Impact of oral corticosteroids on respiratory outcomes in acute preschool wheeze: a randomised clinical trial
Pre-school wheeze is really common, with evidence suggesting that 50% of children will have at least one episode of acute wheeze by the age of 6years.
Over the last 10-15years, there have been a number of studies looking at the use of steroid therapy in this group.
At this time, whilst we recognise that there are a group of children that will benefit from steroid therapy, the evidence remains unclear as to which children presenting to the ED should be prescribed them.
Tillaux and triplane fractures
Matthew, a 15year old boy presents with a painful, swollen ankle after a skateboarding accident. He has seen his GP who has arranged an X-ray in the community and the report states that he has a Tillaux fracture. You have never come across this type of fracture before and have no idea what this means!
Dr Danielle Scarfe