Neonatal Hypoglycaemia

To bolus, or Not to bolus… that is the question.  Actually, there are a few more questions too… How low is too low? What are the causes of neonatal hypoglycaemia? Any advances in research? Some neonatologists believe that a bolus of intravenous dextrose when treating hypoglycaemia is to be avoided at all costs.  Others say a bolus is OK, provided that an ongoing infusion at an adequate...

November 18th, 2010 by colinparker 

E for Exposure, Don’t Ever Forget Glucose

Exposure: getting a look at the whole patient, while preventing hypothermia.  It’s just part of being thorough, and thorough is Good. Many have erred in the heat of the moment… it’s easy to get distracted by a sick-looking kid or a serious injury, but: Don’t Ever Forget Glucose! On this episode we run through the meaning of “E”, and then move on swiftly to discuss...

November 4th, 2010 by colinparker 

Circulation (part 2 of 2)

IV Maintenance fluids for sick children: what fluid, and how much? This seemingly simple question has a controversial, complex and evolving answer.  Long-held traditions of giving hypotonic intravenous fluids to children have been increasingly challenged, due to dangerous adverse effects. In this episode, we look at a few papers to address the hypotonic fluid controversy. To listen, click on the...

August 26th, 2010 by colinparker