It's getting hot in here! Ontario is under a heat alert!
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Caring for kids tip sheet - caringforkids.cps.ca/handouts/saf...
Gov of Canada - www.canada.ca/en/health-ca...
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#summer #ontario #hot #heat #summertime #KidsHealthMatters #PaedsTips #DoctorReels #ParentingTips2025
My tips: analgesia first! If not on the bed, ask them to climb up themselves. Like Andrew, I find distraction is key to Paed abdo exam - I use that time to ask the child about their last holiday; where they went and what they did. Covers tropical disease AND distracts #paedstips
Great #paedstips from my colleague Andrew Cooke on abdo exam in today’s ED registrar teaching; open by bumping into the bed “by accident” - child laughs? Unlikely peritonitis if can tolerate bump and laughter. Start with auscultation of lungs, Then move to examine... (1/2)
Love this post by @lifeinedcom - a great prelude to my #PaedsTips talk at #SWEETs15 Parental Instinct #FOAMped http://lifeined.com/?p=169
Seeing paediatric patients for the first time? Don't be scared.
Chances are there are enough scared people in the room already.
#PaedsTips
Seeing paeds patients? Identify AND address these factors to make your assessment easier
#PaedsTips #FOAMped #FOAMed http://t.co/DoLmSQU2Qf
#PaedsTips #smaccGOLD Parents/carers need praise in ED too. I get kids to give their parents "well done" stickers after paed procedures 😀
#PaedsTips #smaccGOLD Leaning over kids is intimidating; try to get to the same level as your pt - kneel/sit on floor! H/T @gordonwgfrench
#PaedsTips #smaccGOLD All kids too young to give history must be completely stripped off (incl nappy) - don’t miss NAI/non-blanching rashes!
#PaedsTips #smaccGOLD Babies are nice. And sometimes teenagers have them. Think: pregnancy test!
#PaedsTips #smaccGOLD For some procedures, position is key. Experienced paeds nurse assistance = gold, whether IV cannula or LP.
#PaedsTips #smaccGOLD Drug doses are easy to screw up. Double check & ask if dose makes sense. If more than adult dose, it's probably wrong!
#PaedsTips #smaccGOLD Sucrose reduces the pain (or at least, the subjective assessment of pain) of cannulation/venepuncture in neonates.
#PaedsTips #smaccGOLD Beware monitors recording paed HR - get an ECG. Arrhythmias (esp. SVT) can confuse the monitor.
#PaedsTips #smaccGOLD You need to wake babies & toddlers to assess conscious level.Get mum/dad to do it (but examine their chest first)
#PaedsTips #smaccGOLD You have to hug babies. It gives you info about handling/tone. Floppy/stiff – beware. Hug a few to get used to it :-)
#PaedsTips It can make parent feel like a failure: important to acknowledge and reassure. I usually tell baby off too [2/2]
@Damian_Roland
#PaedsTips #smaccGOLD Umbilical hernias almost always resolve in kids <4. Concerned? Squeeze it! They don’t need surgery (H/T @ffolliet 1/2)
#PaedsTips #smaccGOLD Non-specific abdo pain localises at T10 – periumbilical. Does not mean hernia obstructed (H/T @ffolliet 2/2)
#PaedsTips #smaccGOLD Babies cry; for lots of reasons (and sometimes just cry!). If there’s nothing in the history, have a mental checklist
#PaedsTips #smaccGOLD Never forget non-accidental injury. Do you believe what you’re hearing; does it make sense & correlate with injury?
#PaedsTips #smaccGOLD LATgel (TACgel) is a wonderful thing. If child lets you apply it, usually let you clean & close wound (H/T @rmjenner)
#PaedsTips #smaccGOLD Toddlers vomit. Toddlers fall over. -> HI. If all else is normal, consider admit & observe drgdh.wordpress.com/2012/07/16/bumps-brains-...
#PaedsTips #smaccGOLD Kids heal better than adults; skin included. Most wounds don’t need sutured. Think tissue glue/steristrips
#PaedsTips #smaccGOLD Sedation for trauma scans is different from elective CTs/MR scans. Think RSI & intubation.
#PaedsTips from young people - for all HCPs #FOAMed
#FOAMped "MT @KathEvans2: Top tips from young people http://t.co/bXk5iYKX4C"
#PaedsTips #smaccGOLD Collars & boards are uncomfortable & scary. Be pragmatic; child will do more damage trying to escape - omit if needed.
#PaedsTips #smaccGOLD Kids don’t have same bony tenderness as adults – buckle fractures = min swelling. Lower threshold for XR if concerned.
