Author Archives: PS Bhowmik

Paediatric Quick Hits

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Welcome to Paediatric Quick Hits, your go-to source for the latest and most important updates in paediatric emergency medicine. Dr. Val Astle, FACEM, PEM, shares essential information, topical insights, and new developments crucial for healthcare professionals working with children each week. Stay informed and enhance your practice with expert guidance and up-to-date knowledge from one of the leading voices in paediatric emergency care. Join us for quick, concise, and impactful updates that make a difference in your clinical practice.

 

Case of the Week 25

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A 25-year-old man presented to the emergency department after a motorbike accident on the freeway. On the scene, his blood pressure was 90 systolic, HR 110. He is in spinal precaution and is significantly distressed due to pain.

During his assessment, a pelvic X-ray was obtained.

Interpret the X-ray.

Image courtesy- www.healio.com/orthopedics/journals/ortho

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Case of the week 24

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A 32-year-old female is brought by ambulance to the ED. She was a driver of a small hatchback car, which was hit by another car on the passenger side on Marmion ave an hour ago. She is 32 weeks pregnant. The patient is in the resuscitation cubicle, with full cardio-respiratory monitoring and spinal immobilization. The hospital trauma call has done by Triage nurses already.

Her Vitals- GCS-15, HR- 130, BP- 90/60, RR- 24, Sats- 99% (6 L/min Oxygen)

  • What are the key features of your initial assessment?

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Case of the week 22

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On a busy night shift, the medical emergency alarm went off in the EAU area. A 33-year-old lady who was receiving the first unit of PRBC for her anemia complicated by the menorrhagia, feeling very unwell and dizzy.

Vitals- HR120, BP- 80/50, RR- 36, Temp-39

  • Outline your differential diagnosis and initial response to that situation.

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Case of the week 21

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Handover at 0800- 53-year-old Indian presenting to hospital with severe neck pain. History is difficult to attain because of the language barrier. The night RMO has sent some blood and gave her some analgesics, including a 5 mg tablet of Oxycodone.

The RMO thinks the patient will need further assessment.

  • How will you approach the situation?

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