A 5-year-old boy presents with a central boggy swelling to his forehead without history of trauma, what’s the differential?…
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…
Anyone for a BRUE?
An 8 month infant is brought into the department following a collapsing episode as witnessed by his distress mother. What do you do next?…
Child Abuse
The dark side of PEM, and what should also be on your differential diagnosis for any patient you are seeing is: “was this inflicted” and “is there something more?”.…
PEM Starter pack book
We are pleased to announce our PEM Starter Pack with 12 blogs rolled into one handy iBook…
Brackium Emendo – Long bone # and NAI (DFTB18)
Fractures are the second most common manifestation of abuse in children after burns. In toddlers especially, fractures of the humerus and femur, should trigger alarm bells about non-accidental injury …
Fabricated or Induced Illness
FII is a broad term to describe a group of behaviours by parents or carers which cause harm to children.…
Fabricated or Induced Illness
Fabricated or induced illness (FII) is a form of child abuse. It is associated with significant morbidity (physical and psychological) and mortality. Recognition of FII is frequently difficult and sub…
When Weight Loss isn’t a good thing: Neonates in the ED – Growth & Feeding
One of the most common reasons for newborns to be sent in to the ED for assessment is weight loss…
Recognition of Child Abuse in the ED
The ED plays a crucial role in raising the alarm for non-accidental injuries. Frequently, we may be the first port-of call for a child who has gone through the unthinkable, and it is our role to think…