Lots of advancements coming in this field - some a little more critical care than ED but hugely interesting! #premier2025 @rcpch.bsky.social

Did you know that globally injury/trauma is the leading cause of death in the under 40s? (Importantly almost all children are under 40 years old)
Primary brain injury - subarachnoid patients do worse in terms of outcomes #premier2025

Spotlighting on paediatric pre hospital care and traumatic brain injury is Dr Katie Crewdson - who has one of the coolest jobs around.

Major incidents have become a major part of my role, helping to develop our ED response plan and training program. Are you familiar with the METHANE tool? Do you know the difference between CBRN/hazardous incident? What is exposure and what is contamination? Check out @rcemlearning.bsky.social

Also watch for the physical displacement effects of tumours - including spinal cord compression and mediastinal masses. Even intubation does not guarantee your patient is safe - I've had an ET tube block off after placement when a child was moved. Beware. #premier2025

Moment of silence over! After lunch we've got fantastic topics, starting with oncology pts in the CED. Key messages - high risk sepsis, always use their central access. Tumour lysis CAN happen before starting treatment, be aware and watch for deranged electrolytes!

ARFID - diagnosis requires one of "clinically significant" nutritional deficiency (most commonly used criteria), psychosocial impact (common but harder to specify), or dependence on supplements #premier2025 @rcpch.bsky.social @rcemlearning.bsky.social

Side note good stash this year I love me a notebook

Moving down to the abdomen and haemolytic uraemic syndrome - diagnosis and careful fluid management is key to CED treatment, look out for these complications #premier2025

Next up Anaphylaxis - remember the guidelines now says NOT to give steroids, they don't help in the acute phase and the evidence they prevent biphasic responses is poor. MAYBE use in refractory anaphylaxis...

First up was infantile spasms - will link a video below. Remember these are easily missed, and EEG (hypsarrythmia) helps differentiate the mimics. Short term seizure resolution (with steroids +/- vigabatrin) 70%, long term 30. Early recognition improves our outcomes! (I know, shock) #PREMIER

Doing an experiment - which will taste better?

How does one correctly eat this? Delicious though.

It's Saturday morning soft play and I don't know what people are complaining about, there's hot chocolates with cream and marshmallows, and you can barely hear the children's screams in the distance

That's some life.

This was a fun test - are you a super recogniser or tending towards prosopagnosia?

Truly a model of restraint at the second hand book sale today

Friday night! And I'm sitting up holding a baby and working. Have a drink with me.