Improving rates of appropriate skeletal survey use in a district general paediatric emergency department.

Improving rates of appropriate skeletal survey use in a district general paediatric emergency department.

Fifteen-minute consultation: The toddler's fracture.

The toddler's fracture is a distinct entity among tibial shaft fractures. It is defined as a minimally displaced or undisplaced spiral fracture, usually affecting the distal shaft of the tibia, with an intact fibula. They are often difficult to diagnose due to the absence of witnessed trauma and because initial radiographs may appear normal.

Hospital youth workers for violence reduction.

Introduction: Youth workers (YWs) can engage young people following hospital attendances with violence-related injuries. This study aimed to evaluate the efficacy of YWs in an urban district hospital and to explore the views of the young people engaged.

Methods: Everyone referred to the hospital YWs during the 31-month study period was included and demographic data were collected.

A Discussion of the Use of Virtual Reality for Training Healthcare Practitioners to Recognize Child Protection Issues.

Virtual reality technology is a rapidly developing tool which has been shown to have exciting prospects in the field of medical education (1). In a recent, subsequent study, Pan et al. consider the potential of the same technology in the realm of child protection training and safeguarding issues (2).

Unusual first presentation of a metabolic disorder.

An 8-month-old boy presented to hospital with a fever, irritability and 'back arching'. On examination, he demonstrated profound opisthotonic posturing and had tonsillitis. He had a full septic screen and was treated with broad spectrum antibiotics.

An exploration of attitudes towards female genital mutilation (FGM) in men and women accessing FGM clinical services in London: a pilot study.

This pilot study researched the attitudes towards and the knowledge of female genital mutilation (FGM) in adult women with FGM and their partners. The participant population consisted of English-speaking women and men over 18 years old attending specialist FGM clinics in two London hospitals. The participants completed a questionnaire on the attitudes and the knowledge of FGM, which were adapted with permission from the United Nations Children's Fund and the United States Agency for International Development household surveys.

Acting on macrocephaly in the neonatal period: an illustrative case of congenital teratoma.

An 11-week-old baby was brought to the paediatric emergency department by his mother with a 2-day history of inconsolable crying. On examination, clinical features of macrocephaly, separated sutures and 'sunsetting' of the eyes were noted. Abnormal head circumference measurements had been obtained on several occasions since birth, but were not acted on contrary to local guidance.

Antifreeze on a freezing morning: ethylene glycol poisoning in a 2-year-old.

This case report describes the presentation and management of a 2-year-old child who ingested a potentially fatal amount of ethylene glycol (EG). There are few published cases worldwide of EG poisoning in children managed with fomepizole. All cases described in the literature were managed in a paediatric intensive care unit.