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Fifteen-minute consultation: How to manage neonatal bradycardia.
Arch Dis Child Educ Pract Ed
October 2024
Paediatrics, Surrey and Sussex Healthcare NHS Trust, Redhill, Surrey, UK.
Article Synopsis
- * Common non-cardiac causes include factors like premature autonomic development, electrolyte issues, hypothyroidism, and certain medications, while cardiac causes can involve bradycardia, conduction problems, congenital heart defects, and channelopathies.
- * The article provides guidelines for managing neonates with bradycardia, including diagnostic tests like ECGs and echocardiograms, and emphasizes the importance of potential referrals to pediatric cardiology specialists for further evaluation.
Fifteen-minute consultation: Management of raised intracranial pressure in children.
Arch Dis Child Educ Pract Ed
October 2024
University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.
Raised intracranial pressure (ICP) in children can be very challenging to recognise and manage. In order to minimise secondary brain injury, measures to reduce intracranial pressure must be initiated as soon as possible. Initial management is often commenced in District General Hospitals prior to transfer for definitive treatment.
View Article and Find Full Text PDFFifteen-minute consultation: considering greener asthma treatments for children and young people.
Arch Dis Child Educ Pract Ed
October 2024
Department of Child Health, Salisbury District Hospital NHS Foundation Trust, Salisbury, UK.
Inhalers are the mainstay of asthma treatment, but are responsible for a disproportionately high level of carbon emissions compared with other aspects of healthcare. There is a growing interest among CYP in discussing the environmental impact of their treatment with healthcare staff. In this article, we outline an individualised approach to modifying asthma treatment to be more sustainable.
View Article and Find Full Text PDFFifteen-minute consultation: A guide to paediatric post-resuscitation care following return of spontaneous circulation.
Arch Dis Child Educ Pract Ed
August 2024
Paediatric Intensive Care, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
Paediatric resuscitation is a key skill for anyone in medicine who is involved in the care of children. Basic and advance paediatric life support courses are crucial in teaching those skills nationwide in a way that is memorable, protocolised and standardised. These courses are vital in the dissemination and upkeep of both theoretical and practical knowledge of paediatric resuscitation, with their primary aim being the return of spontaneous circulation.
View Article and Find Full Text PDFFifteen-minute consultation: Empowering children, young people and families through shared decision-making: a practical guide.
Arch Dis Child Educ Pract Ed
November 2024
Department of Paediatric Nephrology, Great North Children's Hospital, Newcastle upon Tyne, UK.
Shared decision-making (SDM) is a collaborative approach to healthcare decision-making that involves patients and healthcare professionals working together to make decisions that are informed by the best available medical evidence, as well as the patient's values, preferences and goals. The importance of SDM and the intricate interplay among parents, children and young people (CYP), and healthcare professionals are increasingly acknowledged as the crucial aspects of delivering high-quality paediatric care. While there is a substantial evidence base for SDM improving knowledge and reducing decisional conflict, the evidence for long-term measures such as improved health outcomes is limited and mainly inconclusive.
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