#PaedsTips
#PaedsTips #smaccgold
Toddlers transition from fear of strangers to fear of separation from parents. V easy to manifest both fears in ED.
November 25, 2024 at 9:28 AM
My tips: analgesia first! If not on the bed, ask them to climb up themselves. Like Andrew, I find distraction is key to Paed abdo exam - I use that time to ask the child about their last holiday; where they went and what they did. Covers tropical disease AND distracts #paedstips
November 23, 2024 at 2:16 AM
Seeing a kid and things aren't quite adding up? Think glucose - DKA & hypoglycaemia can be easy to treat and easy to miss #paedstips
November 26, 2024 at 8:56 PM
Sick kid + two failed attempts at venous access = IO

Just DO IT!

Access is often easier after initial resuscitation via IO #Paedstips
November 26, 2024 at 8:56 PM
Essential part of assessment of a neonate - #hugababy.

Floppy/stiff = beware badness!

#Paedstips
November 26, 2024 at 8:40 PM
Thanks for the #Paedstips appreciation! Some (hopefully!) useful #FOAMped resources here: http://stemlynsblog.org/2013/07/paediatric-em-seeing-kids-is-childs-play-at-st-emlyns/
Page not found • St.Emlyn's
stemlynsblog.org
November 26, 2024 at 8:40 PM
"@richardbody: localising source of limp in preverbal kids?" Analgesia, quality distraction, take time, palpate & move everything #Paedstips
November 26, 2024 at 8:14 PM
@njoshi8 @Damian_Roland Maybe he means #paedstips?
November 26, 2024 at 6:57 PM
Key reading in PEM: essential #FOAMed/#FOAMped/#paedstips from @richardbody
Driving children to distraction: http://stemlynsblog.org/2013/08/distraction-techniques-for-children-ped/
Page not found • St.Emlyn's
stemlynsblog.org
November 26, 2024 at 6:03 PM
Starting to plan my #smaccGOLD talk - where better to start than #paedstips? New tips always welcome! #FOAMped
November 25, 2024 at 2:57 PM
Thanks so much for all the tweets about my talk! Really appreciate it. Lots of #paedstips & #PEMTOT gems to come as promised #smaccGOLD
November 25, 2024 at 10:09 AM
#PaedsTips #smaccGOLD
Get parents on side: you can never calm a child while mum and dad are anxious. (H/T @richardbody)
November 25, 2024 at 9:49 AM
#PaedsTips #smaccGOLD
Assume nothing! Ask child who they’ve brought, or open with “are you a relative?” (H/T @blackburnmike)
November 25, 2024 at 9:49 AM
#PaedsTips #smaccGOLD Acknowledge parents’ concerns, frustrations & fears, especially new parents (take the time to ask how it’s going)
November 25, 2024 at 9:49 AM
#PaedsTips #smaccGOLD
Safety netting is essential: never make people feel bad for being worried. It’s part of being a parent. (1/2)
November 25, 2024 at 9:42 AM
#PaedsTips #smaccGOLD
Offer to see teenagers alone for a part of the consultation; tell parents it’s your normal practice.
November 25, 2024 at 9:42 AM
#PaedsTips #smaccGOLD
Even rugby playing 15-yr-old is a child socially & emotionally despite appearing & reacting like an adult physically.
November 25, 2024 at 9:35 AM
#PaedsTips #smaccGOLD
Sick, scared, tired and injured children regress developmentally. Invest time in preparation and explanation.
November 25, 2024 at 9:35 AM
#PaedsTips #smaccGOLD For younger children invest time in parents first – get them onside. Explain the importance of what you need to do.
November 25, 2024 at 9:21 AM
#PaedsTips #smaccGOLD
Kids rarely fake it: they’d rather be anywhere than waiting around in the ED. Take their symptoms seriously
November 25, 2024 at 9:13 AM
#PaedsTips #smaccGOLD Children of all ages feel pain – treat it! Consider intranasal diamorphine/ketamine/fentanyl, regional nerve blocks.
November 25, 2024 at 9:06 AM
#PaedsTips #smaccGOLD If things don’t add up, check a blood sugar. Hypo & DKA cause a myriad of symptoms; easy to treat, easy to miss
November 25, 2024 at 9:06 AM
#PaedsTips #smaccGOLD Paediatric hypoglycaemia is worthy of a little careful thought... http://stemlynsblog.org/paediatric-hypoglycaemia/ #FOAMed #FOAMped
Oh, Sugar! Paediatric Hypoglycaemia
How should we think about and manage paediatric hypoglyca...
stemlynsblog.org
November 25, 2024 at 9:06 AM
#PaedsTips #smaccGOLD Wotsits/Quavers/Cheetos – last thing you want to eat when ill is cheesy snacks: document eating in ED (H/T @amalmattu)
November 25, 2024 at 8:58 AM
#PaedsTips #smaccGOLD If not shocked, try oral fluid challenge in vomiting kids. Cochrane: 1/25 would need IV therapy http://www.thecochranelibrary.com/userfiles/ccoch/file/CD004390.pdf
November 25, 2024 at 8:51 AM