Play therapy for pain relief
The role of play and distraction in paediatric patients when painful procedures are being carried out is highly underutilised. The attached study carried out a randomised control trial looking at the use of Entonox, play therapy, and a combination of the two during procedures.
Drug dosing cheat sheets
Below are some drug dosing cheat sheets - these are based off the Royal Children’s Hospital (Melbourne ) and Queensland Children's Hospital drug dosing guidelines. They are the size of an iPhone wallpaper.
If you are working in a children's ED or mixed department hopefully these can come in handy!
Clinical reasoning in Paediatric EM
You need to manage yourself hour by hour when it comes to clinical reasoning.
What subconscious influences are affecting you?
Nasal foreign bodies
Nasal foreign bodies are relatively common, particularly in inquisitive pre-school aged children.
Here, our friend Alex Blythe, demonstrates a simple technique to remove them.
All that wheezes is not asthma
Wheeze is a common presentation in paediatrics. Whilst it is most frequently seen in patients presenting with bronchiolitis, viral induced wheeze or asthma, there are other causes of wheeze that we should consider in our differential when these patients present.
A child with back pain
A 4yr old girl presents complaining of back pain for the past week. Her parents report that whilst she is able to mobilise and sleep through the night without pain, sudden movements cause her to cry out. During this period, they report that she has also had a cough, lost her appetite and been more lethargic than usual. She has been afebrile and there is no history of trauma.
Obesity in children and drug dosing
According to the Australian Institute of Health and Welfare, 25% of children and adolescents are classified as obese. Given that we rely on weight for drug dosing, how do we ensure that we keep our patients safe whilst still delivering effective drug doses?
What drugs doses should be adjusted and how should we do this?
Dr Danielle Scarfe