Meningitis: Steroids or not?

The most important thing about treating meningitis is to give antibiotics as soon as possible.  The second most important thing is to institute appropriate supportive care.  Whether or not to give steroids as an adjunctive treatment is perhaps less clear to us… A recent Cochrane review goes a long way to pointing us in the right direction, but still leaves a few questions open.  Join us...

November 17th, 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 

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