Tag Archives: allergy

ED version of Paediatric Pearls for March 2011

Child Protection, For Emergency Departments, , , ,

The March 2011 version is now published.  I have covered the new NICE guideline on food allergy and provided a link to the Allergy Academy which runs some really excellent course on all aspects of allergy in children, including one specifically for ED physicians.   There’s a bit on how to get foreign bodies out of noses and a text box on the paediatric early warning system or PEWS.  I have reminded you all that children under 18 months with a fracture need to be seen by a paediatrician before discharge for a safeguarding assessment.  This guideline comes from a new document put together by the NSPCC and the Welsh Child Protection group.  The pamphlet, downloadable here, describes when to suspect physical abuse in children with fractures and is useful reading for all ED practitioners.  Do leave comments below.

March Paediatric Pearls for GPs

For General Practitioners, , ,

The March 2011 version is now published.  I have covered the new NICE guideline on food allergy which I think you will all find helpful and provided a link to the Allergy Academy which runs some really excellent course on all aspects of allergy in children.  We continue with the 6 week check series with some information and pictures on fontanelles, craniosynostosis and positional plagiocephaly.  There’s a bit on how to get foreign bodies out of noses.  Do leave comments below.

Faltering growth

For General Practitioners, ,

I am teaching our local GPVTS trainees this week on faltering growth, food allergy and coeliac disease.  As usual, I have learnt more from preparing their presentation than they are going to learn in the hour it will take me to present it!  I have found a great GP training website set up by a GP in the north of the UK with similar altruistic aims to me.  Have a look at what he has to say on faltering growth at http://www.gp-training.net/training/tutorials/clinical/paediatrics/pgrowth2.htm. 

I have put together an algorithm for managing cows’ milk protein allergy and a table on various different infant formulas which you are welcome to download or comment on.

I used to work in Poole Hospital, Dorset and was pleased to find this patient information leaflet from the dieticians there on tips for families where a child is refusing to eat: http://www.poole.nhs.uk/documents/leaflets/nutrition/My%20Child%20Wont%20Eat.pdf.  It is based on the leaflet “Help, my child won’t eat” which is put together by the Paediatric Group of the British Dietetic Association but not obviously available on-line.