What does excellence in everyday emergency care look like? Drawing on his DFTB26 keynote in Glasgow, Simon Carley explores reliable practice, awareness of our own limitations and teams whose different strengths help them get the fundamentals right.
Paracetamol poisoning is an uncommon, but not rare, event in children. The treatment of choice is NAC. Should we be giving them the SNAP protocol?
The Ket-Mid trial tested adding ketamine to midazolam for initial treatment of paediatric convulsive status epilepticus. We review its seizure-control findings and explain why the single-centre setting, delayed treatment and differences from UK practice make the author cautious about changing care.
How should we assess children with one or two positive PECARN abdominal trauma criteria? This appraisal examines a secondary analysis of the prediction rule, the different risks associated with individual findings and the continuing role of clinical judgement and repeated assessment.
Emergency Department Management
Notes from days two and three of the 2024 Paediatric Emergencies Update in Noosa. Topics include ENT emergencies, extended duty of care, sodium regulation, neuroradiology and the challenges of preparing for paediatric patients in disasters.
What does the evidence say about timing and outcomes after resuscitative hysterotomy for out-of-hospital cardiac arrest? This appraisal of a systematic review separates maternal and neonatal outcomes and examines the limitations of the evidence behind familiar timing rules.
Practical perspectives on trauma care and team leadership.
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