychiatrists and GPs. A bit more on ADHD and a round up of neck lumps in infants, assessment and management.
Do leave comments below.
February 29th 2020
Burns this month – with much discussion amongst the editorial group prior to publication. There are lots of different children’s burns protocols it transpires. RCEM’s is not aligned with the London and South East Burns Network’s. The message is “use your own burns referral unit’s guideline”. The other important message about burns is watch out for NAI but, even if the burn is accidental, refer all children to their health visitor as HVs in the UK are responsible for talking to families about safety in the home.
Also, complications of Kawasaki Disease, ADHD and the updated MAP guideline (managing cows milk allergy in primary care) which emphasises that 98% of crying babies do not have CMPA. Do leave comments below.
April 27th and 28th 2020 Homerton/GOSH cardiac emergencies course
The 2nd Paediatric and Neonatal Cardiac Emergencies Course is being run at Homerton University Hospital in London again this April. The expert faculty come from Great Ormond Street Hospital, Evelina, Homerton and Barts Health. Paediatric cardiologists, simulation trainers, neonatologists and paediatricians with expertise in cardiology and life support instructors. Do come along for a fun if somewhat intensive couple of days of defibrillation, terrifying talks on QT intervals, enlightening workshops and – acting on feedback from candidates who just couldn’t get enough last year – no less than 6 full immersion simulations. Application forms from the e-mail address on the flyer.
Flyer available to download from http://www.paediatricpearls.co.uk/wp-content/uploads/2020/01/Cardiology-Course-Flyer-April-2020.pdf . You’ll need lots of blue ink in your colour printer – sorry.
October 2019 PDF
Causes of chest pain in children this month (hint: it’s not the heart), causes of tachycardia, nosebleeds, Down Syndrome annual reviews, causes of erythema nodosum and a link to a fantastic document on the top 20 paediatric outpatient referrals. Read this document from Birmingham Women and Children’s Hospital and cut your referrals by at least 50%!
September 2019 PDF digest
I’m uploading this month’s newsletter while teaching in Vietnam at the invitation of a very impressive charity, https://www.newbornsvietnam.org/. I’m glad of the extra 6 hours of September – thanks to the time difference – to publish this on time!
Palivizumab this month; are all your eligible patients having it? A glance at the updated BTS/SIGN guideline on asthma, a very rare case of a cardiac cause of chest pain, how to estimate a child’s weight in an emergency and a bit on haemolysis secondary to G6PD deficiency. Do leave comments below…
April and May became combined this year…
April came and went a bit too fast for my Paediatric Pearls head. So I’ve produced a joint April/May newsletter for 2019. There’s a bit of safeguarding again this month with a link to a paper on what young people in care think of the language we use, a guide to enteral rehydration of children with D&V, acrodermatitis enteropathica and a reminder of what is normal on a paediatric ECG. Do leave comments below:
March 2019 PDF published
Part 2 of Medically Unexplained Symptoms this month. Also antibiotics in cystitis, too many investigations in community acquired pneumonia, carotenaemia and heart murmurs in unwell children. Do leave comments below:
January 2019 newsletter
Genetics this month and an explanation of the microarray test. Managing measles contacts in the “lessons from the front line” section, use of a smartphone app for recording palpitations and the start of a new dermatology series – skin manifestations of systemic disease. Do leave comments below.
April 2018 newsletter uploaded
NICE on Lyme disease this month – just in time for the weather to pick up and the tics to start biting. Also a reminder on the risk factors for SIDS, what to do in a terrorist attack, how to manage a child with a non-blanching rash and a discussion on the use of the antistreptolysin O titre. Do leave comments below: