Podcasts about paediatric emergency medicine

In this episode of the Pre-Hospital Care Podcast, we're joined by Sarah Edwards to explore the most frequently encountered paediatric emergencies seen in the field. Sarah Edwards is a Consultant in Adult and Paediatric Emergency Medicine and the RCEM Learning Chair. She is Senior Editor for the Emergency Medical Journal, RCEM Learning Chair and Honorary Secretary for ASME. She also teaches on the Master's of Medical Education course at the University of Sunderland.In this wide-ranging conversation, we examine respiratory infections to asthma exacerbations to gastroenteritis, dehydration, febrile illnesses, and seizures. We unpack the presentations that paramedics and pre-hospital teams face on a daily basis together with some of the red flags for each disease. We'll discuss how to identify and prioritise care for these conditions in the often-challenging pre-hospital environment, using practical strategies to deliver safe and effective interventions. Sarah shares key insights into assessing sick children, highlighting subtle clinical signs, red flags, and common pitfalls in decision-making under pressure.We also examine trauma in children, including how injury patterns vary across age groups and what immediate management steps are most critical. Finally, the episode touches on the vital role of caregivers and parents in the assessment process. Some useful links that Sarah mentions in the episode include: https://spottingthesickchild.com/The Westley Croup Score: https://handbook.bcehs.ca/clinical-resources/clinical-scores/westley-croup-severity-score/The Big 6 The Most Common Conditions That Children Present With For Urgent Care:https://www.improvingme.org.uk/media/1141/childurgentcaredocument2020.pdfThis podcast is sponsored by PAX.Whatever kind of challenge you have to face - with PAX backpacks you are well-prepared. Whether on water, on land or in the air - PAX's versatile, flexible backpacks are perfectly suitable for your requirements and can be used in the most demanding of environments. Equally, PAX bags are built for comfort and rapid access to deliver the right gear at the right time to the right patient. To see more of their innovative designed product range, please click here:⁠https://www.pax-bags.com/en/⁠

It is always wonderful when we hear about the different ways in which our coaching doctors are using their skills, so when Dr Jo Hacking told us about the retreats that she is running, and how impactful adopting a coaching approach on them has been, we thought we really ought to find out more   In this episode Helen catches up with Jo to do just that. Jo has a background as a Consultant in Paediatric Emergency Medicine but experienced burnout in 2017/18. She stepped away from medicine completely in 2022 to focus on her family, and her business. Listen in as Helen finds out about Jo's transformational coaching and retreats.   Resources: You can find out more about Dr Jo Hacking's work and retreats  here: https://aboutwellbeingltd.co.uk/ Connect with Jo here: Linkedin: www.linkedin.com/in/jo-hacking-about-wellbeing Facebook:https://m.facebook.com/woodlinesreset/ Instagram:  @woodlinesart Youtube: @JoHacking   Enjoy the podcast? It would be great if you left us a review here.    Contact Details Find out about our Doctors' Transformational Coaching Diploma Connect with the hosts: Tom: www.linkedin.com/in/tomdillondoctorstranformationalcoachingdiploma/ Email: tomdillon@yourcoachingjourney.co.uk   Helen: www.linkedin.com/in/helenleathers/ Email: helenleathers@yourcoachingjourney.co.uk   Follow ‘Your Coaching Journey' on Instagram or Linkedin: www.instagram.com/yourcoachingjourney/ www.linkedin.com/company/your-coaching-journey/   Do You Have a Question? From time to time we will have an episode where we answer listeners' questions about coaching.   If you have a question, please send it to us using one of our email addresses above and you may get a mention in a future episode. (If you want to remain anonymous, that's absolutely fine, just let us know)

Reference: Sanchez-Pinto, L.N., et al. Development and Validation of the Phoenix Criteria for Pediatric Sepsis and Septic Shock. JAMA 2024​​. Guest Skeptic: Prof. Damian Roland is a Consultant at the University of Leicester NHS Trust and Honorary Professor for the University of Leicester's SAPPHIRE group. He specializes in Paediatric Emergency Medicine and is a passionate […] The post SGEM #463: Like the Legend of the Phoenix… Criteria for Sepsis first appeared on The Skeptics Guide to Emergency Medicine.

Welcome back to the St. Emlyn's podcast. This episode covers some of the most important developments in emergency medicine and critical care from July 2024. Whether you're practicing on the frontlines or keeping up with the latest research, this episode has something for you. From coronary risk scoring tools to cutting-edge AI in ECG interpretation, and the management of non-fatal strangulation, it's packed with insightful updates. Here's a breakdown of the key topics: The Manchester Acute Coronary Score (MACS Rule) is a valuable tool for risk-stratifying patients presenting with chest pain in the emergency department (ED). MACS uses both clinical characteristics and biomarkers like troponin to assess a patient's likelihood of experiencing an acute coronary event. A recent systematic review found that the T-MACS model (which uses troponin) has a sensitivity of 96%, making it highly effective at ruling out serious coronary events. Though the specificity is lower, MACS's real strength lies in its ability to drive clinical decisions and patient referrals. This tool is already integrated into the Electronic Patient Record (EPR) in Manchester, where it helps streamline the decision-making process for patients with chest pain. If you're looking for a reliable method to quickly and accurately stratify risk, MACS could be the answer. Artificial intelligence (AI) is revolutionizing healthcare, and its application in ECG interpretation is particularly exciting for emergency medicine. In this episode, Steve Smith joins us to talk about how AI can enhance the detection of occlusive myocardial infarction (OMI)—a concept that might one day replace the traditional ST-elevation and non-ST-elevation classifications. By integrating AI into rapid assessment areas (like pit-stop zones in the ED), clinicians can benefit from real-time ECG analysis. This reduces the burden of interruptions and helps detect subtle abnormalities that might be missed in high-pressure environments. AI-driven ECG tools could dramatically improve patient outcomes, particularly in cases of high-risk cardiac events. Non-fatal strangulation (NFS) is an often underdiagnosed condition in emergency medicine, but it carries significant risks, including carotid artery dissection. A new guideline from the Faculty of Forensic and Legal Medicine emphasizes the importance of detecting these cases and suggests that clinicians use contrast angiography to rule out vascular injuries. Beyond the medical consequences, non-fatal strangulation is also a major indicator of future violence, including homicide. The guideline highlights the ethical challenges clinicians face when deciding whether to involve law enforcement, especially when patient consent is lacking. Safeguarding and appropriate referrals are essential for these high-risk patients. REBOA has been evolving in recent years, and now it's moving from the emergency department into the pre-hospital setting. In the latest advancements, partial REBOA—which allows for some blood flow below the balloon—is being used to resuscitate patients in traumatic cardiac arrest. This partial occlusion technique may be more effective in maintaining coronary perfusion, essentially resuscitating the heart in cases of extreme hemorrhage. Early data from a feasibility study shows promise, with an 18% survival rate in patients who otherwise would have had little chance of survival. REBOA could become a life-saving pre-hospital intervention for trauma patients in the near future. Paediatric eating disorders, particularly anorexia and diabulimia, remain under-recognized in emergency medicine. In this episode, we explore some of the red flags—such as rapid weight loss, bradycardia, and postural hypotension—and why emergency clinicians need to be more attuned to the signs of eating disorders. Of all mental health disorders, anorexia has the highest mortality rate, and in cases of diabulimia, patients intentionally stop taking insulin to induce ketosis and lose weight. Given the severity of these conditions, it's crucial that we recognize them early and respond appropriately, especially when young diabetic patients present with unusual symptoms. The advent of hybrid closed-loop insulin pumps is transforming the care of type 1 diabetes. These pumps act as an artificial pancreas, continuously monitoring blood glucose levels and adjusting insulin delivery automatically. The latest guidelines from NICE recommend these devices for all patients with type 1 diabetes in the UK. However, these pumps come with their own set of challenges, especially in the emergency department, where clinicians need to know how to troubleshoot common problems, such as cannula blockages or starvation ketosis. In this episode, Nicola Trevelyan walks us through the essential steps for managing patients who use these devices. Lidocaine patches have long been used as a low-risk intervention for managing pain in elderly patients with rib fractures, particularly when nerve blocks or NSAIDs aren't viable options. But how effective are they? A recent feasibility study compared lidocaine patches with standard care and found that while the pulmonary complication rate remains high, the patches may offer some benefit for pain relief. While more research is needed, lidocaine patches continue to be a low-harm option that might provide relief in certain patient populations, particularly where other pain management strategies are contraindicated. Button battery ingestion remains one of the most dangerous emergencies in pediatric medicine. Francesca Stedman, a pediatric surgeon, explains the dangers of battery-induced burns, which can occur within hours of ingestion. Time is of the essence in these cases, and quick identification through radiographic imaging followed by rapid removal is critical to prevent long-term damage. Even when batteries are lodged in places like the nose, they can cause significant tissue damage in a short time, making early intervention absolutely vital. That's a wrap for our July 2024 podcast update! From life-saving interventions like REBOA and AI in ECG analysis to the everyday challenges of managing pediatric emergencies and coronary risk, this month's highlights offer a wealth of knowledge for clinicians. Be sure to check out the full blog posts and podcasts for more in-depth discussions on each of these topics. Thanks for listening and stay tuned for more cutting-edge insights from St. Emlyn's!

In this episode, we delve into the critical role of neuroprotection in pre-hospital care, particularly in pediatric head injuries. Through a real-life case study of a 13-year-old boy who suffered a traumatic brain injury after being hit by a car, we explore the steps taken by paramedics and critical care teams to stabilize him and prevent further neurological damage. From airway management to advanced interventions, this episode highlights the challenges of pre-hospital neuroprotection and the incredible teamwork that led to the patient's remarkable recovery.  There is more detail on the full blogpost here.  This podcast was recorded live at the Hope Church in Winchester as part of the PREMIER conference. We are grateful to the organizing team for hosting us and allowing us to use the audio. The PIER and PREMIER websites are full of amazing resources for anyone working in Paediatric Emergency Medicine, and we highly recommend them. The Speaker Ed is a Speciality Trainee in Emergency Medicine in Wessex and a trainee Critical Care Practitioner with Dorset and Somerset Air Ambulance. Ed is also the co-founder and Managing Director of Enhanced Care Services, a Southampton-based company delivering enhanced and critical care to the event medical sector, providing frontline ambulance services across Hampshire and clinical education at all levels, employing over 200 clinicians. Ed holds the Diploma in Immediate Medical Care (RCSEd) and, having promised to not take on any more work, is currently undertaking a Masters in Resuscitation, Pre-hospital and Emergency Medicine at QMUL. Enhanced Care Services Enhanced Care Services' mission is to provide and influence excellent patient care, irrespective of injury, illness or location, through the delivery of high-quality clinical operations and education. Founded in 2015, ECS now provide frontline ambulance operations across the South, delivers extensive medical cover to some of the most prestigious events across the UK and provides education from its bespoke education centre in Southampton and beyond.

Speaker Dr Dan Magnus - consultant in Paediatric Emergency Medicine Blurb Want to brush up on your knowledge on your knowledge of measles and pertussis? Refresh your clinical knowledge, keep up to date and be prepared to answer any parental queries. Paediatric Emergency Medicine consultant Dan Magnus guides us through diagnosis and management of measles and whooping cough as well as taking us back to basics with a methodical approach assessing the sick child. Resources Adam Finn Ted talk: How Vaccines Really Work  Healthier together  Handi app   

Guest Speaker:Dr Setthy Ung, BSc(Med) MBBS FACEM - Senior Staff Specialist, Cambelltown Hospital.Interviewed By:Shreyas Iyer, FACEM.Music/Sound Effects:Another Time by LiQWYD | https://www.liqwydmusic.com, Music promoted by https://www.free-stock-music.com, Creative Commons/ Attribution 3.0 Unported License (CC BY 3.0), https://creativecommons.org/licenses/by/3.0/deed.en_US.Nostalgic Marshmallows by Arthur Vyncke | https://soundcloud.com/arthurvost, Music promoted by https://www.free-stock-music.com, Creative Commons / Attribution-ShareAlike 3.0 Unported (CC BY-SA 3.0), https://creativecommons.org/licenses/by-sa/3.0/deed.en_US.Disclaimer:Please be advised that the individual views and opinions expressed in this recording strive to improve clinical practice, are our own, and do not represent the views of any organization or affiliated body. The therapies discussed are general and should not be a substitute for an individualized assessment by a medical professional.Thank you for listening!Please send us an email to let us know what you thought.You can contact us at westmeadedjournalclub@gmail.com.You can also follow us on Facebook, Instagram, and Twitter!See you next time!~

The sudden death of anyone is a tragic event, but even more so a child, particularly when it comes completely unexpectedly. We've all seen stories in the papers or even been involved in caring for these young people. In this podcast Harshil Dhutia talks about the common causes fo sudden cardiac death, and gives a roadmap for the investigation of young people with worrying symptoms and ongoing care for their families. There are more details in the comprehensive post on the St Emlyn's blog site This podcast was recorded live at the Hope Church in Winchester as part of the PREMIER conference. We are grateful to the organising team for hosting us and allowing us to use the audio. The PIER and PREMIER websites are full of amazing resources for anyone working in Paediatric Emergency Medicine and we recommend them highly. The Speaker Harshil Dhutia is a consultant cardiologist at Glenfield Hospital, University Hospitals of Leicester the lead for inerited cardiac conditions service in the region, providing specialist care for patients with genetic heart diseases and their family members. He is a International Board of Heart Rhythm Examiners certified heart rhythm specialist for all aspects of cardiac device implantation and management including pacemakers, defibrillators and cardiac resynchronisation therapy. He is an expert in sports cardiology and has extensive clinical and research interests in the management of competitive and recreational athletes with cardiovascular disease. He is the medical lead for the Joe Humphries Memorial Trust, a Leicestershire based charity that raises awareness of sudden cardiac death in young people and provides cardiovascular resuscitation and AED training in schools, sports clubs and to members of the community.

Dr. Devin Singh is an emergency physician and lead of clinical AI and machine learning in Paediatric Emergency Medicine at The Hospital for Sick Children (SickKids). He is also co-founder and CEO of Hero AI.Combining medicine and machine learning [2:21]A patient death as a spark for thinking differently about health care delivery [3:27] Demystifying the integration of AI into pediatric emergency medicine [5:03]Real world applications of AI at SickKids [7:31]Privacy and ethical considerations when implementing AI [9:04] Mitigating bias in data, ensuring representative data models [11:26]Transparency and obtaining informed consent from patients [14:05]Human oversight of AI systems and predictions [16:05]Respecting patient autonomy and decision making [20:10]Guarding against cybersecurity risks [23:02]How doctors use AI scribe technology [25:34]Predictions about the future of AI in health care [29:16]Resources:AI scribe (OntarioMD pilot project)Privacy and humanity on the brink (blog by Commissioner Kosseim)IPC Strategic Priorities 2021-2025Trust in Digital Health(IPC resources)Info Matters is a podcast about people, privacy, and access to information hosted by Patricia Kosseim, Information and Privacy Commissioner of Ontario. We dive into conversations with people from all walks of life and hear stories about the access and privacy issues that matter most to them. If you enjoyed the podcast, leave us a rating or a review. Have an access to information or privacy topic you want to learn more about? Interested in being a guest on the show? Send us a tweet @IPCinfoprivacy or email us at podcast@ipc.on.ca.  The information, opinions, and recommendations presented in this podcast are for general information only. It should not be relied upon as a substitute for legal advice. Unless specifically stated otherwise, the IPC does not endorse, approve, recommend, or certify any information, product, process, service, or organization presented or mentioned in this podcast, and information from this podcast should not be used or reproduced in any way to imply such approval or endorsement. None of the information, opinions and recommendations presented in this podcast bind the IPC's Tribunal that may be called upon to independently investigate and decide upon an individual complaint or appeal based on the specific facts and unique circumstances of a given case.

Speaker  Dr Nick Sargant: consultant in Paediatric Allergy and Paediatric Emergency Medicine at Bristol Royal Hospital for Children.   Nick Sargant breaks down CMPA, guiding our Primary Care assessment, management and referral criteria as well as helping us distinguish CMPA from commonly confused differentials.   Resources: Allergy UK -cow's milk allergy Anaphylaxis UK British society of allergy and clinical immunology  ICON 

A warm welcome today to Dani Hall who is here to talk about Donal Ryan's The Queen of Dirt Island . This is a book that I'd heard quite a lot about and not picked up until Dani suggested that I ought to read it.  I started reading and had to text her after about 5 minutes to say "oh my goodness this is so good, why haven't I picked this up before?" so I really hope you're going to enjoy our conversation today. The book tells the story of four generations  of women in a family in Ireland. We think about teenage pregnancy, we think about what it is to be a teenager, we think about the role of women of society, of the need for scaffolding,  of wisdom and compassion. It's a brilliant book and I thoroughly enjoy talking to Dani about it.Dani and I first connected via https://dontforgetthebubbles.com/ which is an amazing paediatric Free Open Access Medical Education resource. DFTB also run conferences and live events and I'm fortunate to teach on the MSc in Paediatric Emergency Medicine which Dani is a course director for https://www.qmul.ac.uk/postgraduate/taught/coursefinder/courses/paediatric-emergency-medicine-online-msc/

This presentation was delivered by Charlotte Harper as part of the Acute Paediatrics Workshop at CODA22, which took place in Melbourne in September 2022. For more information about the CODA Project, go to: https://codachange.org/

Health inequalities are widening in paediatrics. Those that are more disadvantaged experience more safety issues whilst in health care.  If we can make our healthcare systems more equitable for the children and young people we can for, they will be safer in our care. In episode 5 of our series on paediatric patient safety, we speak with Dr Helen Stewart, Dr Cian Wade and Dr Mimi Malhotra to explore how patient safety and health inequalities are inextricably linked. Tackling healthcare inequalities can improve safety and vice versa.  Dr Stewart shares her knowledge and experience as the RCPCH Officer for Health Improvement as to how our children are impacted by health inequalities. Dr Wade and Dr Malhotra discuss their BMJ paper, Action on patient safety can reduce health inequalities, and explore some of the improvement avenues that are available to clinicians and service providers. Thank you for listening. Dr Natalie Wyatt, RCPCH Clinical Fellow and Jonathan Bamber, RCPCH Head of Quality Improvement | Produced by 18Sixty Please be advised that this podcast series contains stories relating to child death and harm. All views, thoughts and opinions expressed belong to the guests and not necessarily to their employer, linked organisations or RCPCH. Download transcript (PDF) About the Patient Safety series As doctors we ‘first, do no harm'. However, the systems in which we work are rife with safety issues and resultant harm. In thinking about how to improve this, we have brought together leaders in the field to discuss challenging and thought-provoking issues around keeping our children safe in healthcare settings. We hope you will be entertained, educated and energised to make strides in improving the safety of the children that you care for. The RCPCH Patient Safety Portal has lots of resources, including a wealth of learning about paediatric patient safety. The RCPCH health inequalities programme of work can be found on our key topics pages. It is imperative to turn this knowledge into action through improvement activities.  About the speakers Dr Helen Stewart is a Consultant in Paediatric Emergency Medicine at Sheffield Children's Hospital. She also has an interest in public health and health inequalities, which has led to her becoming the Officer for Health Improvement at RCPCH. Dr Cian Wade completed a National Medical Director Clinical Fellowship with NHS England. He is a Fulbright Scholar who recently completed a Master of Public Health at Harvard University and now consults for health systems and healthcare providers. Dr Mimi Malhotra completed a National Medical Director Clinical Fellowship with the Health Foundation. Dr Malhotra continues to work as a respiratory trainee in London with ab honorary clinical lectureship at UCL. Topics/organisations/papers referenced in this episode Wade, C, Malhotra, A.M., et al (2022). Action of patient safety can reduce health inequalities. BMJ North West & North Wales critical care transport service Michael Marmot Royal College of Emergency Medicine (RCEM) RCPCH Health Improvement Committee National Medical Directors Fellowship The Health Foundation  RCPCH Child health inequalities driven by child poverty in the UK - position statement Increased risk of perioperative pulmonary embolism and sepsis in black patients (Urban Institute) Increase risk of adverse drug events in black people (Medical Care) MBRRACE study: A comparison of the care of Asian, Black and White women who have experienced a stillbirth or neonatal death Racial and ethnic differences in bystander CPR for witnessed cardiac arrest (The New England Journal of Medicine) Skin Deep WHAM (Wellbeing and Health Action Movement) health inequalities map Race-based vs race-conscious model of medicine (The Lancet) Decentralisation of public services in Greater Manchester (PDF) Sugar tax explained Vaping in children (RCPCH response to Government plan to ban disposable vapes) Health and Social Care Committee - a Commons Select Committee Core20PLUS5 – An approach to reducing health inequalities for children and young people Nationwide Children's Hospital (US) Shared decision making framework (NICE) Closed feedback loop communication Ian Sinha: The cost of the clinic visit (European Respiratory Journal) RCPCH Engaging children and young people resources RCPCH Six step toolkit for child health inequalities and poverty WHAM (Wellbeing and Health Action Movement) portal Institute for Healthcare Improvement Natural language processing (Wikipedia)

Reference: Roland D, Munro A. Time for paediatrics to screen out sepsis “screening.” BMJ. June 2023 Date: Sept 12, 2023 Guest Skeptic: Dr. Damian Roland is a Consultant at the University of Leicester NHS Trust and Honorary Professor for the University of Leicester's SAPPHIRE group. He specializes in Paediatric Emergency Medicine and is a passionate […] The post SGEM Xtra: Say What You Need to Say…but Don't Say “Sepsis Screening” first appeared on The Skeptics Guide to Emergency Medicine.

Reference: Easter JS et al. Comparison of PECARN, CATCH, and CHALICE rules for children with minor head injury: a prospective cohort study. Annals of Emergency Medicine 2014. Date: July 10, 2023 Guest Skeptic: Dr. Joe Mullally is a paediatric trainee in the Welsh paediatric training program and interested in Paediatric Emergency Medicine. He is a […] The post SGEM#412: I Can't Choose…from all the Head Injury Prediction Rules first appeared on The Skeptics Guide to Emergency Medicine.

Chris brought us his reflections amnd knowledge from some of his extensive experience as a military EM consultant in two wars. Blast injury could be blunt, penetrating, may involve major haemorrhage: you have to expect any injury possible. It's worldwide and it's getting more common.  Blast injury affects every body cavity, but it is the CABC approach that matters, Doing the basics well is still the key. Bleeding points may not be obvious so apply tourniquets wherever stops the bleeding. Often patients will not arrive in ones or twos but as a whole group affected by an incident, so it is vital we are prepared. The Paediatric Blast Injury Field Manual is a free resource available to download here and is highly recommended. Chris Hillman is a Consultant in Emergency Medicine and Paediatric Emergency Medicine, working in Southampton. Serving in the Royal Navy since university, he has deployed on Ships, Submarines and with Commando units globally, and with the Army to Afghanistan and Iraq. He is the outgoing Consultant Advisor in Emergency Medicine and Clinical Director Commando Forward Surgical Group.   

We talk to consultant in Paediatric Emergency Medicine at CHI Crumlin Dr Carol Blackburn who is calling for bicycle helmets to be mandatory.

In this conversation we will examine the fundamentals of human factors with Matt Edwards. We will focus on Human factors from an individual perspective. We will examine some of the seminal cases that Matt has experienced in practice and the concept of routine versus crisis from a checklist perspective. We will also examine how human interactions in healthcare change outcomes, from civility to risk aversion and the concept of trust. We will also examine the mitigation strategies that exist around the way an individual understands their environment can affect their ability to detect and respond to hazards from attention and perception. Also the mitigation of distraction, how to avoid decision-making paralysis, the limitations of memory, the regular attenders of stress and fatigue, and finally the effects of communication on the individual, task and team.  To do I'm speaking with Matt Edwards, Matt is a consultant in Adult and Paediatric Emergency Medicine at Kings College Hospital, London and the lead for major trauma and education in Kings. He is also a HEMS Physician with Kent Surrey Sussex (KSS) Air Ambulance and the Polar Medicine course director for World Extreme Medicine. He has held positions as a HEMS Registrar with London's Air Ambulance, a Flight Physician with AMREF Flying Doctors, Nairobi, and a Medical Officer with the British Antarctic Survey. In the conversation we examine: ·      What are human factors from Matt's perspective  ·      How task and individual human factors have affected Matt in the past ·      How checklists work - routine vs crisis & the limitations of short term memory.  ·      Trust as a concept in healthcare teams and organisations - how human interactions in healthcare change outcomes - civility to risk aversion. ·      Fatigue, the regular attender in every clinicians journey ·      Distraction and how that affects performance ·      Decision making paralysis and how to break this ·      Teamwork and communication Please enjoy this wide ranging conversation with Matt.

Denise Calnan, News Editor of independent.ie and the Irish Independent & Dr. Carol Blackburn, Consultant in Paediatric Emergency Medicine at CHI Crumlin

Dr. Laura Sutherland is a paediatric emergency medicine physician. Her husband is also an emergency medicine physician, and they have three young children. Originally from Scotland, they emigrated to Adelaide in 2010, and have spent the last two years in Auckland. She is passionate about children, wellbeing in medicine, and arts and crafts. In this episode, we discuss her journey into paediatrics and emergency medicine, how she persisted despite failing her exams three times and what she changed to succeed the fourth time, debriefing after traumatic medical experiences, wellbeing in the workplace and self-care. As always, if you have any feedback or queries, or if you would like to get in touch with the speaker, feel free to get in touch at doctornos@pm.me.Audio credit:Bliss by Luke Bergs https://soundcloud.com/bergscloudCreative Commons — Attribution-ShareAlike 3.0 Unported — CC BY-SA 3.0Free Download / Stream: https://bit.ly/33DJFs9Music promoted by Audio Library https://youtu.be/e9aXhBQDT9YSupport the show

Martin McKee Professor of European Public Health in the London School of hygiene and Tropical Medicine, Dr Yvonne Williams, GP and Dr Ciara Martin, HSE National Clinical Lead, Children and Young People and Consultant in Paediatric Emergency Medicine, Children's Health Ireland

In this session we will examine some of the prevailing issues and difficulties of paediatric pain management. To do this I have Will Broughton, an associate professor of paramedic science at Buckinghamshire New University, Paramedic with specialist interest in Paediatric Emergency Medicine and Paramedic Education. He continues to practice clinically with London Ambulance Service (LAS) and South Central Ambulance Service (SCAS). We will unpack some of the nuances, challenges, and evidenced based approaches that Will has found from being both a pre-hospital practitioner and studying his MSc in this domain of practice. In the conversation we discuss: Definitions of pain and what it means to children. Physiological consequences of pain in paediatrics Difficulties of pain management in Paediatrics Pain relief routes available and advocated (NICE) Pain assessment - Wong and Baker, visual analogue scales. The utility of the FLACC score Monitoring difficulties and challenges Human factors with Pain - Parents, stressful environment Tx/Pain Mx strategies - NICE, preferences, nuances. Take homes messages. Resources that are mentioned in the episode include: CRIES pain scale http://geriatricphysio.yolasite.com/resources/CRIES%20Scale%20for%20Neonatal%20Postoperative%20Pain%20Assessment.pdf WHO pain ladder https://professionals.wrha.mb.ca/old/professionals/files/PDTip_AnalgesicLadder.pdf Children in painhttps://rcem.ac.uk/wp-content/uploads/2021/11/Pain_in_Children_2017_18_National_Report_Oct_2018.pdf Wong and Baker faces https://wongbakerfaces.org I hope you enjoy this episode with a fantastic guest. Will Broughton can be reached on Twitter at @WilBroughton

Dr. Colman O'Loughlin, Intensive Care Society of Ireland; Dr Ike Okafor, Consultant in Paediatric Emergency Medicine, Temple Street; Kingston Mills, Trinity College Dublin; and Louise Tobin, St. Joseph's Primary School in Tipperary

Dr. Colman O'Loughlin, Intensive Care Society of Ireland; Dr Ike Okafor, Consultant in Paediatric Emergency Medicine, Temple Street; Kingston Mills, Trinity College Dublin; and Louise Tobin, St. Joseph's Primary School in Tipperary

Dragon Bytes Basics - This subseries is aimed at teaching some basic paediatric concepts to healthcare students. Each week medical students from Wales will be joined by a paediatric doctor to discuss common paediatric conditions. These episodes are just introductions and aren't meant to replace standard revision – remember there will be some regional variations in practice and practice will change as new evidence comes to light. However, this is paediatrics made easy to help listeners get their heads around some thing new. This week we learn about innocent murmurs. Dragon Bytes Basics host, and Swansea University medical student, Francis Beynon talks to Dr Assim Javaid (Registrar in Paediatric Emergency Medicine) all about recognising innocent murmurs.

This week's episode of Dragon Bytes is the second part of our chat about child poverty. Dragon Bytes hosts Dr Rebecca Jones and Dr Tom Cromarty are joined by two paediatric consultants with an interest in this area, Dr Julie Ann Maney (Consultant in Paediatric Emergency Medicine, Royal Belfast Hospital for Sick Children) and Dr Ian Sinha (Paediatric Respiratory Consultant, Alder Hey Hospital). Part 2 of 2.

This week's episode of Dragon Bytes is about Child Poverty. Dragon Bytes hosts Dr Rebecca Jones and Dr Tom Cromarty are joined by two paediatric consultants with an interest in this area, Dr Julie Ann Maney (Consultant in Paediatric Emergency Medicine, Royal Belfast Hospital for Sick Children) and Dr Ian Sinha (Paediatric Respiratory Consultant, Alder Hey Hospital). Part 1 of 2.

For Lady Carnarvon's first podcast of 2021 she catches up with her Hampshire neighbour and friend actress Sarah Parish. Close followers of life at the 'real Downton Abbey' will know Sarah spoke at Lady Carnarvon's 'Script to Screen' event in 2018. As well as a highly successful TV and film actress Sarah is a fundraiser. Along with her husband Jim Murray she set up The Murray Parish Trust in 2014 in memory of their late daughter Ella-Jayne who died of congenital heart failure in 2009. The charity has raised millions of pounds to support Paediatric Emergency Medicine at the University Hospital Southampton.

In the second part of our PEM Grid programme podcasts, Dr Assim Javaid (Dragon Bytes host) is given the low down by Dr Hannah Murch (PEM Consultant, University Hospital of Wales) and Dr Michael Fox (PEM grid trainee, Wales) on being interviewed for a PEM Grid post.

This week we speak with our friend Dr Damian Roland.  Damian is a Consultant at the University of Leicester NHS Trust in the UK and Honorary Associate Professor for the University of Leicester Sapphire group. He specialises in Paediatric Emergency Medicine and is a passionate believer that education exists to be shared – the #FOAMed social movement providing a mechanism to do this.His research interests include evaluation of educational interventions and improving the recognition of illness in children.  Damian developed the Paediatric Observation Priority Score (POPS), which is now available as an app to help with communication between himself and colleagues in the hospital setting. It has been shortlisted for two healthcare technology awards.Damian is also leading the Innovation theme for the Royal College of Paediatrics and Child Health's Paediatrics 2040 Project.  He also regularly lectures on decision making in paediatric practice.The theme of todays conversation is centered around Social and Damian has a strong interest in Social Media as a means of knowledge translation using Twitter and his own blog Rolobot Rambles.  We also hear his experiences of children's healthcare during the current pandemic.Thinking of Oscar website and contact details can be found here. Follow us on Twitter here. Theme Music - ‘Mountain' – copyright Lisa Fitzgibbon 2000 Written & performed by Lisa Fitzgibbon, Violin Jane Griffiths Podcast artwork thanks to The Podcast Design Experts

Dr Assim Javaid (Dragon Bytes host) is given the low down by Dr Hannah Murch (PEM Consultant, University Hospital of Wales) and Dr Michael Fox (PEM grid trainee, Wales) on how to best go about applying for PEM GRID, resources to use and awesome top tips.

St Emlyn's three professors, Carley, Body and Horner* critically appraise the Press Release regarding Dexamethasone in the treatment of COVID-19. What does this mean for the future of Evidence Based Medicine? Can we really start using a medication when the trial hasn't been peer reviewed and the full dataset not released?  The blog post by Josh Farkas, that is mentioned in the podcast, is here. *Professor Simon Carley, Professor of Emergency Medicine at Manchester Metropolitan University and a Consultant in Adult and Paediatric Emergency Medicine at Manchester Foundation Trust, Professor Rick Body Professor of Emergency Medicine in Manchester and Honorary Consultant in Emergency Medicine at Manchester Foundation Trust. Professor Dan Horner, Professor of Emergency Medicine of the Royal College of Emergency Medicine and Consultant in Emergency Medicine and Intensive Care at Salford Royal NHS Foundation Trust.

Dr Carol Blackburn, Consultant in Paediatric Emergency Medicine at Children's Health Ireland at Crumlin

Dr Carol Blackburn, Consultant in Paediatric Emergency Medicine at Children's Health Ireland at Crumlin

In this episode we explore the various domains of medicine away from an ambulance or hospital setting. Roger Alcock is an Emergency Medicine and Paediatric Emergency Medicine consultant in Scotland and was involved in the 2014 UK response to the West Africa ebola crisis. Myself and Roger explore the facets of humanitarian and expedition medicine that can add to your career and add depth and breath to experience as a pre-hospital clinician. We explore some of the details of Roger's Sierra Leone deployment for the ebola crisis and some of his expedition endeavours all of which have added to his career and perspectives. We also examine some of the non-technical skills that these deployments and expeditions can foster which both add to resourcefulness and situational awareness of clinical demand and innovation in low resource settings. I hope you enjoy the episode.

Dr. Khai Pin Lee and Dr. Gene Yong-Kwang Ong, from the Department of Paediatric Emergency Medicine, Kandang Kerbau Hospital, Singapore, tell Editor-in-Chief of EMJ, Dr. Ellen Weber, how the novel coronavirus is changing their ED and the Singaporean society in general. They are two of the authors of “Dynamic adaptation to COVID-19 in a Singapore paediatric emergency department”, a paper which will be published in the next few days by EMJ in the following address: dx.doi.org/10.1136/emermed-2020-209634

Dr. Khai Pin Lee and Dr. Gene Yong-Kwang Ong, from the Department of Paediatric Emergency Medicine, Kandang Kerbau Hospital, Singapore, tell Editor-in-Chief of EMJ, Dr. Ellen Weber, how the novel coronavirus is changing their ED and the Singaporean society in general. They are two of the authors of “Dynamic adaptation to COVID-19 in a Singapore paediatric emergency department”, a paper which will be published in the next few days by EMJ in the following address: dx.doi.org/10.1136/emermed-2020-209634

Roger Alcock discusses with Ben Watts the importance of non-technical skills for providing excellent patient care. A veteran of the 2014 UK response to the West Africa ebola crisis, Roger shares his experience of working in full PPE in the hot zone and subsequent experience as a patient in isolation and on the receiving end. How can we communicate effectively with one another and our patients, when we are in full PPE? What top tips will help us to improve practice during the pandemic? This is a not-to-be-missed episode offering unique insights into current challenges. Follow this series on Twitter, Facebook and Instagram via#paracpd Roger is a Consultant in Emergency Medicine & Paediatric Emergency Medicine, a Scottish Patient Safety Fellow (c5), and Emergency Medicine educational coordinator at the Scottish Centre for Simulation and Clinical Human Factors. https://scschf.org Ben is a Critical Care Paramedic with the Thames Valley Air Ambulance. https://www.tvairambulance.org.uk Podcast produced by the College of Paramedics https://collegeofparamedics.co.uk Introductory music by Rob Giles and The Stretch Report.

Dr Colin Gilhooley, consultant in Paediatric Emergency Medicine, joins Take Aurally once again to go through Head Injury in Children including: - NICE Guidelines - Other guidelines in use including CHALICE, PECARN and CATCH - How to take a history when assessing a young person with a head injury You can find the blog for this episode at https://www.takeaurally.com/paediatric-emergency-medicine/2019/7/3/the-child-with-a-head-injury As ever you can subscribe to Take Aurally through Apple Podcasts and Soundcloud AND we're also on Spotify: open.spotify.com/user/hk2tt55xd97pcz4xoj43nydyy Remember to follow us and NUH DREEAM on Facebook and Twitter We're now also on Instagram where you can find our whole collection of Take Visually infographics: www.instagram.com/takeaurally/

Dr John Iliff is an Emergency Medicine, Senior Registrar based in Perth, WA. An Irishman who was educated in Dublin he moved to Australia in 2012 to further his training in the field of Critical Care Medicine. Specifically seeking training in the field of Emergency Medicine. Whilst in Perth he has spent time in Intensive Care (Not as a patient), Anaesthesia and Paediatric Emergency Medicine, whilst maintaining his keen interest in Sports Medicine having previously been involved in SuperRugby as a Team Doctor. Having worked in Emergency Departments for many years John has become accustomed to working night shifts and understands the importance of good sleep hygiene and is a firm believer that with performance in the workplace is easily linked to sleep quality. Follow John on Twitter @johnnyiliff  Follow me @sleep4perform iandunican@sleep4performance.com.au  www.sleep4performance.com.au 

Head injuries are not just common to the Emergency Department, but common occurrences when covering the wards as a junior doctor. They can present a challenge both in assessment and investigating appropriately.   Gareth talks to Dr Mike Aisbitt, a Consultant in Emergency Medicine and Paediatric Emergency Medicine at Southport and Ormskirk NHS Trust about how to assess a patient with a head injury, who needs a CT scan and consideration of the medication they take including Warfarin, DOACs and Clopidogrel (?!)   Visit www.foamdation.com for the accompanying blog post discussing the topic. GET IN TOUCH! Either by the website òr email foamdation@gmail.com with any comments or corrections or if you want to be involved with future topics. RATE US on iTunes to help others find the resource more easily. SHARE US with others you think would benefit or anyone who can help distribute the resource further. Speak soon  

In this Take Aurally Special meet the Abstract Committee for the inaugural East Midlands Emergency Medicine Conference; Dr. Jamie Thomas (@mcdreeamie), Mr. Faisal Faruqi (@faizal_faruqi), Jack Renshaw, Dr. Ben Lowe (@BenRLowe), Dr. Michael Cook and Dr. David Buckley. They discuss the background to the EM2C as well as how to submit an abstract. Abstract topics for consideration for oral or poster presentation are case studies in Adult Emergency Medicine, Paediatric Emergency Medicine and Trauma or reports on Education, Research and QIP. EM2C 17 is being held at the Radisson Blu Hotel, East Midlands Airport on 5th May 2017. For more information visit www.em2c.uk or @theem2c on Twitter or email info@em2c.uk. Email abstracts to abstracts@em2c.uk

Welcome to the EBN podcast. Dr Joanna Smith, Associate Editor, will be taking a closer look at a commentary from the journal with an invited guest. These discussions are designed to help you think about issues raised in the article, as well as the clinical applicability of the original research paper.In this edition, Dr Dennis Scolnik, who is affiliated with Divisions of Paediatric Emergency Medicine and Clinical Pharmacology Toxicology, The Hospital for Sick Children, Toronto, Canada, will discuss issues raised in his commentary on a study that examined the effects of the application of lidocaine–epinephrine–tetracaine (LET) prior to wound closure using adhesive glue. As an expert in the field, Dr Scolnik reflects on the study reviewed, and offers insightful comments and ideas that can be used in practice and policy.Read the full commentary here: bit.ly/1m5bY3vAnd the research paper here: bit.ly/1eBTfKd