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Journal Arch Dis Child Educ Pract Ed

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Fifteen-minute consultation: An approach to the child receiving glucocorticoids.

Sai-Kalyani Kanthagnany, Laura C Lane, Claire Wood, Pooja Sachdev, Amanda Jane Drake, Timothy Cheetham,

Glucocorticoids (GC) are used in paediatric practice for a broad range of conditions and all paediatricians will prescribe GC, in some form, during their career. A wide variety of GC formulations, doses and administration routes are used for periods of time ranging from days to years. Exposure to exogenous GC ... Read more >>

Arch Dis Child Educ Pract Ed (Archives of disease in childhood. Education and practice edition)
[2020, :]

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Fifteen-minute consultation: Point of care ultrasound in the management of paediatric shock.

James A Hardwick, Michael J Griksaitis,

The use of point of care ultrasound (POCUS) in the assessment of the acutely shocked adult patient has been well established for over a decade. Comparatively, its use in paediatrics has been limited, but this is starting to change with the recent introduction of Children's Acute Ultrasound training. This article ... Read more >>

Arch Dis Child Educ Pract Ed (Archives of disease in childhood. Education and practice edition)
[2020, :]

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Pandemic: a need for reactive education in paediatrics.

Susan Wallace, Heidi Makrinioti, James Webbe, Sarah Taylor, Dougal Hargreaves,

Arch Dis Child Educ Pract Ed (Archives of disease in childhood. Education and practice edition)
[2020, :]

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Making sense of the paediatric ECG: rate and rhythm.

Chris Oakley, Mike Harris, Mohammad Ryan Abumehdi,

Arch Dis Child Educ Pract Ed (Archives of disease in childhood. Education and practice edition)
[2020, :]

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How to interpret symptoms, signs and investigations of dehydration in children with gastroenteritis.

Antonio Prisco, Daniela Capalbo, Stefano Guarino, Emanuele Miraglia Del Giudice, Pierluigi Marzuillo,

Dehydration is a significant cause of morbidity and mortality in children worldwide. Infants and young children are vulnerable to dehydration, and clinical assessment plays a pivotal role in their care. In addition, laboratory investigations can, in some children, be helpful when assessing the severity of dehydration and for guiding rehydration ... Read more >>

Arch Dis Child Educ Pract Ed (Archives of disease in childhood. Education and practice edition)
[2020, :]

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Making sense of the paediatric ECG.

Michael Harris, Chris Oakley, Mohammad Ryan Abumehdi,

Arch Dis Child Educ Pract Ed (Archives of disease in childhood. Education and practice edition)
[2020, :]

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Fifteen-minute consultation: Assessing the child with an elbow injury.

Sarah Edwards, Damian Roland,

This article aims to provide a concise summary of the key considerations when assessing a child with an elbow injury. Elbow injuries are common with acute elbow trauma, accounting for 2%-3% of all visits to the emergency department. This article will cover history, examination and key X-ray findings, along with ... Read more >>

Arch Dis Child Educ Pract Ed (Archives of disease in childhood. Education and practice edition)
[2020, :]

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Poverty in practice: using quality improvement in paediatrics to improve identification and support of families living in poverty.

Guddi Singh, Hannah Zhu,

We used quality improvement (QI) methodology in the acute paediatric setting to develop clinical screening tools and local resources for addressing child poverty in practice in a London district general hospital between March and August 2019. ... Read more >>

Arch Dis Child Educ Pract Ed (Archives of disease in childhood. Education and practice edition)
[2020, :]

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Adequate cool running water first aid decreases burn depth and skin grafting requirements in paediatric thermal burns.

Rachael Fleming, Natalie Bee,

Arch Dis Child Educ Pract Ed (Archives of disease in childhood. Education and practice edition)
[2020, :]

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Fifteen-minute consultation: Drowning in children.

Jordan Evans, Assim Ali Javaid, Eleanor Scarrott, Andrew R Bamber, Jeff Morgan,

Drowning is a significant cause of childhood morbidity and mortality globally. The underlying mechanisms vary with child development and most are modifiable to public health promotion strategies. This article serves to highlight some of the specific considerations for the clinical management of drowning in children, both prehospital and by the ... Read more >>

Arch Dis Child Educ Pract Ed (Archives of disease in childhood. Education and practice edition)
[2020, :]

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Introduction of a prescribing ward round to reduce prescribing errors on a paediatric intensive care unit.

Aisling Walsh, Rachelle Booth, Kalindi Rajani, Lynne Cochrane, Mark Peters, Pascale du Pré,

Our paediatric intensive care unit (PICU) performs active surveillance for prescribing errors and detects a mean of 1.66 with an SD of 0.18 total prescription errors per occupied bed day. The primary aim of this project was to reduce the number of prescribing errors in PICU. The secondary aims were ... Read more >>

Arch Dis Child Educ Pract Ed (Archives of disease in childhood. Education and practice edition)
[2020, :]

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Throat and ear infections in children: URTI in the time of COVID-19.

Edward Snelson, Damian Roland, Alasdair Peter Stuart Munro,

Arch Dis Child Educ Pract Ed (Archives of disease in childhood. Education and practice edition)
[2020, :]

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Teenage boy with bullous rash.

