Ben McKenzie introduces AMAX4, an asthma and anaphylaxis resuscitation resource developed after the death of his son Max. The post shares the family’s story alongside simulation and discussion of airway care, team preparation and learning from tragedy.
Just a routine resuscitation. The AMAX4 algorithm for anaphylaxis/asthma. St Emlyn’s Read More
A 2022 appraisal of the FORCE trial comparing an offer of bandaging with rigid immobilisation for children’s distal radius buckle fractures. It examines pain outcomes, treatment preferences and how the trial design reflects conversations with children and families.
The FORCE study: St Emlyn’s Read More
A review of the 2021 anaphylaxis guideline update, linking the underlying physiology with emergency treatment. Iain Beardsell discusses early intramuscular adrenaline, the changing roles of antihistamines and steroids, and the guideline’s approach to observation and discharge after a response to treatment.
Anaphylaxis – A Guideline Update Read More
How well do guidelines identify meningococcal disease in children with fever and a non-blanching rash? Natalie May reviews the PiC study, examining sensitivity, overtreatment and what happened when clinicians departed from protocols, while keeping the study population and limitations in view.
JC: Spot the Difference, what can we do about petechiae? St Emlyn’s Read More
Roberto Cosentini returns to reflect on staff wellbeing after the first COVID-19 surge in Bergamo. This July 2020 conversation explores routines, relationships, interests outside medicine and sharing experiences, drawing on his personal response to an exceptionally difficult period.
Covid-19 in Italy with Roberto Cosentini part 2. St Emlyn’s Read More
How do intranasal ketamine and fentanyl compare for children with painful limb injuries? This appraisal examines a small randomised trial reporting similar pain relief but more minor adverse events with ketamine, alongside concerns about sample size, trial design and applicability across different clinical settings.
JC: IN Fentanyl vs Ketamine for analgesia in PED. St Emlyn’s Read More
Which foreskin concerns reflect normal development, and which need further assessment? In this 2017 paediatric surgery primer, Ross Fisher shares his personal approach to common presentations, including inflammation, phimosis, paraphimosis and problems following circumcision, with an accompanying podcast.
Foreskins: A PED primer. St.Emlyn’s Read More
An infant with a groin swelling can present a difficult assessment for the emergency clinician. This 2016 paediatric surgery primer explains the relevant anatomy, history and examination, distinguishing hernias from hydroceles and discussing management and specialist involvement, with recognition of local practice differences.
I think my child has a hernia: St.Emlyn’s. Read More
