3-year-old with a head and arm injury following an accidental fall.…
Fascia Iliaca Block
Understand the nerves blocked by the fascia iliaca block and its indications including pain relief for fractured neck of femur patients.…
Netball Nasties
An 11-year-old girl presents to Paediatric A&E complaining of left knee and thigh pain.…
The Limping Child – PEM Induction
Elsie is a four year old who has come into the Emergency Department because her parents are concerned that she is not walking. Three days ago she was playing with her aunt and hurt her leg. Since then…
Minor Injuries – PEM Induction
It’s safe to say you will likely see a few of these, as minor injuries are a very common occurrence in childhood with around 20-30% of all paediatric attendances to the Emergency Department invo…
Buckle Fractures in Children
Buckle / Torus fractures in children…
The Limping Child
A 7-year-old girl presents to the Paediatric A&E with a 3 week history of increasing pain in her right hip.…
Paedsy Procedures
A miscellany of paediatric procedures…
The Limping Teenager
Differential diagnosis of knee pain in the limping older child…
Inexpensive Teaching Models for Fascia Iliaca Blocks
Most of us are convinced that fascia iliac blocks for pain relief are fabulous. Models to teach and practice on can be expensive. Inspired by one of the ED registrars I work with, Dr Grace O’Connell, …
Wound Management
Explore the NICE guidance on wound management of dog bites (NICE CKS and NICE Guidance)…
Paedsy Procedures
Here is a brief overview of three of our favourite and most satisfying PEM procedures. They epitomise ED practice – but can seem tricky to the PEM naive practitioner.…
Inversion injury with a twist
An 11-year-old previously well boy presented 2 days after sustaining a twisting inversion injury to his right ankle while running down hill on grassy ground.…
“The Limping Child” – radiology interpretation
Radiology interpretation…
Rugby Trouble
A 15-year-old boy presents to the ED complaining of pain over the right sternoclavicular joint and reduced movement due to pain in the right arm.…
Trampoline Ankle
You are asked to review a 3-year-old girl brought in crying inconsolably by her parents.…
An Unusual Ankle Fracture
A 14-year-old girl attends the emergency department following a fall whilst ice skating.…
Pinch me, thumbs up and give me four
An 8-year-old girl is brought to the ED by her mother after having fallen from a climbing frame.…
The Dangers of Low Slung Jeans!
A 13-year-old boy was brought into the ED by ambulance after falling off his BMX bike.…
The Limping Child
We’ve all seen limping children. Maybe some of us have even had limping children. Some departments have excellent management strategies and pathways. Some don’t. Here’s some of our t…