McKenna Elizabeth Boyd, Shabana Yusuf,

-A 14-year-old boy with recent antibiotic treatment for tonsillitis, presented to the emergency department with 1-week history of worsening rash and haemorrhagic bullae involving the bilateral legs, trunk and hands (figures 1 and 2). Laboratory results were significant for proteinuria (2+protein) and haematuria (1+, 5-10 red blood cells/high power field); ... Read more >>

Arch Dis Child Educ Pract Ed (Archives of disease in childhood. Education and practice edition)
[2020, :]

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Fifteen-minute consultation: A structured approach to the management of stroke in a child.

Ailva O'Reilly, Gary McCullagh,

Childhood stroke is a rare but important diagnosis. Even though most children with stroke are ultimately cared for by specialist multidisciplinary paediatric neurology teams, their initial presentation will have been to a general paediatric admissions team. Assessing and managing children who present with stroke in the general paediatric setting can ... Read more >>

Arch Dis Child Educ Pract Ed (Archives of disease in childhood. Education and practice edition)
[2020, :]

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Fifteen-minute consultation: a structured approach to the child with primary amenorrhea.

Rachel Varughese, Fiona Ryan, Tafadzwa Makaya,

Puberty is a life-changing time in the life of a young person, with physical, psychological and social considerations. Amenorrhea is derived from Latin: a-'not', men-'month' and rhein-'flow', meaning absence of monthly flow. In medical terms, it is a symptom describing absence of menstruation. It can be classified as either primary ... Read more >>

Arch Dis Child Educ Pract Ed (Archives of disease in childhood. Education and practice edition)
[2020, :]

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Gastro-oesophageal reflux in preterm infants: American Academy of Pediatrics guideline 2018.

Anna Rodgers,

Arch Dis Child Educ Pract Ed (Archives of disease in childhood. Education and practice edition)
[2020, :]

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Paediatric procedural sedation in the emergency department: is ketamine safe?

Dried Jamal, Colin Powell,

Arch Dis Child Educ Pract Ed (Archives of disease in childhood. Education and practice edition)
[2020, :]

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Not measuring residual gastric volumes in preterm infants can increase the progression of enteral nutrition with earlier discharge from hospital.

Catherine M Harrison, Claire Louise Blythe,

Arch Dis Child Educ Pract Ed (Archives of disease in childhood. Education and practice edition)
[2020, :]

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Two-year-old girl with metabolic acidosis and hyperkalaemia.

Giuseppa Patti, Viviana Palazzo, Angelica Pagliazzi, Laura Confalonieri, Natascia Di Iorgi,

Hyperkalaemia hypertension and metabolic acidosis in children can pose a challenge of both diagnosis and management. This case chronicles the diagnostic journey of a 2-year-old girl with hyperkalaemia associated with hypertension and metabolic acidosis accidentally detected during a viruses. ... Read more >>

Arch Dis Child Educ Pract Ed (Archives of disease in childhood. Education and practice edition)
[2020, :]

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NICE guidance on diagnosis and management of cystic fibrosis.

Kavinda Dayasiri, Jeremy Hull, Sahana Rao,

Arch Dis Child Educ Pract Ed (Archives of disease in childhood. Education and practice edition)
[2020, :]

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Malar rash in a young child with neurodevelopmental delay: a quiz.

Lamiaa Hamie, Georges Nemer, Mazen Kurban,

-A 14-month-old boy born to consanguineous parents presented to our Dermatology Department with a 6-month history of a malar eczematous rash that worsens with sun exposure. He had butterfly-shaped, hyperpigmented exfoliating plaques, preceded by blister formation (figure 1). He was also noticed to have enophthalmos, a pinched nose, microcephaly and ... Read more >>

Arch Dis Child Educ Pract Ed (Archives of disease in childhood. Education and practice edition)
[2020, :]

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Young victims of youth violence: using youth workers in the emergency department to facilitate 'teachable moments' and to improve access to services.

Elizabeth Wortley, Ann Hagell,

There have been rising concerns in the UK about the levels of serious violence between young people, especially serious physical violence and knife crime. Interactions with young people in the emergency department (ED) at the time of injury provide an opportunity for screening and intervention in order to reduce the ... Read more >>

Arch Dis Child Educ Pract Ed (Archives of disease in childhood. Education and practice edition)
[2020, :]

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Point-of-care ultrasound could be an effective alternative to radiology-performed imaging in the diagnosis of intussusception and pneumonia in children.

Jessica Catherine McIlwham, Rebecca Dalrymple, Natalie Bee,

Arch Dis Child Educ Pract Ed (Archives of disease in childhood. Education and practice edition)
[2020, :]

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Fifteen-minute consultation: Fertility preservation in children with cancer.

David Anthony King, Sheila Lane, Daniel Yeomanson,

Advances in the treatment of childhood cancer have led to significant numbers of children surviving into adulthood and beyond. There is therefore an increasing focus on reduction of long-term effects of treatment including subfertility. In this article, we give an overview of the different methods of fertility preservation and how ... Read more >>

Arch Dis Child Educ Pract Ed (Archives of disease in childhood. Education and practice edition)
[2020, :]

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Fifteen-minute consultation: recognising and addressing rude, undermining and bullying behaviour.

Hannah Jacob, Anna Baverstock, Camilla C Kingdon,

We set ourselves very high standards at work and when there is a sense that somehow we have failed, we are left feeling disappointed and frustrated. We all set very high standards for ourselves. When those feelings are exacerbated by the embarrassment of a public dressing down, especially if there ... Read more >>

Arch Dis Child Educ Pract Ed (Archives of disease in childhood. Education and practice edition)
[2020, :]

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