Well Baby Oddities

Well babies can cause angst too… Except that neither parents nor doctors can be sure that they are well, until they have been properly assessed. From funny breathing to blue lips, baby boobs to milk regurgitation, a range of neonatal and infant oddities can present to our Emergency Departments. Some of these babies have real pathology and some have a minor but scary condition, with a great...

January 12th, 2012 by colinparker 

Bronchiolitis (part 2 of 2)

Nebulised Hypertonic Saline… Everybody’s talking about it. Well, they should be. Is this finally the treatment for bronchiolitis that we’ve been waiting for? Could a cheap, simple medication like this be the answer to massive health-care costs? Bronchiolitis is such a common condition, that saving a day (or even half a day) of hospital length of stay across the board, would result...

September 23rd, 2010 by colinparker 

Breathing (part 4 of 4)

What is the role for Non-Invasive Ventilation in the Paediatric Emergency Department? Does NIV present the same rescue options as in adult respiratory emergencies, where blowing air through the window of opportunity can prevent endotracheal intubation? In this PEMcast, we explore Bi-level Positive Airways Pressure and a few of its lesser-known cousins, using the limited literature as our map, and...

July 29th, 2010 by colinparker 

Breathing (part 3 of 4)

When do you refer a child with breathing difficulty to the Paediatric Intensive Care Unit? What settings should you use for the ventilator, to avoid causing harm? These questions are discussed with our panel of rank amateurs… and one expert. Outline: Kate: Ward or PICU? “criteria” for considering mechanical ventilation. Dan: Ventilator settings for dummies & avoiding VILI. Stay...

July 15th, 2010 by colinparker 

Breathing (part 2 of 4)

Welcome back to more pearls on assessing breathing difficulty in children. In this episode we cover clinical tips to help distinguish different causes of respiratory signs, tachypnea, and respiratory failure: there are FOUR groups now! Outline of this PEMcast: ALL: Clinically distinguishing: UAWO vs LAWO Croup vs asthma, crasthma Bronchiolitis vs CCF CP: Causes of tachypnea RS LRTI Obstructive:...

July 2nd, 2010 by colinparker 

B is for Breathing (part 1 of 4)

Hello again… This recording session turned into such a marathon, we had to split it into 4 parts! This first part covers: respiratory physiology basics neonatal breathing and apnoeas ALTE’s assessing the work of breathing Please join us again in 2 weeks for Breathing, part 2, in which we divulge some clinical pearls which you may find helpful in distinguishing different causes of respiratory...

June 18th, 2010 by colinparker