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Don't Forget the Bubbles

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Assessing developmental milestones is a core part of any paediatric assessment, providing a valuable insight into the health and growth of a child. They can reassure us that a child is doing well, or prompt us to investigate further, and also fuel subtle competitive comparison between parents.

As I have checked off these milestones...


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Summer holidays have just begun, and you’re working in the emergency department when 6-year-old Anisha is brought in by her concerned parents.

She’s fallen off the climbing frame and has a noticeably deformed right wrist.

After ensuring some good analgesia, you review her X-ray, and she has a significantly displaced distal...


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Can’t get enough of Bubble Wrap? The Bubble Wrap Plus is a monthly paediatric Journal Club reading list from Professor Jaan Toelen (University Hospitals Leuven) and Dr Anke Raaijmakers (Sydney Children’s Hospital).

This comprehensive list is developed from 34 journals, including major and subspecialty paediatric journals. We suggest this list can help you discover ...


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Minor trauma and acute pain are some of the most common reasons children come to the emergency department. Managing that pain well is a clear priority for both clinicians and families, yet it’s often more difficult than it sounds.

In practice, pain in children is still frequently undertreated, and commonly used options like opioids can come with significant side ef...


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(Acknowledgements to the Clinical Excellence Commission, NSW Health, for original title – 2017)

This article is not a criticism of care and should not be used or interpreted as such. Full consent has been given by family and medical teams to share for learning purposes, with names changed for privacy.

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