Emergency medicine trainee, almost a FACEM Paediatric Emergency Medicine trainee
Brisbane
Joined September 2013
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Palpable stool on abdominal exam = faecal impaction so just treat it as such no need for imaging. #PEMcourse20 #FOAMped
In the setting of Gastro with clinical dehydration ORS is superior to other fluids for enteral rehydration. @PemCourses #PEMcourse20
Children rarely get epididymitis, beware not to miss testicular torsion although more commonly torsion of testicular appendage. @PemCourses #PEMcourse20
Appendicitis: 12-24hrs central visceral abdominal pain, loss of appetite, then migration of pain to RIF, peritonitis and low grade fever. Investigations are rarely helpful #PEMcourse20
A proper neurological exam for a child presenting with a headache is sensitive for finding brain tumours #PEMcourse20
Emma Whyte retweeted
Check out the new Emergency Medicine courses. Aimed at ED nursing staff and junior doctors, focussing on clinical reasoning in Emergency Medicine. Watch this space for course dates in mid 2020. #PEMcourse20 @alaanibrahim @Inject_Orange #EmergencyMedicine
Great talk again this morning by @LisaGotley #PEMcourse20
Another great @doodlemedicine drawn by @char_durand summary of Neonatal Clinical Reasoning by @LisaGotley #PEMcourse20 #FOAMed #FOAMped
New “Surviving Sepsis Campaign International Guidelines for the Management of Septic Shock and Sepsis-Associated Organ Dysfunction in Children” sccm.org/SurvivingSepsisCamp…
Do you know the Sepsis Six?
#PEMcourse20
Could this be paediatric sepsis? Look for the red flags like confusion, lethargy, fever, hypothermia, tachypnoea, tachycardia, rash (not just petechial), low urine output and sore legs. #PEMcourse20
Lots of #PEMPearls in Dr Megan Kings talk on Paediatric sepsis. "beware the teenager who presents with fever" #PEMcourse20 @PemCourses
@PEMcourse Is it time to update the definition of sepsis in children? still SIRS + infection #PEMcourse20
Dr Megan King talking about Paediatric sepsis. Fever, diarrhoea and vomiting can be presenting features of sepsis #PEMcourse20
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"Just because a patient has a positive viral swab, does not mean they can't have sepsis" a viral illness is a risk factor for SBI and sepsis #PEMcourse20
Emma Whyte retweeted
Tips to avoid making errors in the assessment of paediatric patients. 1 - Be aware of your own cognitive biases. 2 - Slow down. 3 - Take parental concern seriously. 4 - Take the history yourself. 5 - Think about the serious conditions you don’t want to miss. #PEMcourse20 #PEMCrew
Emma Whyte retweeted
red flags in jaundice @LisaGotley #pemcourse20
- prematurity
- family history of haemolytic disorders
- babies born jaundiced always a red flag
- jaundice past 2w
-unwell baby
-pale stool, dark urine ( suggests obstruction)
-bilirubin not decreasing despite treatment
Emma Whyte retweeted
FPIES (food protein-induced enterocolitis syndrome) is a non-IgE mediated condition to certain foods, often cow's milk protein. Presents in first few weeks to months of life. Look for vomiting, diarrhoea, lethargy, pallor, hypotension, dehydration & hypothermia. #PEMcourse20
Need upper GI contrast study. #PEMcourse @LisaGotley
Never ignore true bile stained vomiting in a neonate as it equals obstruction. @LisaGotley #PEMcourse20