Archives of Disease in Childhood - Education and Practice Archives of Disease in Childhood - Education and Practice RSS feedThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Juvenile spring eruption: a seasonal rash
A boy aged 14 years presented with itchy small red lumps on the helix of each ear the morning after playing a preseason cricket match for his local club (figures 1 and 2). These lumps evolved into blisters then crusted and healed without scarring over a 10-day period. He was systemically well with no temperatures or other skin lesions, but found to have mild cervical lymphadenopathy. The lumps were noted to recur the following year at the start of the cricket season. Test your knowledge What is the most likely diagnosis? Sunburn Juvenile spring eruption Eczema Chondrodermatitis nodularis helicis Phytophotodermatitis What i...
Source: Archives of Disease in Childhood - Education and Practice - January 19, 2023 Category: Pediatrics Authors: Hope, C., Modgil, G. Tags: Epilogue Source Type: research

An ulcerated lesion in a previously well child
A previously well 6-year-old girl was referred to clinic with a 5-month history of an ulcerated lesion on her left forearm after sustaining an insect bite in Iraq, having recently emigrated to the UK. The lesion was initially painful and later became ulcerated, pruritic and inflamed. She previously received treatment with topical corticosteroid with no improvement. There were no systemic symptoms of fever, weight loss or night sweats. She had no significant medical history, no allergies or regular medication. Her vaccinations were up to date including BCG. There was no known exposure to tuberculosis and no other family mem...
Source: Archives of Disease in Childhood - Education and Practice - January 19, 2023 Category: Pediatrics Authors: Mulholland, M., Glancy, C., Sweeney, E., Surgenor, L., Hunter, H., Walker, S., Christie, S., Mallett, P. Tags: Epilogue Source Type: research

A hard lump on a childs shin
A 16-month-old boy presents to the emergency department referred by his general practitioner with a painless lump on his right leg gradually increasing in size over the last 3 weeks. There is no associated trauma, no similar swellings elsewhere, and no weight loss, night sweats, fever or ill health. Although not walking independently, he can bear weight on his legs, stand with support and cruise. His fine motor and sociocommunicative milestones are age-appropriate. Examination reveals a 1.5 cm hard, painless, spherical lesion with smooth surface, non-mobile and likely adherent to the underlying bone. Its location is over t...
Source: Archives of Disease in Childhood - Education and Practice - January 19, 2023 Category: Pediatrics Authors: Ross, P., Henderson, J., Martin, R., Shah, S. Tags: Epilogue Source Type: research

Newborn with ear and skin anomalies at birth
History and examination A term, appropriately grown, female infant born in good condition by vaginal delivery with normal antenatal course was noted to have an abnormality of the right external ear (figure 1) and two birthmarks (figures 2 and 3) that did not grow in size at follow-up aged 3 months. Test your knowledge What is the likely cause of these birth defects? Chromosomal abnormality Single gene mutation Prenatal environment Multifactorial influences Unknown What are the vascular lesions? Superficial infantile haemangioma (IH) PHACE syndrome Kasabach-Merritt phenomenon Port-wine stain Naevus simplex With regard to th...
Source: Archives of Disease in Childhood - Education and Practice - January 19, 2023 Category: Pediatrics Authors: Montgomery, S., Ross, P., OHagan, A., Trimble, K., Shah, S. Tags: Epilogue Source Type: research

Atypical newborn eye examination
You are asked to perform a routine newborn examination on a term baby, out of hours, as his parents are eager to take him home. When examining his eyes, you note this appearance (figures 1 and 2). The parents ask if you have found a problem and what this means for their baby. Test your knowledge Examination: what term describes the appearance of the eyes in the images? Coloboma. Aniridia. Retinal detachment. Epiphora. Ophthalmological problems: which of the following can occur as a result? Photophobia. Glaucoma. Cataract. Nystagmus. Decreased visual acuity. All of the above. Aetiology: what is the most frequent cause of an...
Source: Archives of Disease in Childhood - Education and Practice - January 19, 2023 Category: Pediatrics Authors: Edwards, G., Aman Ullah, M., Sunderesan, R. Tags: Epilogue Source Type: research

