Meningitis Diagnosis and Management

The word strikes fear into the heart of parents. You dare not mention the ‘M’ word unless you back it up with action, or a whole heap of calming reassurance… The clinical features of meningitis are less straightforward in younger children, and CSF findings can be tricky to interpret. In this episode, our local Paediatric Infectious Diseases expert guides us through the topic with...

November 3rd, 2011 by colinparker 

Treatment Options in Neonatal Jaundice

Phototherapy treatment will be sufficient for the vast majority of infants with unconjugated hyperbilirubinaemia who need treatment.  When it gets more serious, we turn to higher-risk treatments like IntraVenous Immunoglobulin or exchange transfusion. What evidence do we have to guide our decisions here? Every Special Care Nursery in the world has a bilirubin chart on the wall to guide us in terms...

June 30th, 2011 by colinparker 

Minor Head Injury

A little bump on the head… could cause a lot of trouble for you and me. Minor Head Injury used to mean GCS 13-15, nowadays it means GCS 14-15. This is the vast majority of head injury cases, and therefore we need to be really comfortable with their assessment and management. Plug in and join us as we discover the origins of the 4-hour myth, the creative definition of concussion, and the correct...

March 24th, 2011 by colinparker 

Asthma

Asthma in kids is common… very common.  So we should know how to manage it in our Emergency Departments.  Occasionally we see a child with severe or critical asthma; when this happens it is useful to know what your plan is – a plan you can make beforehand, rather than in the heat of the moment… Join us for this PEMcast as we navigate the current conventional wisdom on management...

February 24th, 2011 by colinparker 

Fever: NICE to get guidance

Three years ago the National Institute for Clinical Excellence in the UK released their guidance on the assessment and initial management of feverish illness in young children (CG47).  Most of the world outside of Britain has not been using this guidance, but we thought it would be useful to delve a bit deeper to see whether we could all benefit from the insights of their expert panel. To listen...

December 16th, 2010 by colinparker