This session will explore common neonatal presentations that could be safely discharged from the ED without necessarily involving the on-call paediatric team. Although, as a caveat, we would always re…
Neonatal Nuggets Part 2: tummy troubles
This session will cover common tummy troubles with particular reference to evidence-based management of colic and gastro-oesophageal reflux.…
Neonatal Nuggets Part 1: skin rashes, jaundice, lumps and bumps
Neonates can present with normal physiology to the paediatric emergency department. Studies have suggested that 1.9% of all patients present within the first month of life…
Neonatal Nuggets Part 1: skin rashes, jaundice, lumps and bumps
Sick neonates with vesiculopustular rashes should be tested for HSV, candidal and Staphylococcal infections (EL3)…
Tiny Tot’s Ticker Flicker
A 5-week term baby is brought in by his parents with a 24-hour history of poor feeding. No fever or infective features.…
Congenital Heart Disease
This session details the three main presentations of Congenital Heart Disease to the emergency department; shock, cyanosis and congestive heart failure.…
Congenital Heart Disease
This session details the three main presentations of Congenital Heart Disease to the emergency department; shock, cyanosis and congestive heart failure…
It’s time to get this niggling pain off our chest… An approach to chest pain in Paediatric ED
Chest pain in children and young people is thankfully, in the most part, not too concerning. But explaining exactly what the cause of it is, can be tricky. And when do we need to worry?…
Blue Baby Spell
A 21-day-old term baby presents to your emergency department in respiratory distress and appears dusky blue.…
Breaking Evidence: The Elizabeth Molyneux prize 2019
Each year at the Royal College of Emergency Medicine (RCEM) Annual Scientific Conference, the prestigious Elizabeth Molyneux Prize is awarded. The prize, named in honour of Professor Elizabeth Molyneu…
The Shocked Neonate
A 22-year-old lady delivers a 36-week-old baby unexpectedly at home. The baby was initially pink with an Apgar of 9, and a birth weight of 7lbs…
Cheer up buttercup
Not one, but two teeny tiny yellow wailing babies present to your Paediatric ED! Their worried parents ask you: “why have the twins turned yellow?”…
Mellow Yellow
What will you do when your weekend shift in the Paediatric Emergency Department turns into seeing a stream of yellow babies?…
Do away with the Heartache – ECGs in Children
ECGs can be challenging, right? And so can children. Add the two together and……..arrghh – Paediatric ECGs!!…
FRCEM Primary Paper 2
FRCEM Primary Examination Single Best Answer…
PEM Starter pack book
We are pleased to announce our PEM Starter Pack with 12 blogs rolled into one handy iBook…
The Unwell Neonate and Infant
The neonatal period (…
Urinary Tract Infections in Children
This session looks at the techniques available to collect urine samples from children in an emergency department. It discusses the evidence basis and the relative merits of each technique…
RCEM Blog Book 3
iBook 3 including ‘Looking like Maggie Simpson’ , ‘Pem and EX PREMS’, and ‘prolonged jaundice’…
Maggie Simpson’s Second Audition – Prolonged Jaundice
Prolonged jaundice is different from early jaundice as it is jaundice which persists for 14 days in a baby who was born at term (37 weeks or more gestation), or to 21 days in a pre-term baby born befo…