The PaedsHub Pod

The PaedsHub Pod

By PaedsHubMedicineHealth & Fitness
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The PaedsHub Pod episodes

  • Age-Banded Dosing of Paracetamol

    The BNFc recommends age-banded dosing for children

    prescribed oral paracetamol for non-post operative pain. This was recently challenged by Kirstie Wright and her colleagues following their study published in Archives of Disease in Childhood.  Evaluation of age-banded
    dosing of oral paracetamol in hospitalised children: a retrospective analysis using clinical data in a tertiary paediatric hospital | Archives of Disease in Childhood (bmj.com)

    In this episode, Dr Felicity Cooksey meets with Ceri Gaskell, a specialist pharmacist at Bristol Royal Hospital for Children, to explore the debate.

    Resources:

    ·      Oral paracetamol dosing in hospitalised children in the UK | Archives of Disease in Childhood (bmj.com)

    ·      Paracetamol | Drugs | BNFC |NICE

    ·      A model for size and age changes in the pharmacokinetics of paracetamol in neonates, infants and children - PMC (nih.gov)

    ·      UKMIQA-drug-dosing-in-childhood-obesity-1.docx

    (live.com)

    ·      Medicine dosing in childhood obesity | RCPCH

    Ceri’s Favourite Book:

    Pride and Prejudice by Jane Austen

    19 min
  • Neurodevelopmental Care in the Neonatal Unit

    In this episode, Dr Leila Ellis welcomes Dr Alicia Regan to the podcast to discuss neurodevelopmental care in the neonatal unit. Alicia is a paediatric registrar with a special interest in neonatal medicine based in the South West. She has been working with colleagues to introduce the South West Cuddle Bundle aiming to educate staff and parents on the benefits of cuddles in the neonatal unit.


    Publications:

    • Als, H. and B. McAnulty, G. (2011) ‘The newborn individualized developmental care and assessment program (NIDCAP) with Kangaroo Mother Care (KMC): Comprehensive care for preterm infants’, Current Women’s Health Reviews, 7(3), pp. 288–301. doi:10.2174/157340411796355216.
    • Jefferies, A. (2012) ‘Kangaroo care for the preterm infant and family’, Paediatrics and Child Health, 17(3), pp. 141–143. doi:10.1093/pch/17.3.141.
    • Lee, J. et al. (2021) ‘Parent–infant skin-to-skin contact reduces the electrical activity of the diaphragm and stabilizes respiratory function in preterm infants’, Pediatric Research, 91(5), pp. 1163–1167. doi:10.1038/s41390-021-01607-2.
    • Linnér, A. et al. (2020) ‘Immediate parent-infant skin-to-skin study (IPISTOSS): Study protocol of a randomised controlled trial on very preterm infants cared for in skin-to-skin contact immediately after birth and potential physiological, epigenetic, psychological and neurodevelopmental consequences’, BMJ Open, 10(7). doi:10.1136/bmjopen-2020-038938.
    • Sanders, M.R. and Hall, S.L. (2017) ‘Trauma-informed care in the newborn intensive care unit: Promoting safety, security and connectedness’, Journal of Perinatology, 38(1), pp. 3–10. doi:10.1038/jp.2017.124.
    • Smith, E.R. et al. (2017) ‘Barriers and enablers of health system adoption of Kangaroo Mother Care: A systematic review of Caregiver Perspectives’, BMC Pediatrics, 17(1). doi:10.1186/s12887-016-0769-5.


      • Websites:

      • South West Cuddle Bundle
      • South West Neonatal Network
      • Blooming Littles


        • Book recommendation:

        • Jamaica Inn by Daphne du Maurier


          • If you have questions after listening to this episode or if you would like to become a Cuddle Champion, you can contact Alicia ([email protected]) or the South West Neonatal Network team.

          37 min
        • Child Sexual Abuse

          In this episode, Dr Felicity Cooksey welcomes Dr Michelle Cutland to the podcast. Dr Cutland is clinical director for the children’s service at a Sexual Assault Referral Centre in the South West of England and clinical co-lead for Physical Signs of Child Sexual Abuse 3rd Ed, which is due for release in August 2023.

          They discuss communicating with children and young people

          following disclosures of sexual harm, the importance of reinforcing bodily autonomy to children and the updates to Physical Signs of Child Sexual Abuse (also known as the ‘purple book’). 

