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What now?

It is important to ensure vascular and neurological adequacy. Evidence of poor perfusion or reduced sensation may require prompt transfer to an appropriate hospital setting to enable re-alignment of the …

Luther is given pain relief

At the very outset, confidence and good communication are important. Anxiety and fear can sometimes promote hysteria. Kind but firm language can help de-escalate fraught situations (remember parents and teachers …

Introduction to Minor Injuries

Damian Roland, Consultant and Senior Honorary Lecturer in Paediatric Emergency Medicine at Leicester Hospitals and Leicester University will guide you through your next topic, minor injuries. We discussed head injury …

Summary Illness

In this activity we have seen Marley, who presented with breathing problems. As the scenario unfolded it became clear that there was more to this case than a simple chest …

Jordan alerts the Children’s Hospital

It is clear from this video that the crew believe Marley is displaying signs of a significant chest infection and sepsis. How did your previous answer compare with the information …

Time to go

Once the crew get Marley to the ambulance his condition continues to deteriorate. You call ahead to the hospital. What would you say to summarise what has happened so far? …

Height + weight = practical challenge

The crew have reassessed Marley and he has deteriorated. In particular he has now moved from V to P on the AVPU score. They have decide that it is more …

What to do for the best

Okay, so let’s look at the decision to give the nebuliser. We have heard that there is wheeze on one side of the chest, but no other features to suggest …

Is this the right decision?

Now we see the paramedics decide to give Marley a nebuliser. What do you think about this decision? Do you think the nebuliser will help? How would you describe this …

Contextualising Pain

When assessing a child with abdominal pain, as with any medical problem in children, you need to take a detailed history and then look at the physical signs; putting these …

Appendicitis

So our patient Chloe appears to be pretty well. She has a history of abdominal pain but when she is examined is not showing any signs of an acute abdomen. …

Introduction to Illness

Illness is common in children. If you take your average 2-year-old who attends nursery, 5 or 6 episodes of viral illness a year is not unusual. However much we as …