Articles and features 19/07/2019 Being a paediatrician Preview Article Being a paediatrician Time to read article: 3 mins () ★ Close Preview Dr Michele Afif, Medicolegal Adviser at Medical Protection, reflects on her experiences of working in paediatrics Read more Article contains Text Tagged in... Paediatrics New Doctor Professionalism Career planning
Factsheet 10/12/2018 Consent Preview Article Consent Time to read article: 7 mins () ★ Close Preview Read more Article contains Text Tagged in... Ethics Northern Ireland Scotland Consent Wales Paediatrics
Case report 27/03/2018 A pain in the knee Preview Article A pain in the knee Time to read article: 3 mins () ★ Close Preview Miss F, an overweight 11-year-old, attended her GP, Dr A, complaining of knee pain and clicking for two months following a twisting injury whilst playing football... Read more Article contains Text Tagged in... Competence Diagnosis Paediatrics Casebook
Case report 12/12/2017 An elusive foreign body Preview Article An elusive foreign body Time to read article: 2 mins () ★ Close Preview Child H, a three-year-old boy, was brought into the Emergency Department (ED) of a private hospital by his mother, having inhaled or swallowed a little building brick. They brought a similar piece with them. Child H was seen by a doctor, Dr W, who documented that he appeared well, with no signs of respiratory distress and a normal auscultation. Dr W arranged for him to have a chest x-ray, which both Dr W and a radiologist considered normal. Read more Article contains Text Tagged in... Casebook Casebook Scotland Paediatrics Respiratory Medicine ENT
Case report 14/11/2017 A limping child Preview Article A limping child Time to read article: 3 mins () ★ Close Preview Three-year-old Matthew was brought to the local A&E department by his mum, Mrs U. She told Dr M, the attending doctor, that Matthew had fallen from a chair three days ago and, although he seemed unharmed at the time, he was now refusing to walk. Read more Article contains Text Tagged in... Orthopaedics Paediatrics
Case report 26/10/2017 Paediatric brain injury Preview Article Paediatric brain injury Time to read article: 2 mins () ★ Close Preview Surgery for an arachnoid cyst is complicated by an intracranial bleed. Read more Article contains Text Tagged in... Neurology & Neurosurgery Casebook Scotland Casebook Paediatrics
17/11/2016 Mandatory reporting - should doctors be policing our communities? Preview Article Mandatory reporting - should doctors be policing our communities? Time to read article: 2 mins () ★ Close Preview Trust sits at the heart of the doctor-patient relationship – it is fundamental. I for one have discussed issues with my GP which I would never dream of discussing with friends and family, and as a doctor myself, have been at the receiving end of equally personal and confidential information from patients. Read more Article contains Text Tagged in... Managing clinical risk Paediatrics Generic Medicine
Case report 09/11/2015 Childhood brain cancer Preview Article Childhood brain cancer Time to read article: 2 mins () ★ Close Preview At presentation, Peter was 14 years old and had presented with migraines since the age of 8. He was taking Pizotifen and his headaches were well controlled. Over the past four weeks he had started getting headaches again. They were in a similar location to his migraines, but were different in nature – he couldn’t put his finger on exactly how. Read more Article contains Text Tagged in... Neurology & Neurosurgery Paediatrics Diagnosis Complaints GP locum Managing clinical risk
Factsheet 01/10/2015 Consent – Children and young people - Wales Preview Article Consent – Children and young people - Wales Time to read article: 3 mins () ★ Close Preview Valid consent is just as important when treating children and young people as it is with adults. In some situations children are able to give consent themselves, and sometimes others need to take the decision on their behalf. This factsheet sets out the basic information to enable you to obtain the appropriate consent from children and young people. Read more Article contains Text Tagged in... Paediatrics Generic Medicine Use Guidelines Managing clinical risk Wales Issues & conflict management
Case report 15/05/2015 Cumulative errors Preview Article Cumulative errors Time to read article: 3 mins () ★ Close Preview Mrs G, 34, presented to the delivery suite at 12pm, 38 weeks into her first pregnancy. Her antenatal care had been uneventful apart from measuring slightly “large for dates”. She was found to have a longitudinal lie with a cephalic presentation, and was experiencing three contractions every ten minutes. The midwife examined her and found her to be 2cm dilated with a fully effaced cervix and “intact membranes”. Read more Article contains Text Tagged in... Paediatrics System Errors Managing clinical risk Record keeping Communicate Claims
