Sepsis

By the end of this session you should be able to:

  1. Complete a focused clinical assessment of the febrile child of differing ages.
  2. Recognise time critical signs and symptoms
  3. Rationalize investigation selection based on age and acuity.
  4. Discuss treatment options based on age and acuity   

 

Introductory

Fever investigation and management

MMH Fever under 2 guideline

 

Intermediate

Starship fever guidelines

Treatment of Low risk fever

 

Advanced

Paediatric Simulation

This week we will be presenting 2 paediatric simulation scenarios for your pleasure. These will be insitu (ie in the department) so meet in the usual teaching room for a briefing.

We want to focus on leadership and teamwork so check out this fantastic talk by Cliff Reid on how to be a bad arse team leader

 

 

Have a read through the following links and guidelines as well and you may get a few hints of what is coming up...

Status Epilepticus Guideline

The Febrile Child

See you all Tuesday

Abdominal Pain

Learning Objectives

By the end of this session, you will be expected to:

-Understand the common causes of abdominal pain in various age ranges.

-Recognise the signs and symptoms of more serious abdominal pain presentations.

-Reflect on the utilisation of investigations vs observation in paediatric abdominal pain.

 

Introductory

Classic presentations vs reality

 

Intermediate

Common gastro emergencies

Appendicitis

 

Advanced

Paediatric Abdominal Emergencies

 

 

Fracture Management

By the end of this session, you will be able to:

  • Understand the anatomical and biomechanical differences between adult and paediatric bone
  • Describe the fracture healing and remodelling process and factors tht affect this
  • Describe the Salter-Harris classification of physeal injuries
  • Understand the principles of paediatric fracture manipulation and management

Here is an excellent educational website from the Royal Childrens Hospital in Melbourne which gives an excellent overview of the pathophysiology of paediatric fractures

 

Paediatric Cardiology

CME Tues 17th Feb 2015

While rare, the manifestations of cardiac disease in the paediatric population can be sudden, atypical and often require immediate intervention from the Emergency Physician.

In this session we will look at: 

  • Evaluation of the Paediatric patient specific to cardiac disease
  • Typical (and atypical) ECG findings
  • The treatment of dysrhythmias
  • The predictive clinical manifestations of sudden cardiac death

As this is not stuff we come across every day, please take some time to look at the pre-readings in preparation for this session

 

Introductory

Paediatric ECGs

 

Intermediate

ADHB ECG interpretation

Dysrhythmias

 

Advanced

WPW

Congential Cardiac Disease

The Breathless Child

CME Tuesday 17th Feb 2015

From the 'happy wheezer' to the peri-arrest status asthmaticus, the breathless child requires rapid and focused evaluation to ensure further deterioration does not occur.

In this session we will cover:

  • Assessment of the breathess child
  • Management of mild-moderate asthma
  • Resuscitation of life-threatening asthma
  • Lower respiratory tract infection-the management of bronhiolitis and pneumonia

 

Pre-Reading Resources

Introductory

Diagnosing and Managing Asthma in Children

 

Intermediate

Starship guidelines for:

Asthma

Pneumonia

Bronchiolitis

 

Advanced

Clinical Predictors of Pneumonia

The Airway Course

Excellent knowledge and skills shown last tuesday at the first of our 2 airway skills sessions. 

Thanks again to Andy and all the course facilitators for their input.

Next week will see you apply these skills to some clinical scenarios so if you feel there are some airway areas that are still a bit unclear...take this week to review Andy's course material...talk to your local frindly SMO on the floor...ask questions...and own the airway!!!

See you next tuesday! 

 

Here's a link to the course material

 

PEA Arrest

Cardiac arrests associated with pulseless electrical activity...have traditionally been perceived as having very poor outcomes.

However a number of reversible causes can quickly be identified by the skilled Emergency Physician and, when combined with immaculate basic CPR can facilitate improved morbidity and mortality.

Have a read through the following articles and then consider the algorithm discussed in the papers below which utilises ECG evaluation combined with bedside US.

A potential game-changer....

INTRODUCTORY

NZRC- ACLS for Adults- 2010

INTERMEDIATE

PEA Podcast

(If you can’t cope with the banter…there’s a nice written summary)

ADVANCED

Ruling the Resus Room