Lots of advancements coming in this field - some a little more critical care than ED but hugely interesting! #premier2025 @rcpch.bsky.social

Did you know that globally injury/trauma is the leading cause of death in the under 40s? (Importantly almost all children are under 40 years old)
Primary brain injury - subarachnoid patients do worse in terms of outcomes #premier2025

The main principle of chemical incident treatment is REMOVAL - dry and wet. Where is the equipment for this in your ED? How would you decontaminate patients? #premier2025

We move onto Chemical Major Incidents with Jon Lang - who makes chemistry interesting, something my A-Level made me think was impossible. Always think own/staff safety first - you cannot help patients if you are contaminated or harmed! #premier2025

Also watch for the physical displacement effects of tumours - including spinal cord compression and mediastinal masses. Even intubation does not guarantee your patient is safe - I've had an ET tube block off after placement when a child was moved. Beware. #premier2025

Lunch was some excellent curry, I got distracted playing with vascular access models and missed out on the brownie desserts though. Moment of silence please. #premier2025 #chocolateislife

ARFID - diagnosis requires one of "clinically significant" nutritional deficiency (most commonly used criteria), psychosocial impact (common but harder to specify), or dependence on supplements #premier2025 @rcpch.bsky.social @rcemlearning.bsky.social

Moving down to the abdomen and haemolytic uraemic syndrome - diagnosis and careful fluid management is key to CED treatment, look out for these complications #premier2025

Paediatric ECG: Stepwise approach Stepwise assessment of the paediatric ECG, including rhythm, rate, axis, intervals, ST segments and Q/P/T/U waves

We move on to the thorax theme with a review of paediatric ECGs. Take a structured approach especially if you are used to adults - like everyone else I use the Life in the Fast Lane guide on a regular basis litfl.com/paediatric-e... #premier2025