Infection Sepsis creates an increased metabolic demand. The infant may be unable to meet the increased oxygen requirements of the tissues leading to peripheral vasoconstriction and cyanosis. In ...

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Barrier (taken from ref 3) Intervention (taken from ref 10) Knowledge: Lack of awareness of guideline: Education: Attitude: Disagreement with guideline: Conversation ...

A 7-year-old previously well boy presented to the emergency department (ED) with diplopia and pain in his right eye for 2 days. The previous week, while on holiday abroad, he developed right ear pain ...

Arrhythmia: Ectopic beats (atrial or ventricular) Supraventricular Re-entrant (eg, AV re-entrant tachycardia) Atrial (eg, atrial flutter) Junctional tachycardia (rare) ...

Meningitis is a critical diagnosis not to miss in children presenting with fever. Since the early 20th century, classical clinical signs have been used to aid the diagnosis of meningitis. These ...

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In February 2013, the American Academy of Pediatrics (AAP) published a revised clinical guideline on The Diagnosis and Management of Acute Otitis Media in children aged 6 months to 12 years.1 This ...

The association between hyperlactataemia and poorer outcomes in acutely unwell adults and children is well recognised. Blood lactate testing has become readily available in acute settings and is ...

Quality improvement project implementing the Genedrive MT-RNR1 point-of-care technology into a neonatal intensive care unit (NICU). Gentamicin is a commonly used aminoglycoside antibiotic. The ...

Paediatricians are often faced with managing the child who is unwell, and parents, who may present in ways that are difficult to manage. Difficult behaviours can range from those who disregard their ...