My day today.
Parent: “and what do we say to the nice doctor for doing a good job and looking after you?”
8 year old child: “well done for doing your job I guess”
Working in paeds be like...
Me: Let me listen to teddy's heart first, then yours
4yo: That's a stuffed toy, there is no heart in there, only padding. 🙄🙄
Me: 🤦♀️😂
#paeds
#PEM
CD
Does listening to Baby Shark improve the efficacy of chest compressions in Paediatric CPR? Well, we now know the answer...
Check out Team DFTB's latest publication, The Baby SHARK study (songs heard affecting resuscitation kinetics)
See our infographic👇🏽
We are excited to release
#DFTBmodules
- a project our Fellows have co-ordinated for over a year:
#FOAMed
peer reviewed teaching modules by fantastic writers mapped to the curriculum
#paeds
#emergency
#FOAMped
15 topics up & more to come!
Go to:
"We are enough. The way we are right now. We don't need to be better to be valued or loved. You SHOULD be PROUD of who you are right NOW. Take pride of the things you did :) Negativity does NOT make you better. Accept who you are" - Dr Ross Fisher
#DFTBLive
Managing the collapsed cardiac neonate can be a scary and stressful experience. We've compiled 5 key tips for you to remember, so next time you encounter this scenario, you'll know exactly what to do. Thanks
@helenawilcox27
for this as part of the QMUL PEM MSc
At
@DFTBubbles
we are proud to stand beside
@eapaediatrics
with the support of 21 countries across Europe today in our call to leaders + governments to take action for our children's future in 3 areas:
Protection; Play; + Education
@RCPCHtweets
1/12
Do you know your red flags for paediatric headaches? Or need a refresher on the clinical workup of headaches? Lucky for you, our latest blog article "The Headache of Dealing with Paediatric Headaches in ED" is out now!
Link:
Our COVID Paediatric data work has been recognised internationally
UKRI (Ref 10)-
WHO
@WHO
(Ref 5)-
So proud of all the work from the DFTB team to achieve this. Well done
@apsmunro
On the topic of managing high flow resources for bronchiolitic infants - Remember, dynamic assessment is key. Assess, intervene, watch and wait, then reassess. Repeat as necessary.
#dftb
#respsurge
#foamed
#bronchiolitis
Thanks to everyone in the amazing
#DFTB19
community who have made this conference possible. We hope you will join us for now and next at
#DFTB20
in Brisbane August 24-26th 2020.
@DFTBubbles
Speaker pitches will open 1st July - stay tuned on our website.
Hot off the press: we have launched our brand new series of practical procedural videos on our
@YouTube
channel.
NG tube insertion, digital block, lumbar puncture, pulled elbow reduction and much more.
Check them out now.
With RSV cases on the rise (in July 🤯) how can we differentiate them from COVID, or can we ?
The Royal College of Paediatrics and Child Health has produced some guidelines - take a look at our breakdown on DFTB 👇👇👀
Intubation in the paediatric emergency department is scary stuff. There's a child in the resus room and you are planning for intubation…. Who do you need? What do you need? What might go wrong? Is this the right place to do this?
#dftb
#foamed
Let’s talk about safety netting for children with bronchiolitis. How do we hold that balance between admitting everyone and sending home a child who is too unwell? Read more at:
#dftb
#respsurge
#foamed
#bronchiolitis
Everyone's talking about.... Bronchiolitis.
Have a look at our bronchiolitis module featuring the facts, cases, and simulation scenarios to run at your hospital:
NS
#DFTB
#ThrowbackThursday
#BronchIsBack
How to build rapport with distressed teens in ED:
- give them a phone charger
- give them some aircon or a warm blanket
- give them something to eat
- give them a safe place and don't pester them too much
@LizCrowe2
#DFTBLive
We love our patients... but when you see a 3 year old sitting there swinging their newly removed drip round like a lasso with pride....
😂😢😂😢😇😢😂
#MemeMonday
#DFTB
Tell me you work in paediatrics without telling me you work in paediatrics
I’ll go first.
This is one of my top played playlists. 🕺🏼🕺🏼
NS
#DFTB
#paedsrocks
#PEM
With the upcoming predicted respiratory surge, it is likely that we will find our EDs full, potentially also with a full hospital and PICU. It’s therefore important to start planning for the consequences of this now
#dftb
#respsurge
#foamed
#bronchiolitis
Do you remember the first time you saw a child die? Do you remember the silence that followed the CPR?Do you remember the noise, that god-awful indescribable noise, that the father, usually so quiet, so strong, made as he saw that his beloved child was dead?
@andrewjtagg
On Grief
Our
#postitpearl
today is all around oesophageal atresia/tracheoesophageal fistula 🫁
Just have it at the back of your mind in a neonate with respiratory distress/feeding difficulty...
#DFTB
#FOAMped
#FOAMneo
AB
Huge congratulations to our very own
@BeckyPlatt3
on being awarded an BEM for services to Humanitarian Response.
So very well deserved.
Go
@BeckyPlatt3
!!!
What does your ED do to make it a less scary place for kids? What’s on your wishlist? I found these last week and just had to share such a sweet project. CD.
#PaedsED
#PEM
📣📣Is there an easy way to remember developmental milestones you ask?!!📣📣
YES!
Check out our handy reference guide:
Remember red flags 🚩
Have a few questions ready to ask 📝
Ask if any skills have been lost ⁉️
#DFTB
#FOAMPed
Ongoing fevers? Something not quite right? 🤔 Kawasaki disease is an important (but difficult!) clinical diagnosis that requires prompt treatment. The whole team should know what to look for and consider it in kids with fevers > 5 days.
#postitpearls
#PEM
#medtwitter
#FOAMped
"Adults are not better equipped than children to deal with death in the home. There's not a massive difference between a 5 year old and a 40 year old. Similarly, not a massive difference between a 40 year old comedian and a 40 year old doctor"-Rob Delaney
#DFTBLive
Getting ready for the weekend? Make sure you get your ‘caps’ of capnography on!! 🧢 🎩 👒 we absolutely love this. Do check out this masterpiece
#DFTB
#FOAMed
#FOAMped
On Tues 10-11am (UK), we will host an online meeting - an update for PEM UK HCPs including latest Paeds data & best practice; then a panel of docs from across UK hospitals on the challenges they are facing
Register (free) here (NHS email needed):
New post : Intubation of the critically unwell child in the emergency department 👇👇
A review by
@DrVickiCurrie1
of the recent paper published in
@ArchivesEandP
by
@DrKanaris
and Dr Murphy
👇👇
“Fail to prepare,prepare to fail”
Children’s pain can be hard to decipher - for parents and clinicians alike! Examination is important to exclude hidden causes of referred pain. Here are just a few examples.
#PostitPearls
#FOAMped
#tweetiatrician
#medtwitter
What moments bring you joy in
#Paediatrics
? I was sad when I needed to cannulate the MOST GORGEOUS 3yo boy in ED last week. Luckily our great team got that cannula in swiftly& he barely noticed. When we did the final reveal he squealed in excitement.
"IT'S SO PRETTY" CC
Bubbles not cutting it for the older kids? So many apps like the *burp and fart piano* (😹😹) to help ease the tension and create a laugh with kids. If you have a favourite app to recommend please add it to this thread! -CD
#tweetiatrician
#FOAMped
#paedsED
At the moment we have student nurses at work, so I thought I would pass on a pearl taught to me by
@andrewjtagg
.
Observation is an intervention. Don't just do something, stand there.
So it got me thinking, what's your best paediatric pearl that you've been handed down? ^ED
How confident are you with your neonatal resuscitation? Check out
@henrygoldstein
's 20 tips to take your neonatal resus to the next level 👇
And
@emmabuxton10
's fabulous graphic 👇
Let's focus on
#MentalHealthMonday
and remind ourselves of the HEADS tool.
This can be super helpful reminder of the important questions to ask when reviewing children or adolescents.
HL
#DFTB
#FOAMed
#PostItPearl
One of my favourite things about paediatrics is being able to build skills to communicate with children & young people AND their parents.
That and watching/singing Moana @ work of course!
What are your favourite things about paediatrics?
HL
#DFTB
#ChoosePaediatrics
#PaedsRocks
Don't Forget the Elbow!
Check out Elbow Excellence: A 6-Day Guide For Clinicians Working In Emergency Departments To Confidently Identify And Manage Paediatric Elbow Injuries (So You Don't Miss Something Important)
You can access this whenever, wherever
Welcome to
#WisdomWednesday
with another of our
#PostItPearls
!
Today, a few tips on assessing and managing high blood pressure 😤
Do you have any wisdom nuggets? Post in the comments 👇
#DFTB
#FOAMped
AB
We now have 66 images in Skin Deep & have spent time getting together a wonderful team of people to lead this project.
Look forward to introducing them here over the next couple of weeks.
Still plenty of room for more people, so please get in touch
Sharing
#DFTB19
resources is being taken to the next level this year with
@ianlewins
DFTB Trello page - which you can find at
This is a free web app where we can together add resources relevant to each talk!
