#pemcourses19 Megan King on sepsis in children- Give antibiotics as you flush the cannula you have just inserted. PEM courses

#pemcourses19 Megan King on sepsis in children- “bolus, liver, bolus, liver”- give a fluid bolus then assess for response PEM courses

#pemcourses19 Megan King on children with sepsis- Beware of the teenager with a fever in the emergency department- uncommon presentation- think of sepsis PEM courses

#pemcourses19 Nandini Choudhury on paediatric fever- In a febrile child who has been on oral antibiotics prior to presentation consider, could he have a partially treated pyelonephritis? Meningitis? Sepsis? Ask specifically about recent antibiotics! PEM courses

#pemcourses19 Nandini Choudhury on Paediatric Fever- Persistent tachycardia despite a normal temperature is a red flag! PEM courses

#pemcourses19 Nandini Choudhury on Paediatric Fever- Persistently abnormal behaviour (Tone, interaction, consolability, look/gaze, speech cry- TICLS) once the temperature has normalised is a RED FLAG! PEM courses

#pemcourses19 Nandini Choudhury On Paediatric Fever- In an immunised child older than 3 months with a fever but no red flags, test urine and observe. PEM courses

#pemcourses19 Danielle Scarfe on Viral syndromes in children- 60% of viral myocarditis is due to adenovirus. Look for complications, even in children with clear viral infections. PEM courses

#pemcourses19 Daniel Scarfe on Viral Syndromes in children- Important to consider EBV in children presenting with a sore throat- changes our discharge advice- symptoms can last 2-4 weeks, no contact sports for 1 month (splenomegaly risk of rupture) PEM courses

#pemcourses19 Learning the language of skin rashes with Dr Alaa Ibrahim PEM courses

#pemcourses19 Check out difficultconversations.org.uk PEM courses

#pemcourses19 Fiona Reilly on Difficult conversations- When conversations are unexpectedly difficult, Recognise and acknowledge, consider regrouping and taking time to gather thoughts before retrying the conversation. PEM courses

#pemcourses19 Danielle Scarfe on Paediatric Vasculitis- The symptoms of Kawasaki disease may not all be present at the same time. You need to ask specifically about whether any of the symptoms or signs have been present and resolved. PEM courses

#pemcourses19 Danielle Scarfe on Paediatric Vasculitis- In Henoch Schonelin Purpura, palpable purpura occur symmetrically in dependent areas of body- usually legs and buttocks. Note can occur in other areas e.g arms, ears and face in non-ambulatory children! PEM courses

#pemcourses19 Faye Jordan on Seizures- When a febrile child has a first febrile seizure in the emergency department be aware of the message our medical response sends to the family. Consider a calm, stepwise response, no midazolam until 5 minutes! PEM courses

#pemcourses19 Megan King on Trauma in kids- Children can maintain their blood pressure even after 25-40% blood loss. Don’t rely on blood pressure change to guide need for blood replacement.PEM courses

#pemcourses19 Abdo pain with Bhavesh Patel- DO give analgesia but DON’T give antibiotics to a child with suspected appendicitis prior to surgical review. Antibiotics mask signs! PEM courses

Thanks to Kiara Cannizzaro and DHSA for bringing this to our attention. ✊🏽🙏👍 #selfcare #dontbringworkhome #trynotToAnyway

The things we do for love…. And longevity!