Safety netting is a crucial component of care within the Emergency Department but often there is very little teaching on how to do it well. In this week's episode Chris White, an Advanced Clinical Practitioner from Nottingham talks to Dr Edward Snelson, a PEM Consultant from Sheffield, about why that might be the case and how we can all improve our safety-netting skills.

Episode 69: Safety netting in the ED

Prescribing for children and young people can be one fo the most challenging aspects for healthcare professionals new to paediatrics. In this episode  Ashey Reece, Consultant paediatrician at West Hertfordshire Hospitals NHS Trust, and Sumiah Al-Azeib, Lead Pharmacist for Women and Children's services at Medway Hospital Kent, take a deep dive into medicines for children and their top prescribing tips. They also explore the concept of 'druggles'...

Episode 71: Medicines, Prescribing and Paediatrics

In the third in our series of ACP podcast specials, Emma Hudson, Chris White and Laura Lee, Advanced Practitioners in Derby, Nottingham and Norfolk and Norwich Children's Emergency Departments discuss their roles and the unique set of skills that ACPs bring to the ED.

Episode 72: The Advanced Practitioner in the Children's Emergency Department

All paediatricians are lovely cuddly people, right? Well sadly the data suggests rudeness, incivility and unprofessional behaviour remain prevalent in the health workplace. In this episode Dr Ashley Reece, Consultant Paediatrician from West Hertfordshire Hospital, talks to Dr Anna Baverstock, Consultant Paediatrician from Musgrove Park Hospital in Somerset, about when rudeness can occur in our working lives and what can be done to address it.

Episode 73: Civility, rudeness and unprofessional behaviour

In this week's episode we talk to Jessica Talbot and Lucy Brown who are both specialist registrars in paediatric dentistry. What should you do about an avulsed tooth, is tooth decay as big a problem in the UK as we think it is, and how can dentistry help in child protection? I also learn why you should never rinse after brushing...

Episode 74: Paediatric Dentistry

In this week's pod we chat to Dr Katie McKinnon about the value of limiting screen time in children with concussion. Dr McKinnon is the lead author of an article in this July's edition of ADC that looked at whether the advice we often give about limiting screen time in concussion has any basis in evidence.

Episode 75: Concussion and screen time

We are really proud to introduce another episode from our Advanced Practitioner team, this time from the ANNPs. Rhian Smith, Becky Joyce and Dr Vicky Payne discuss the past, present and future of Advanced Neonatal Nurse Practitioners in the UK.

Episode 76: Advanced Neonatal Practice

We are joined by Dr Lucie Etheridge and Julia Avery to discuss their recent article in the October 2021 edition of 'Archives of Disease in Childhood' looking at whether magnesium supplementation is helpful in adolescents with migraine.

Episode 77: Magnesium And Migraine

We are all busy professionals with lots to do in a very limited amount of time, so why should we be concerned about climate change? That's nothing to do with paediatricians surely? Dr Katie Knight explains why its everything to do with paediatricians and the number one public health emergency for our patients not just tomorrow but today.

Episode 78: Climate Change and paediatrics

There are so many infant milks and formulae available that it can be confusing to healthcare professionals, let alone parents. Where did they come from, what do they contain and what about specialist prescription-only formulae. Host Dr Ashley Reece takes a deep dive into all these issues with our special guest Bahee Van de Bor - dietician and spokesperson of the British Dietetic Association.

You can explore more about Bahee's work at www.ukkidsnutrition.com

Episode 79: Infant Milks and Formulae

We talk to Dr Tom Jackson about his article in Archives of Disease in Childhood looking at the use of Dexmedetomidine as a sedative agent fro children undergoing MRI scans in a district general hospital. Is it better the NICE recommended medications?

Article can be found here:

https://adc.bmj.com/content/early/2022/03/10/archdischild-2021-322734

Episode 80: Dexmedetomidine for paediatric sedation

Sarah Simons and Ian Lewins chat about an approach to the child presenting with a non-blanching rash, and Ian reveals his age by discussing his involvement in a research project in the last century.

Ian Lewins's Album

Episode 3: Managing non-blanching rashes

Dr Sarah Simons chats to Dr Ian Lewins about the commonest paediatrics presentation to primary care - the child with a fever. Just which children should we be worried about?

Episode 4: Paediatric Fever

We talk to legend of UK Emergency Medicine, Miss Susie Hewitt about pain management in the ED and the barriers to getting it right in children.

Episode 8: Paediatric pain management

Dr Sarah Simons and Dr Ian Lewins make a series of silly noises as they discuss stridor and croup, and manage not to fall out over the dosage of dexamethasone.

Episode 10: Stridor and Croup in children

Dr Ian Lewins talks to Dr Vanessa Cox, Consultant in Adolescent Medicine about improving skills in talking with young people using the HEADSS framework.

