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!). 
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A little pre-Christmas pearl, a link to a paper demonstrating how dedicated paediatric EDs help improve patient waiting times and disposition.  
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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

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.

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. 

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.