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Fifteen-minute consultation: Approach to a child with congenital insensitivity to pain
Fifteen-minute consultation: Approach to a child with congenital insensitivity to pain
The hereditary sensory and autonomic neuropathies (HSANs) are a group of rare genetic disorders characterised by variable ...
Fifteen-minute consultation: Management of acute dystonia exacerbation and status dystonicus
Fifteen-minute consultation: Management of acute dystonia exacerbation and status dystonicus
IntroductionDystonia is defined as ‘a movement disorder characterised by sustained or intermittent muscle contractions cau...
Fifteen-minute consultation: a guide to paediatric major haemorrhage
Fifteen-minute consultation: a guide to paediatric major haemorrhage
Major trauma is a principal cause of morbidity and mortality in children. Severe haemorrhage is the second-leading cause o...
Toddler with isolated gross motor delay
Toddler with isolated gross motor delay
A boy presented after his gross motor development plateaued at around 1 year of age. He sat unsupported at 8 months, cruis...
National guidance for the management of children in hospital with viral respiratory tract infections (2023)
National guidance for the management of children in hospital with viral respiratory tract infections (2023)
BackgroundUpdated national guidance1 was issued in October 2023 based on the lessons learnt during COVID-19 in 2020 for th...
NICE guideline review: type 2 diabetes in children and young people - diagnosis and management (NG18)
NICE guideline review: type 2 diabetes in children and young people - diagnosis and management (NG18)
In May 2023, the National Institute for Health and Care Excellence (NICE) updated the section on T2D of the guideline on ‘...
Reducing unplanned extubation in tertiary NICU: a quality improvement project
Reducing unplanned extubation in tertiary NICU: a quality improvement project
SummaryMechanically ventilated neonates are prone to unplanned extubation (UE) or accidental extubation causing cardioresp...
CT brain interpretation in paediatric trauma
CT brain interpretation in paediatric trauma
The management of head trauma is an essential component of working in Emergency Medicine, be it a paediatric, adult or mix...
'More part of the team: co-creating during paediatric placements
'More part of the team: co-creating during paediatric placements
Belonging is critical for the development and well-being of medical students. Feeling a sense of belonging is a significan...
Optimising paediatric bedside teaching for medical students
Optimising paediatric bedside teaching for medical students
Bedside teaching is a common teaching modality in undergraduate and postgraduate curricula and involves students being sup...
Safeguarding children a priority
Safeguarding children a priority
When I look through the range of scenarios discussed within this mini-series,1 ,2 it reminds me of the reason I was drawn ...
Acute safeguarding essentials in modern-day paediatrics
Acute safeguarding essentials in modern-day paediatrics
This case series addresses the complexities of child safeguarding in modern-day paediatrics, exploring common themes and k...
Acute safeguarding essentials in modern-day paediatrics: neglect, unsupervised minors and modern slavery
Acute safeguarding essentials in modern-day paediatrics: neglect, unsupervised minors and modern slavery
As part of a case-series exploring acute safeguarding essentials in modern day paediatrics, this article focusses on theme...
Fifteen-minute consultation: Diagnosing serious pathology in children with headaches presenting to the emergency department
Fifteen-minute consultation: Diagnosing serious pathology in children with headaches presenting to the emergency department
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Medical emergencies in eating disorders
Medical emergencies in eating disorders
About the guidelineEating disorders are serious mental health disorders that cannot be appropriately managed without both ...
Guideline review: Child Protection service delivery standards
Guideline review: Child Protection service delivery standards
The Children Act, 1989 states that the local authority needs to complete a section 47 investigation when there is any susp...
Diagnosis and treatment of Lyme disease in children
Diagnosis and treatment of Lyme disease in children
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NICE guideline review: Epilepsies in children, young people and adults NG217
NICE guideline review: Epilepsies in children, young people and adults NG217
BackgroundEpilepsy is the most common significant long-term neurological condition of childhood. The prevalence in childre...
Recommendations for minimising and monitoring adverse effects of long-term supraphysiological corticosteroid use in children and young persons
Recommendations for minimising and monitoring adverse effects of long-term supraphysiological corticosteroid use in children and young persons
KEY POINTSSupraphysiological systemic corticosteroids are used commonly in the management of various medical conditions in...
Use of pulse oximetry as an investigative test for paediatric respiratory sleep disorders
Use of pulse oximetry as an investigative test for paediatric respiratory sleep disorders
IntroductionMultiple diagnostic techniques are available for the assessment of suspected sleep disorders in children. Poly...
Sore knee - why and when to call a cardiologist
Sore knee - why and when to call a cardiologist
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Chloral hydrate - use as a sedative in paediatric settings
Chloral hydrate - use as a sedative in paediatric settings
The aim of this article is to discuss chloral hydrate and its place in current therapy in various paediatric settings foll...
Airway management in paediatric emergencies outside of an intensive care setting: a quality improvement project using Lean/Six Sigma methodology
Airway management in paediatric emergencies outside of an intensive care setting: a quality improvement project using Lean/Six Sigma methodology
ProblemRecent evidence has shown that while advanced airway management is clearly an important aspect of many critically u...
How to solve a clinical conundrum: Have you tried a trio exome analysis?
How to solve a clinical conundrum: Have you tried a trio exome analysis?
The following report describes the clinical journey of a 5-month-old male infant who presented with a significant kidney i...
Widespread rash, leg pain and increased muscle bulk
Widespread rash, leg pain and increased muscle bulk
A 4-year-old girl presented with a 2-year history of rashes on both hands, trunk and knees and an inability to move the ri...
Diarrhoea, vomiting and reduced wet nappies - a familiar story with unexpected twists
Diarrhoea, vomiting and reduced wet nappies - a familiar story with unexpected twists
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Postexposure prophylaxis for varicella/shingles: a review of the UKHSA guidelines
Postexposure prophylaxis for varicella/shingles: a review of the UKHSA guidelines
BackgroundVaricella zoster virus (VZV) is a human herpes virus that causes chickenpox (or varicella) and shingles. Chicken...
NEO-TRAIN pushing the boundaries of quality improvement on the neonatal unit
NEO-TRAIN pushing the boundaries of quality improvement on the neonatal unit
Key messagesWHAT WE ALREADY KNOW ON THIS TOPICImplementing sustainable change can be challenging.Quality improvement (QI) ...
Guideline review: Sudden and unexpected postnatal collapse - BAPM framework
Guideline review: Sudden and unexpected postnatal collapse - BAPM framework
‘Sudden and Unexpected Postnatal Collapse: A BAPM Framework for Reducing Risk, Investigation and Management’ (Framework)1 ...
Four months of tuberculosis (TB) treatment is non-inferior to the current 6-month treatment in drug-susceptible paediatric TB
Four months of tuberculosis (TB) treatment is non-inferior to the current 6-month treatment in drug-susceptible paediatric TB
Study design Design: An open-label, non-inferiority, randomised controlled trial. Allocation: 1:1 allocation, stratified...
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