          Resources

          ·      Data on the scale and nature of CSA The scale and nature of CSA - CSA Centre

          ·      RCPCH Child Protection Portal Child protection resources – RCPCH Child Protection Portal

          ·      Physical Signs of Child Sexual Abuse Physical signs of child sexual abuse - evidence-based review | RCPCH

          ·      Child centre of expertise for child sexual abuse- indicators of abuse (Signs & Indicators Template - CSA Centre), communicating with children Communicating with Children Guide - CSA Centre

          ·      The Green House (Home - The Green House (the-green-house.org.uk)

          ·      Somerset Phoenix project (Somerset Phoenix Project)

          ·      Pants: The Underwear Rule (Talk PANTS & Join Pantosaurus - The Underwear Rule | NSPCC)

          Book recommendations

          ·      My Dark Vanessa  by Kate Elizabeth Russell

          ·      Bird of Winter by Alice Hiller

          ·      Indescribable by Candice Harris

          Television recommendation

          ·      Unbelievable series 1, episode 1 (available on Netflix)

          If you have questions after listening to this episode, you can contact Michelle via her email address ([email protected]) or discuss with your local safeguarding lead.

          42 min
        • Child refugee and migrant health needs

          This month Dr Tabitha Campbell, GP trainee, joins Dr Paulina Connolly to talk through the 15-minute Consultation paper: “What do paediatricians need to know about child refugee and migrant health needs?” by Dr Aoife Ryan & Dr Alison Kelly from the Online First section of ADC Education & Practice: https://ep.bmj.com/content/early/2023/01/26/archdischild-2022-324836

          Dr Campbell originally found the 3-D assessment on Paediatric FOAMed:  “The 3-D Assessment for Refugee, Asylum-Seeking or Trafficked Children”, an excellent article by Dr Laura C. Wood: https://www.paediatricfoam.com/2018/03/refugee-asylum-seeking-trafficked-children/

          Another extremely useful resource by the RCPCH - Refugee and asylum seeking children and young people - guidance for paediatricians:  https://www.rcpch.ac.uk/resources/refugee-asylum-seeking-children-young-people-guidance-paediatricians 

           

          WHO estimates of Tuberculosis incidence are easiest to find on the Gov.uk website: https://www.gov.uk/government/publications/tuberculosis-tb-by-country-rates-per-100000-people/who-estimates-of-tuberculosis-incidence-by-country-and-territory-2020-accessible-text-version

          But for more comprehensive data on TB you can read the WHO yearly global report: https://www.who.int/teams/global-tuberculosis-programme/tb-reports/global-tuberculosis-report-2022/tb-disease-burden/2-1-tb-incidence

          And there’s also advice on testing for infection in their guidelines: https://www.who.int/publications/i/item/9789240056084

          The landing page for RCPCH resources for FGM including links to government guidance:  https://www.rcpch.ac.uk/resources/female-genital-mutilation-resources

          And free online learning: https://www.rcpch.ac.uk/resources/female-genital-mutilation-online-learning

          The Refugee council website has a wealth of information. Below is the page discussing Mental health support for refugees, and also a link at the bottom of the page: https://www.refugeecouncil.org.uk/our-work/mental-health-support-for-refugees-and-asylum-seekers/

          Dr Campbell’s recommended book was: “Where the Crawdad’s Sing” by Delia Owens, and her recommended Podcast was the “Off Menu” by comedians Ed Gamble and James Acaster.

          32 min
        • Not all wounds are visible: A live PaedsHub Pod recording

          This episode was recorded in front of a live audience at the 2023 RCPCH Annual Conference, Glasgow. Dr Felicity Cooksey and Dr Leila Ellis were joined by an expert panel to discuss: What could the role of the general paediatric ward be in caring for a young person with a mental health presentation?


          Panelists included:

          • Dr Anna Kyle, Consultant General Paediatrician and Clinical Lead for mental health and eating disorders in Musgrove Park Hospital, Somerset NHS Foundation Trust;
          • Dr Elaine Lockhart, Chair of the RCPsych Child and Adolescent Faculty with over 20 years’ experience working as a Consultant in Paediatric Liaison Psychiatry     
          • Dr Lee Hudson, Clinical Associate Professor, Honorary Consultant General Paediatrician and Principal Investigator for the MAPS study.


            • During the live session, we read a poem by Anna Perkins ‘An NG Feed’ which is available to read in the NHS Paediatric restrictive practices and nasogastric feeding guidance (https://ngt-restrictive-practice.nhs.uk/)


            Resources

            • RCPCH Child mental health webpages (https://www.rcpch.ac.uk/key-topics/child-mental-health)
            • RCPsych Medical emergencies in eating disorders (MEED) Guidance on recognition and management. CR233. 2022
            • RCEM The ABC of self-harm in young people: A psychiatric approach to resuscitation. Sabel E. 2019
            • NICE Self-harm: Assessment, management and preventing recurrence. NG225. 2022       
              • NHS Paediatric restrictive practices and nasogastric feeding guidance (https://ngt-restrictive-practice.nhs.uk/)


