In complex PTSD (Post Traumatic Stress Disorder), anxiety is a predominant theme

At times it can be challenging to deliver good discharge advice and ensure parental understanding.  In the kid who presents with anaphylaxis it is vital that we get it right.

Eczema in kids is really common, particularly in infants under the age of 2 where the prevalence can be as high as 20% (ASCIA 2019).  These children may present to ED at the first appearance of the rash, with an acute flare or with a superimposed infection.

We know how to spot hypotension in children but what about hypertension?

Perhaps you have heard of the red-light; green-light analogy when it comes to things that occupy your time.  I remember the first time I came across this concept.  Again, I credit the psychologist, Meryem Brown, for enlightening me.  Let me explain, as I found this concept really helpful in managing my stress and energy levels.  ​

How long does a child with a streptococcal throat infection or impetigo need to be excluded from school/day care?
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This great poster from Queensland Health contains the exclusion criteria for the most common infections we see in children.

This video from the 'Be Sweet to Babies' research team at CHEO in Ottawa, Canada, demonstrates 3 techniques that have been shown to be effective in reducing procedural pain in infants.
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A 4year old boy presents after choking on a piece of apple. His mum reports that he was eating a slice of apple when he started to cough and struggle to catch his breath. She reports that there was a significant improvement within a minute but that he continues to cough and wheeze since the event. She denies apnoea, colour change or loss of consciousness.