Head Injury in Children – PEM Induction

Walk into any Emergency Department in the country and you are bound to find at least one child waiting to be seen with a head injury - it's one of the commonest presenting complaints to EDs in the UK
Visiting hospital can be scary at any age. Facilitating a positive hospital experience for children is important because many of them will require further attendances and treatments in their lifetime. We don’t want this to be a frightening place for them.
The seizing child is truly a scary thing to behold. If you work in the Paediatric ED, you will, at some stage, come across a child who has had a seizure, is recovering from a seizure, or is actively seizing
Abdominal pain is a reasonably common presentation in paediatrics-increasing as the child gets older
Febrile children compete for the most common non-traumatic paediatric presentation in the ED, causing concern for parents worldwide. Your mission: to find the source.
Rashes are difficult to diagnose in both children and adults. The key is to be able to identify the important types (anaphylaxis urticaria, meningitis, non-accidental injury), and then manage to learn about the rest slowly
Here are some tips on the common mental health presentations to the emergency department
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?"
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 she has not been weight-bearing and her parents have been carrying her everywhere
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 involving minor injuries or trauma
One of the most common reasons for newborns to be sent in to the ED for assessment is weight loss
The neonatal period (<28 days of age) and young infancy (< 3months ) is the most common time for presentation of congenital conditions and the highest susceptibility for infection.
RCEMLearning asked Kate Dear what her tips for new docs in the PED are. Kate is an excellent Nurse Consultant/ANP, and if there is someone who knows, it's her
When many of us think about hydration assessment in children, we think about the long list we were taught in medical school and found on NICE. But when we are working in the PED, we find we are doing all of this assessment subconsciously, all the time
The child with respiratory distress can be difficult to assess, especially in the under 5’s
It's a common card to pick up in some paeds EDs - the yellow newborn. But whilst this can be an 'easy' one, such tiny babies can strike fear into the hearts of some!
EM physicians need to be decision makers, quick thinkers and risk balancers. This is what we are good at. In fact, many will tell you that the purpose of the PEM rotation is to learn to spot the sick child