Merry Christmas everyone, and a great big thank you to everyone working over the festive period (I'm sure that's probably most of you!).
A little pre-Christmas pearl, a link to a paper demonstrating how dedicated paediatric EDs help improve patient waiting times and disposition.
Don't forget the lego
It’s almost Christmas and I cannot think of a better time to share one of my favourite studies.
From the team at Don’t Forget The Bubbles - Don’t Forget the Lego. Check it out here
Reading a young person's ECG
Useful link that helps with interpretation of teenage/young person's ECG. Check it out here
Chest x-ray in pneumonia
In 2011 the British Thoracic Society published an update to their guideline on the management of community acquired pneumonia in children. This concluded that a chest x-ray should not be considered a routine investigation and that children with clinical findings suggestive of pneumonia, who are well enough to be managed as an outpatient, did not require imaging.
This practice has since been adopted across Australia and is replicated in our local guidelines.
A brief refresher on tetanus
Attached is a document that discusses the classification of wounds, determining immunisation status and links to guidelines that are used within Queensland Health to decide upon whether tetanus prophylaxis is required.
Walk the talk
This week I am trying to "walk the talk" as we spend a week at a sleepy beachside township - minimal technology, time to be bored, time to read books. The importance of this "downtime" was reinforced by an article sent to me by a friend. It's a lengthy article but worth the read. We kid ourselves if we think working harder, working longer, always being available will result in higher productivity.... read on.
Rational use of investigations
Whilst reflecting over the past few days on the investigations we commonly order for children presenting with fever, I have rediscovered this fantastic DFTB post about the rational use of investigations when looking for infection. It is a post full of pearls and I would highly recommend a read.
Dr Danielle Scarfe