Episode 14:  HEADSS assessment tool

Bronchiolitis? Viral-induced wheeze? Asthma? Other?
Ian Lewins has a jolly old wheeze chatting to paediatric respiratory consultant Dr Nigel Ruggins about the differences between, and the approach to diagnosing,  the child presenting with wheeze.

Episode 15: Wheeze in children

In the season of bronchiolitis, its important to remember that not every baby presenting to ED with breathlessness has bronchiolitis. Just occasionally the baby has a cardiac problem. Ian Lewins talks to Dr Gitika Joshi about an approach to the history, investigation and ED management of these babies.

Episode 22: Congenital cardiac disease

It's everything allergy this week as we talk to Dr Donna Traves who talks us through the history and examination findings of children with possible allergies, and what we should and shouldn't do when treating them.

Episode 24: Allergy and anaphylaxis

For those coming into paediatrics the newborn baby check can seem a daunting prospect. To help, we undertook a masterclass in  NIPE checks with Neonatal Advanced Clinical Practitioner, Jane Lewins, who gave us the top-to-toe lowdown.

Episode 30: Baby Checks

We talk to Dr Julie Smith, Consultant Paediatrician, about the recognition, investigation and management of the child presenting to ED or primary care with symptoms suggestive of diabetes. We also discuss insulin regimes, carbohydrate counting and insulin pumps.

Episode 32: Diabetes in children

We talk to Dr Alasdair Munro, Clinical Research Fellow in Paediatric Infectious Diseases, and attempt to bust some myths about antibiotic prescribing in children. 

If you only listen to one podcast about antibiotics in children - make it this one!

Episode 33: Antibiotic Myth Busting

I've always liked Bob Rogers' description of Facebook as "an educational cul-de-sac." So when horrific descriptions of what happens when you give a child with chickenpox a dose of ibuprofen emerged on the site they surely couldn't be true, could they?

Let Dr Alasdair Munro guide you through fact and fiction and hopefully provide a little bit of evidence along the way.

Episode 37: Ibuprofen and Chickenpox

As Winter draws in we have a timely discussion with Dr Ian Wacogne, Consultant Paediatrician from Birmingham and editor of the Education and Practice edition of Archives of Disease in Childhood, about bronchiolitis. In particular we discuss the introduction of a care bundle aimed at ensuring all team members are undertaking, and more importantly NOT undertaking, the same interventions in a condition where often in the management 'less is more'.

Episode 43: Bronchiolitis

Thinking about applying for the RCPCH written exams? You cant afford to miss this week's podcast as we speak to Dr Will Carroll - Assistant Officer for the written exams and co-author of the 'Sunflower' book, and get his top tips for passing first time!

Episode 44: How to pass the RCPCH Written Exams

Never heard of Balint Groups? No, us neither until we saw a Tweet about them from today's guest Dr Nick Schindler who explains what they are (and aren't) and how they can help you, your colleagues and your department to thrive.

Episode 46: Balint Groups

We talk to Dr Jon Adamson, Consultant in PEM in Birmingham, about his recent paper "The Fifteen Minute Consultation: The Limping Child" published in the June 2020 Edition of ADC Education and Practice. 

What should we look for in  the atraumatic limping child? When should we investigate and what do we really not want to miss?

Episode 53: The Limping Child

Lots of kids have minor head injuries. Lots of kids vomit. Lots of kids vomit after head injury but do they really need a CT brain? Dr Helen Newsome, Clinical Fellow in PEM in Sheffield, wondered the same question and so tried to find the answer. She published her findings in the Archives of Disease in Childhood in December 2019 and we chat to her about this paper.

Link to the article here: https://adc.bmj.com/content/104/12/1231

Episode 55: Does this child need a CT head?

In episode 28 we spoke to Dr Tom Waterfield about the forthcoming Petechiae in Children study - well in this episode we are delighted to welcome Tom back to talk about the results, recently published in The Lancet.

Which clinical practice guideline performs the best at detecting a child with meningococcal disease in the febrile child presenting with a non-bleaching rash.

Link to the study here:

https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(20)30474-6/fulltext?rss=yes

Episode 61: Results of the Petechiae in Children study

In our final podcast of 2020 we cover a topic much loved by never quite completely understood by many of us, Kawasaki Disease. We talk to Professor Robert Tulloh, Consultant Paediatric Cardiologist from Bristol who brilliantly and simply explains everything you could want to know about this condition and the man after whom it is named.

Episode 64: Kawasaki Disease

Home of the 'Two Paeds In a Pod' Podcast from the Department of Paediatrics at the Royal Derby Hospital. Created by Sarah Simons, Geoff Burnhill and Ian Lewins this medical education podcast is aimed at health care professionals new to paediatrics or those who occasionally care for children as part of a wider healthcare role.

This podcast is for medical education purposes only and should not replace advice you have received from a medical practitioner.

2 Paeds In A Pod

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