Case report 05/05/2015 Too much oxygen Preview Article Too much oxygen Time to read article: 2 mins () ★ Close Preview A baby was born by caesarean section at 27 weeks gestation with a birth weight of 980grams. The baby was intubated, ventilated and endotracheal surfactant was administered. Read more Article contains Text Tagged in... Negligence Managing clinical risk Claims Paediatrics
02/02/2015 What is Gillick competence? Preview Article What is Gillick competence? () ★ Close Preview Paediatrician and medicolegal adviser Dr Roger Palmer looks at the issue of consent and capacity in the under 16 age group. In this podcast, Dr Palmer focuses specifically on the issue of Gillick competence, which enshrined the autonomy of competent minors. Read more Article contains Audio Tagged in... Paediatrics Consent
Case report 15/05/2014 The Swiss cheese Preview Article The Swiss cheese Time to read article: 2 mins () ★ Close Preview Mrs X gave birth to J, a healthy baby boy. J was discharged, with a note in the records stating he was a “normal healthy infant”; a further note stated that, on examination, there was a bilateral red reflex. Read more Article contains Text Tagged in... Ophthalmology Casebook Managing clinical risk Diagnosis Paediatrics Investigations
Factsheet 01/10/2013 HSC complaints procedure – Hospital setting Preview Article HSC complaints procedure – Hospital setting Time to read article: 5 mins () ★ Close Preview Complaints in health and social care: standards and guidelines for resolution and learning (2009) aims to provide a simple, consistent approach for staff who handle complaints, and for patients who raise complaints across all health and social care services. Read more Article contains Text Tagged in... Gastroenterology Orthopaedics Sports Medicine Dermatology Genetics & Genomics Cardiology & Vascular Medicine
Case report 05/02/2013 Suspected epilepsy: when to warn Preview Article Suspected epilepsy: when to warn Time to read article: 3 mins () ★ Close Preview A girl of eight, L, was brought by ambulance to the Emergency Department (ED) with a history of a fit during a lesson in school. There was no reliable history: according to friends who had been playing with L, she had touched an electrical socket, fallen, and then had a fit lasting about five minutes, from which she spontaneously recovered. Read more Article contains Text Tagged in... Casebook Neurology & Neurosurgery Diagnosis Managing clinical risk Paediatrics
Articles and features 03/08/2012 Out of my depth Preview Article Out of my depth Time to read article: 5 mins () ★ Close Preview Many new doctors are pushed to the limits of their competence – if you feel out of your depth speak up before it’s too late, says Dr Jo Pointon. Read more Article contains Text Tagged in... Paediatrics Competence Anaesthetics Managing clinical risk New Doctor
Case report 01/09/2011 Mother knows best Preview Article Mother knows best Time to read article: 3 mins () ★ Close Preview Miss T was 17 years old and still at college when she became pregnant with her first child. She gave birth to a healthy baby boy at term, and was discharged the following day, with planned midwifery follow-up at home. At one month old, Miss T became concerned that her infant, baby T, appeared to be having occasional odd movements of his left hand. Read more Article contains Text Tagged in... Listen Paediatrics Communicate Managing clinical risk
Case report 01/09/2006 A long time to claim Preview Article A long time to claim Time to read article: 2 mins () ★ Close Preview Baby P was born by vaginal delivery at home in the early hours of the morning. By lunchtime his mother became concerned that he looked yellow, and discussed this with her midwife. The midwife reassured her, saying that the baby was not washed up yet. Read more Article contains Text Tagged in... Managing clinical risk Paediatrics Neurology & Neurosurgery Negligence Record keeping
Case report 02/01/2006 Three visits in four days don't go Preview Article Three visits in four days don't go Time to read article: 3 mins () ★ Close Preview Baby O, the son of a European mother and North African father, was born at term in the early 1990s and had his first vaccinations at three months old; the health visitor left the section dealing with TB and BCG tests blank on the vaccination card. Read more Article contains Text Tagged in... Paediatrics General practice System Errors Diagnosis Managing clinical risk
Case report 01/11/2004 The missing belly button Preview Article The missing belly button Time to read article: 2 mins () ★ Close Preview Miss S was born with a very large umbilical hernia. Her consultant paediatrician remarked that it was the largest he had ever seen, and asked a surgical colleague, Mr A, to advise. Mr A told Miss S’s mother that the hernia needed surgery, as it would be unlikely to reduce spontaneously. Miss S’s parents gave their consent for the operation. Read more Article contains Text Tagged in... Record keeping Paediatrics Managing clinical risk