Presentation design and delivery to improve knowledge translation in a remote world
We describe established presentation techniques that improve knowledge translation and how to use them in both face-to-face and remote settings. (Source: Archives of Disease in Childhood - Education and Practice)
Source: Archives of Disease in Childhood - Education and Practice - January 19, 2023 Category: Pediatrics Authors: Leo, G. S. Y., Fisher, R., Davis, T., Lawton, B., Goldstein, H., Tagg, A., Roland, D., on behalf of Dont Forget the Bubbles Tags: Open access Review Source Type: research

'Im too busy to teach. Tips for teaching when time is tight
This article aims to highlight the abundance of learning opportunities that arise outside of such formal teaching events in daily clinical practice. It first discusses the qualities and skills of a time-efficient, yet effective, teacher. Practical suggestions are then provided in order to maximise learning from important opportunities that occur daily from handovers, ward rounds, clinics to tea-trolley teaching aiming to give encouragement to all that valuable teaching is possible even when time is limited. (Source: Archives of Disease in Childhood - Education and Practice)
Source: Archives of Disease in Childhood - Education and Practice - January 19, 2023 Category: Pediatrics Authors: McLaughlin, D., Mulholland, M., McKenna, D., Mallett, P., Lewis, J. Tags: Learning and teaching Source Type: research

Differential attainment: how can we close the gap in paediatrics?
Differential attainment is the gap in attainment between different demographic groups undertaking the same assessment. Across the UK, we see differences in outcome in undergraduate and postgraduate medical education on the basis of gender, age, ethnicity and country of primary medical qualification which cannot be explained by a difference in ability. The largest gaps appear when we look at the variation in outcome between UK and international medical graduates (IMGs) and between white British and black, Asian and minority ethnic (BAME) doctors in postgraduate medical education. If we look to postgraduate medical examinati...
Source: Archives of Disease in Childhood - Education and Practice - January 19, 2023 Category: Pediatrics Authors: Kelly, L., Sankaranarayanan, S. Tags: Editor's choice, Learning and teaching Source Type: research

Delayed antibiotic prescription did not delay recovery in children with respiratory tract infections
Study design: Randomised clinical trial. Allocation: Centrally allocated via an online platform. Stratified by pathology and in blocks. Setting: 39 primary care centres in Spain. Patients: 436 children aged 2–14 years who presented to primary care with respiratory tract infections (RTIs). Intervention: Patients diagnosed with an acute RTI were given either immediate (IAP), none (NAP) or delayed (DAP) antibiotic prescriptions. Antibiotic type was decided on by the prescribing doctor. A structured approach was used to deliver parent/patient education on the natural history of the disease and those given delayed prescri...
Source: Archives of Disease in Childhood - Education and Practice - January 19, 2023 Category: Pediatrics Authors: Stewart, E. J. Tags: Key publications in paediatrics: Picket Source Type: research

Increased short-sightedness in younger children associated with home schooling and confinement
Study question Objectives: To assess the refractive error of school age children following home confinement owing to the COVID-19 pandemic and to compare findings with preceding years. Setting: Ten elementary schools in Shandong, Feicheng, China, from 2015 to 2020. Patients: 123 535 children aged 6–13 years were assessed annually with an automated-refraction device. Intervention During 4 months of home isolation preceding the 2020 assessment, children in grades 1 and 2 (age 6–8 years) were taught online for 1 hour/day, whereas those in grades 3–6 (age 8–13 years) were taught for 2.5 hours/day. Outdo...
Source: Archives of Disease in Childhood - Education and Practice - January 19, 2023 Category: Pediatrics Authors: Jawaid, I., Wacogne, I. D., Abbott, J. Tags: Picket, COVID-19 Key publications in paediatrics: Picket Source Type: research

