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Safeguarding children a priority
Safeguarding children a priority
When I look through the range of scenarios discussed within this mini-series,1 ,2 it reminds me of the reason I was drawn ...
Acute safeguarding essentials in modern-day paediatrics
Acute safeguarding essentials in modern-day paediatrics
This case series addresses the complexities of child safeguarding in modern-day paediatrics, exploring common themes and k...
Acute safeguarding essentials in modern-day paediatrics: neglect, unsupervised minors and modern slavery
Acute safeguarding essentials in modern-day paediatrics: neglect, unsupervised minors and modern slavery
As part of a case-series exploring acute safeguarding essentials in modern day paediatrics, this article focusses on theme...
Fifteen-minute consultation: Diagnosing serious pathology in children with headaches presenting to the emergency department
Fifteen-minute consultation: Diagnosing serious pathology in children with headaches presenting to the emergency department
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Medical emergencies in eating disorders
Medical emergencies in eating disorders
About the guidelineEating disorders are serious mental health disorders that cannot be appropriately managed without both ...
Guideline review: Child Protection service delivery standards
Guideline review: Child Protection service delivery standards
The Children Act, 1989 states that the local authority needs to complete a section 47 investigation when there is any susp...
Diagnosis and treatment of Lyme disease in children
Diagnosis and treatment of Lyme disease in children
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NICE guideline review: Epilepsies in children, young people and adults NG217
NICE guideline review: Epilepsies in children, young people and adults NG217
BackgroundEpilepsy is the most common significant long-term neurological condition of childhood. The prevalence in childre...
Recommendations for minimising and monitoring adverse effects of long-term supraphysiological corticosteroid use in children and young persons
Recommendations for minimising and monitoring adverse effects of long-term supraphysiological corticosteroid use in children and young persons
KEY POINTSSupraphysiological systemic corticosteroids are used commonly in the management of various medical conditions in...
Use of pulse oximetry as an investigative test for paediatric respiratory sleep disorders
Use of pulse oximetry as an investigative test for paediatric respiratory sleep disorders
IntroductionMultiple diagnostic techniques are available for the assessment of suspected sleep disorders in children. Poly...
Sore knee - why and when to call a cardiologist
Sore knee - why and when to call a cardiologist
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Chloral hydrate - use as a sedative in paediatric settings
Chloral hydrate - use as a sedative in paediatric settings
The aim of this article is to discuss chloral hydrate and its place in current therapy in various paediatric settings foll...
Airway management in paediatric emergencies outside of an intensive care setting: a quality improvement project using Lean/Six Sigma methodology
Airway management in paediatric emergencies outside of an intensive care setting: a quality improvement project using Lean/Six Sigma methodology
ProblemRecent evidence has shown that while advanced airway management is clearly an important aspect of many critically u...
How to solve a clinical conundrum: Have you tried a trio exome analysis?
How to solve a clinical conundrum: Have you tried a trio exome analysis?
The following report describes the clinical journey of a 5-month-old male infant who presented with a significant kidney i...
Widespread rash, leg pain and increased muscle bulk
Widespread rash, leg pain and increased muscle bulk
A 4-year-old girl presented with a 2-year history of rashes on both hands, trunk and knees and an inability to move the ri...
Diarrhoea, vomiting and reduced wet nappies - a familiar story with unexpected twists
Diarrhoea, vomiting and reduced wet nappies - a familiar story with unexpected twists
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Postexposure prophylaxis for varicella/shingles: a review of the UKHSA guidelines
Postexposure prophylaxis for varicella/shingles: a review of the UKHSA guidelines
BackgroundVaricella zoster virus (VZV) is a human herpes virus that causes chickenpox (or varicella) and shingles. Chicken...
NEO-TRAIN pushing the boundaries of quality improvement on the neonatal unit
NEO-TRAIN pushing the boundaries of quality improvement on the neonatal unit
Key messagesWHAT WE ALREADY KNOW ON THIS TOPICImplementing sustainable change can be challenging.Quality improvement (QI) ...
Guideline review: Sudden and unexpected postnatal collapse - BAPM framework
Guideline review: Sudden and unexpected postnatal collapse - BAPM framework
‘Sudden and Unexpected Postnatal Collapse: A BAPM Framework for Reducing Risk, Investigation and Management’ (Framework)1 ...
Four months of tuberculosis (TB) treatment is non-inferior to the current 6-month treatment in drug-susceptible paediatric TB
Four months of tuberculosis (TB) treatment is non-inferior to the current 6-month treatment in drug-susceptible paediatric TB
Study design Design: An open-label, non-inferiority, randomised controlled trial. Allocation: 1:1 allocation, stratified...
Fifteen-minute consultation: Rectal bleeding in children
Fifteen-minute consultation: Rectal bleeding in children
Bleeding per rectum in children is an infrequent presentation associated with a wide range of differential diagnoses, from...
Fifteen-minute consultation: A structured approach to the child with palpable cervical lymph nodes
Fifteen-minute consultation: A structured approach to the child with palpable cervical lymph nodes
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Fifteen-minute consultation: Recognition and management of eating disorders presenting to the emergency department
Fifteen-minute consultation: Recognition and management of eating disorders presenting to the emergency department
IntroductionIt is estimated that over 700 000 people in the UK have an eating disorder, with the highest risk of onset in ...
How to use lumbar puncture manometry in children
How to use lumbar puncture manometry in children
Box 3 How much CSF can be safely collected?In adults, with a typical cranial CSF volume of at least 150 mL,26 it has been ...
How to use the Bristol Stool Chart in childhood constipation
How to use the Bristol Stool Chart in childhood constipation
Case historyA 10-year-old girl is referred to the general paediatric outpatient clinic with constipation. She has been tre...
Tailing growth, neonatal jaundice and anaemia
Tailing growth, neonatal jaundice and anaemia
At medical school, there is a phrase to help us remember that common things are common: ‘If you hear hooves think horses, ...
Gene therapy for spinal muscular atrophy
Gene therapy for spinal muscular atrophy
GlossaryVg/kg = vector genomes/kilogramSMA = Spinal Muscular AtrophyAAV9 = Adeno-associated virus serotype 9CHOP-INTEND: C...
Two-year-old boy with sparse hair
Two-year-old boy with sparse hair
Our patient was born full term and with no complications from non-consanguineous healthy parents. He was referred to the p...
Fifteen-minute consultation: Management of constipation in childhood
Fifteen-minute consultation: Management of constipation in childhood
Constipation is common in childhood. It is a frequent presentation to primary care and common reason for referral to secon...
Can we apply more generalism in child health?
Can we apply more generalism in child health?
A workshop at the 2022 meeting of the Royal College of Paediatrics and Child Health used the fictitious case of Shelly (bo...
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