#FOAMed
#FOAMped
(photocred:
@DocinSocks
)
Most children get mild bronchiolitis can be managed at home, provided the child has reasonable oxygen saturations, is feeding adequately and has a responsible carer. Providing a robust safety net requires you to be both kind and available.
#dftb
#respsurge
#foamed
#bronchiolitis
"Why did this kid come to the ED when this isn't an *emergency*?" Maybe this was the only time they could come, maybe they are here for something else, maybe they had nowhere else to go...
@PEMTweets
#DFTBLive
Everyday children attend the ED clutching their tummies in pain. This excellent framework from
@danihalltweets
can help you make sure you don't miss the rarer, serious causes of abdo pain.
HL
#DFTB
#FOAMPed
We are expanding our team! If you are enthusiastic about what we do, and can spare some regular time to volunteer with DFTB then please apply.
All welcome to join - we would love to have you.
See more info at the link below (deadline 16th Nov):
It's 5pm, and a dad has brought his 2 year old into CED.
He was found surrounded by the contents of the 'useful drawer of dumping things'...and he's told dad he was eating sweets.
As clinicians there is one FB that scares us the most...
@andrewjtagg
talks kids + FB ingestion
You're just about to discharge a patient from the Paeds ED when you notice their blood pressure seems a little high.
How do you know and what could you do? 🤔
Our hypertension
#PostItPearl
has some useful pointers 👇
#FOAMped
#FOAMed
#DFTB
A penicillin allergy label is like a snowflake ❄️ waiting to turn into an avalanche 🏔️ Click and read our latest article on tackling penicillin allergy in paediatrics - intercepting an avalanche
#DFTB
#FOAMed
More than 2,000 paediatricians and
@RCPCH
members have signed a letter supporting
@MarcusRashford
in his campaign to extend free school meals.
Pleased to see it on the front page of
@ObserverUK
Thanks to everyone who signed. Full story 👇👇👇
The
@DFTBubbles
team is excited to introduce DFTB Essentials - a brand new course covering PEM illness and injuries.
It will run on 21st & 22nd May 2020 in Birmingham (UK) & will be led by our DFTB faculty.
Come and join us!
Delighted to see
@TessaRDavis
on Sky News today sharing our project with
@RLHPED
.
Skin Deep aims to increase the diversity of paediatric skin images online.
Please join us and collaborate.
Does the rate of fluid resuscitation in DKA affect the likelihood of cerebral oedema?
Read our summary of the
@NEJM
paper by
@nkuppermann
here
And check out our infographic
#foamed
#FOAMped
Most children get mild bronchiolitis can be managed at home, provided the child has reasonable oxygen saturations, is feeding adequately and has a responsible carer. Providing a robust safety net requires you to be both kind and available.
#dftb
#respsurge
#foamed
#bronchiolitis
Needing to start Prostaglandin on the collapsed cardiac neonate? Here are 3 key knowledge pearls on it!
Thanks to
@SolanTom
for designing this infographic as part of the
@QMUL
DFTB PEM MSc
The ED has challenges ahead with the coming respiratory surge. By planning now and thinking about triage, risk assessment, admission routes, and discharge plans, whilst taking care of staff, we can be better prepared for what lies ahead.
#dftb
#respsurge
#foamed
#bronchiolitis
Learn about Autism acceptance in healthcare & how to support a child during a meltdown by referring to the 'SCARED' acronym 💕
Thanks to
@SusanRhind1
for designing this infographic as part of the
@QMUL
DFTB PEM MSc
Learn about our PEM MSc at:
Children with complex needs are 5 times more likely than the rest of the population to die from a treatable condition but can be challenging to assess. Use the TEACH mnemonic.
⏰ Time
🌏 Environment
🤷♀️ Attitude
🗣 Communication
‼️ Help
#DFTB
#FOAMped
#FOAMed
How best to screen adolescents for risk of suicide?
Our bubblewrap this month covers
@PECARNteam
CASSY tool.
⭐️Important study
⭐️High specificity and sensitivity
⭐️11 Q in 1.4 min
Join us
@DFTBubbles
on 26th May for more
#dftbadolescents
mental health topics.
/kp
Calling all paeds ACPs!
It's
@BeckyPlatt3
here
Let's build on the connections we made at our ACP session.
Please share a bit about you & your interests - we want to build a list of go to people in the
#paedACP
#AdvancedPractice
world
#FridayFeeling
Ok- hit us with your BEST
*worst jokes*
What are your go-to jokes for kids, or any crackers you’ve heard from your smol patients recently?
We’ll go first-
“How many tickles does it take to make an octopus 🐙 laugh?”
“Ten(tickles)”
😂
#DFTB
#SorryNotSorry