Fingolimod significantly reduces MRI activity in paediatric-onset multiple sclerosis (MS)
Conclusion: Fingolimod significantly reduces MRI findings consistent with active disease and rate of relapses in paediatric MS. Commentary Paediatric MS accounts for 3%–5% of all cases and... (Source: Archives of Disease in Childhood - Education and Practice)
Source: Archives of Disease in Childhood - Education and Practice - January 19, 2023 Category: Pediatrics Authors: Chapman, L. Tags: Key publications in paediatrics: Picket Source Type: research

LMA was not superior to face-mask ventilation for neonatal resuscitation in term and later preterm infants born in Uganda
Study design: Superiority randomised controlled trial. Allocation: Cluster randomisation with face mask or laryngeal mask airway (LMA). Blinding: Unblinded. Setting: Single-site maternity hospital in Uganda. Patients: Babies born in hospital requiring positive pressure ventilation with gestational age of 34 weeks and weight of greater than 2 kg. Exclusion criteria include stillbirths and infants with major malformations affecting airways or incompatible with life. Intervention: Resuscitation by a midwife with face mask or LMA. Outcomes: The primary outcomes were neonatal intensive care unit (NICU) admission with moderate t...
Source: Archives of Disease in Childhood - Education and Practice - January 19, 2023 Category: Pediatrics Authors: Ahmed, A., O'Shea, J. E. Tags: Key publications in paediatrics: Picket Source Type: research

Review of the new APLS guideline (2022): Management of the convulsing child
Background Convulsive status epilepticus (CSE) (box 1) is the most common childhood medical neurological emergency, with an incidence of approximately 20 per 100 000 per year in the developed world.1 2 Box 1Definition of status epilepticus Status epilepticus is a condition resulting either from failure of the mechanism responsible for seizure termination or from the initiation of mechanisms, which lead to abnormally prolonged seizures (after time point t1 at 5 min). It is a condition, which can have long-term consequences (after time point t2 after 30 min) including neuronal death, neuronal injury and alteration of neurona...
Source: Archives of Disease in Childhood - Education and Practice - January 19, 2023 Category: Pediatrics Authors: Bacon, M., Appleton, R., Bangalore, H., Brand, C., Browning, J., Chin, R. F., Mahal, S., Saranga Estevan, S., McHale, K., McLellan, A., Milne, N., Pujar, S., Rao, T., Short, S., Warriner, S., Yoong, M. Tags: Guideline review Source Type: research

Resuscitation Council UK: review of updated 2021 neonatal life support guideline
Introduction National guidance on neonatal life support (NLS) is regulated by the Resuscitation Council UK, and the NLS guidelines were updated in May 2021. This process was led by systematic reviews by the International Liaison Committee on Resuscitation (ILCOR) in collaboration with the European Resuscitation Council and accredited by the National Institute for Health and Care Excellence. The NLS algorithm (figure 1) is the hallmark in guidance for newborn resuscitation. In this guideline review, we discuss the key changes made to practice, explore the current and ongoing controversies in neonatal resuscitation and revie...
Source: Archives of Disease in Childhood - Education and Practice - January 19, 2023 Category: Pediatrics Authors: Pemberton, C., Howarth, C. Tags: Guideline review Source Type: research

Fifteen-minute consultation: Airway management in the acutely unwell child requiring intubation for the general paediatrician
This article aims to develop a shared understanding of the practicalities and language around the risk factors for difficult intubation and management of failed intubation, including the approach to situations where you cannot intubate and or cannot ventilate, to improve communication and team working between these dynamic interdisciplinary teams. (Source: Archives of Disease in Childhood - Education and Practice)
Source: Archives of Disease in Childhood - Education and Practice - January 19, 2023 Category: Pediatrics Authors: Shires, P., Harlow, G., Holecova, A. Tags: Best practice and Fifteen Minute Consultations Best practice and Fifteen-minute consultations Source Type: research