              Book recommendations

              • Dr Anna Kyle: The Shock of the Fall by Nathan Filer
              • Dr Elaine Lockhart: The Body Keeps the Score by  Bessel van der Kolk
              • Dr Lee Hudson: Wolf Hall by Hilary Mantel

                • 36 min
              • The Neonatal Gut Microbiome

                In this episode Dr Paulina Connolly discusses recent articles looking at the neonatal microbiome, dysbiosis and interventions intended to manipulate the microbiome & improve neonatal outcomes:

                Manipulating the neonatal gut microbiome: current understanding and future perspectives | ADC Fetal & Neonatal Edition (bmj.com)


                Impact of intrapartum antibiotics on the infant gastrointestinal microbiome: a narrative review | Archives of Disease in Childhood (bmj.com)

                Effect of prophylactic dextrose gel on the neonatal gut microbiome | ADC Fetal & Neonatal Edition (bmj.com)

                Necrotising enterocolitis, late-onset sepsis and mortality after routine probiotic introduction in the UK | ADC Fetal & Neonatal Edition (bmj.com)

                18 min
              • Febrile neutropaenia

                This month Dr Simon Parke, Paediatric Oncologist, joins Dr Paulina Connolly to discuss the research paper: "Can I go home now? The safety and efficacy of a new UK paediatric febrile neutropaenia protocol for risk-stratified early discharge on oral antibiotics" by Dr Jackson et al from the March 2023 edition of Archives of Disease in Childhood (https://adc.bmj.com/content/108/3/192). Dr Parke's film recommendation is "The Princess Bride", and his book recommendation "Love in the Time of Cholera" by the author Gabriel García Márquez.

                30 min
              • Communicating with Parents

                In this episode, Dr Rebecca Treleaven discusses the complexities of the clinician parent exchange and how to improve our communication skills through the review article: “Vulnerabilities in clinician–parent exchanges and the cascade of communication traps: a review”

                https://adc.bmj.com/content/108/2/86.

                13 min
              • Child poverty and health inequalities

                In this episode, Dr Felicity Cooksey has a conversation with Dr Helen Leveret about child poverty and how paediatricians can advocate for reducing health inequalities. They discuss the article Child poverty and health inequalities in the UK: a guide for paediatricians | Archives of Disease in Childhood (bmj.com).

                Resources:

                https://bmjpaedsopen.bmj.com/content/6/1/e001631- Dr Singh & Dr Uthayakumar-Cumarasamy review on the Cost of living crisis: a UK crisis with global implications – A call to action for Paediatricians.

                https://www.rcpch.ac.uk/key-topics/child-health-inequalities- the RCPCH child health inequalities toolkit to assist anyone interested in developing their knowledge, improving their communication with families, starting QI projects & advocating for change on a local and national level.

                Supporting child health fighting poverty | Wellbeing and Health Action Movement (whamproject.co.uk) – A movement to inform, empower and unite clinicians who fight child poverty and health inequality.

                https://www.rcpch.ac.uk/news-events/news/child-health-inequalities-podcast-1-talking-families - this edition of the RCPCH podcast discusses how to have meaningful & approachable conversations with families around living in poverty.

                30 min
              • Group A Streptococcal infections and the Interim Clinical Guidance

                In this episode, Dr Felicity Cooksey & Dr Leila Ellis have a conversation with Katie Heard, a Specialist Pharmacist with an interest in antimicrobials and infectious diseases, about Group A Strep & looking at the interim clinical guidance from the UK HSA.  They discuss signs of Streptococcal infections and Scarlet fever, local statistics, the FeverPAIN score & the recent changes to it, testing and prescribing advice taking into consideration current supply issues.


                Resources discussed:

                UK HSA Interim Clinical Guidance & Safety netting advice: 

                • https://www.england.nhs.uk/publication/group-a-streptococcus-communications-to-clinicians/#:~:text=Interim%20clinical%20guidance%20update%20aimed,released%20on%202%20December%202022
                • https://www.what0-18.nhs.uk/professionals/gp-primary-care-staff/safety-netting-documents-parents/strep-and-scarlet-fever

                  • Resources for learning more about rashes in a range of skin tones:

                  • https://dftbskindeep.com/about/
                  • https://www.blackandbrownskin.co.uk/mindthegap

                    • The Kidzmed prescribing project:

                    • https://qicentral.rcpch.ac.uk/medsiq/patient-support/creating-a-pill-school-the-kidzmed-project/
                    • https://adc.bmj.com/content/105/11/1105
                      • 28 min

                    About The PaedsHub Pod

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                    An educational podcast created by paediatric trainees in the Southwest. Featuring reviews of articles and interviews with authors and specialists.