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ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: The Foundation Years - March 1, 2009 Category: Pediatrics Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: The Foundation Years - March 1, 2009 Category: Pediatrics Source Type: journals

Caring for children – safe and effective practiceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This edition of The Foundation Years deals with the common acute presentations in children. Many young doctors who have not yet had the profound learning experience of having their own offspring will find the prospect of treating children the more frightening the smaller the patient.
Source: The Foundation Years - March 1, 2009 Category: Pediatrics Authors: Heather Payne Tags: Editorial Source Type: journals

The acutely ill child or neonateEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article covers four major topics in paediatrics. Knowledge of their management is important for any Foundation Doctor working within the paediatric department. The febrile child is a common referral to any paediatric unit. Most febrile children are suffering from simple viral illnesses, but occasionally a fever is a sign of a life-threatening illness, such as meningitis. If meningitis is suspected, it is vital to carry out appropriate investigations before treatment is started. There are multiple causes of meningitis, so accurate interpretation of investigations is important in order to manage children appropriately. ...
Source: The Foundation Years - March 1, 2009 Category: Pediatrics Authors: Arveen Kamath, Daniel Rigler Tags: Acute care Source Type: journals

Breathing difficulties and asthmaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article discusses how to use the A-B-C-D-E approach when faced with a child with breathing difficulty while waiting for senior help. The clinical features of croup, bronchiolitis and acute asthma and their management are discussed, highlighting important ‘dos and don’ts’.
Source: The Foundation Years - March 1, 2009 Category: Pediatrics Authors: Vaishali Patel Tags: Acute care Source Type: journals

Fits, faints and funny turnsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes the priorities in management of children and young people presenting with the oft-quoted triad of fits, faints and funny turns. It emphasizes the importance of getting an accurate history, and outlines the various diagnostic possibilities.
Source: The Foundation Years - March 1, 2009 Category: Pediatrics Authors: Duncan Cameron Tags: Acute care Source Type: journals

Abdominal pain, gastroenteritis and dehydrationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article gives you a practical approach to abdominal pain in children and also gives you the most common causes in each group.The other important clinical scenario is gastroenteritis and management of dehydration. I have tried to keep the management as practical as possible, but it is always important to remember to ask for appropriate advice from seniors when in doubt. Also, remember to refer to the local guidelines on the unit.
Source: The Foundation Years - March 1, 2009 Category: Pediatrics Authors: Deepa Narasimhaiah Tags: Acute care Source Type: journals

The injured childEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: The management of the acutely injured child can be a daunting task for any junior doctor. This need not be the case if a calm and methodical approach is employed throughout the assessment. The principles of taking a complete history, including the mechanism of injury, will provide indicators as to the pattern of injury, and a thorough examination will confirm your suspicions. The incidence of fractures in children is twice that of adults1 therefore any doctor working in an emergency environment needs to be confident in dealing with the injured child. Paediatric trauma personnel should also have knowledge of advan...
Source: The Foundation Years - March 1, 2009 Category: Pediatrics Authors: Eleanor Clare Carpenter Tags: Acute care Source Type: journals

Substance misuse and intoxication in adolescentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article explores the common substances of abuse, their clinical presentation and general principles of management. More information can be accessed from any good textbook of psychiatry.
Source: The Foundation Years - March 1, 2009 Category: Pediatrics Authors: Dave Williams, Vineet Padmanabhan Tags: Acute care Source Type: journals

Deliberate self-harmEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article explores history taking, identifying risk factors and general principles of management of young people presenting with deliberate self-harm. This article explores the risk factors which are associated with deliberate self-harm and their importance in assessment and management. The reader is advised to refer to more detailed texts, national and international guidelines for further information.
Source: The Foundation Years - March 1, 2009 Category: Pediatrics Authors: Dave Williams, Vineet Padmanabhan Tags: Acute care Source Type: journals

The particular needs of children and adolescents – not just little adultsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article gives a brief overview of some communication skills for use with children. It also gives a breakdown of the legal issues surrounding consent and parental responsibility and wider issues relating to the United Nations Convention on the Rights of the Child. Some paediatric ethical dilemmas are also explored. This article is relevant to both prospective paediatricians and those aspiring to any speciality involving work with children.
Source: The Foundation Years - March 1, 2009 Category: Pediatrics Authors: Catrin Horsman Tags: Professional skills Source Type: journals

Child protection: basics of recognition and referralEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article gives a brief history of safeguarding and promoting the welfare of children, and an overview of recognition and referral of child protection concerns. The reader is advised to refer to Trust and Local or National child protection procedures for further management.
Source: The Foundation Years - March 1, 2009 Category: Pediatrics Authors: Rafi M. Gani, Christopher Woolley Tags: Professional skills Source Type: journals

Imaging of the symptomatic paediatric hipEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Hip pain is a common complaint in both children and adolescents. The diagnostic challenge lies not only in the difficulties of history and examination in the paediatric population, and that hip pathology can be referred from other sites, but also that the differentials are broad. Although an accurate history and clinical evaluation are vital in narrowing this wide differential, imaging plays a key role in establishing an accurate diagnosis. The various imaging modalities available, together with the common causes of non-traumatic hip pain within the paediatric population, are reviewed in this article.
Source: The Foundation Years - March 1, 2009 Category: Pediatrics Authors: Deena Neriman, Rizwan Basit, David C. Howlett Tags: Imaging Source Type: journals

If I could set the medical research agenda for the next ten yearsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
, it would lead to a significant re-ordering of current research priorities. The amount of research money spent on diseases which cause completely preventable deaths among the poor, such as diarrhoeal disease, acute respiratory tract infection or malaria, is trivial compared to that which is spent on research into the diseases of affluence. This is sad because the great majority of the children, pregnant mothers and other vulnerable groups who die in developing world settings do so with a single problem which would be relatively easily solved by medical interventions. The map below () shows infant mortality, but the patter...
Source: The Foundation Years - March 1, 2009 Category: Pediatrics Authors: Christopher J.M. Whitty Tags: Academic Source Type: journals