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How and when to refer a child for specialist paediatric palliative care

1 Paediatric Palliative Care, Helen & Douglas House Hospices, Oxford, UK 2 Clinical Services, Helen & Douglas House Hospices, Oxford, UK Correspondence to Dr Emily Harrop, Consultant in Paediatric ...
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Fifteen-minute consultation: Maintenance and reliever therapy for the management of asthma in children and young people

Asthma is the most common chronic disease of childhood. Acute asthma attacks are a frequent reason for emergency presentation in children and young people (CYP), and fatal asthma attacks can occur ...
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Table 2

Chlorhexidine+hand washing 0.53 (0.32 to 0.88) 0.64 (0.39 to 1.06) 20.3 Hand washing+dry cord care 0.67 (0.48 to 0.93) 1.23 (0.82 to 1.83) 38.4 Chlorhexidine 0.44 (0.29 to 0.67) 0.74 (0.50 to 1.08) 24 ...
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Vulvovaginitis and other common childhood gynaecological conditions

Correspondence to Professor AS Garden, School of Health and Medicine, Centre for Medical Education, Faraday Building, Lancaster University, Lancaster, LancashireLA1 4YB, UK; ...
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Guideline review – human and animal bites: antimicrobial prescribing

Correspondence to Dr Peter Fielding, Paediatric Emergency Department, Alder Hey Children's NHS Foundation Trust, Liverpool L12 2AP, UK; fielding.peter2{at}gmail.com This guideline was produced by the ...
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Fifteen-minute consultation: the child with pica

Correspondence to Dr Ben McNaughten, Royal Belfast Hospital for Sick Children, 180-184 Falls Road, Belfast BT12 6BE, UK; bmcnaughten095{at}hotmail.com Pica is defined as the persistent ingestion of ...
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STAMP: a continuous improvement approach to improve paediatric prescribing and medication safety

We describe an ongoing quality improvement project focusing on paediatric prescribing and medication safety for medical, surgical and oncology patients in a district general hospital. The project is ...
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Implementing transition: Ready Steady Go

There is good evidence that morbidity and mortality increase for young persons (YP) following the move from paediatric to adult services. Studies show that effective transition between paediatric and ...
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Paediatric early warning scores: Holy Grail and Achilles' heel

Paediatric Emergency Medicine Leicester Academic (PEMLA) Group, University of Leicester, Leicester, UK Correspondence to Damian Roland, University of Leicester, Paediatric Emergency Medicine Leicester ...
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15-minute consultation: A structured approach to the assessment of chest pain in a child

1 Department of Paediatric Respiratory Medicine, Southampton Children's Hospital, Southampton, UK 2 Department of Paediatric Intensive Care, Southampton Children's Hospital, Southampton, UK 3 National ...
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Fifteen-minute consultation: when is a seizure not a seizure? Part 2, the older child

Correspondence to Dr Manish Prasad, Department of Paediatric Neurology, Leicester Royal Infirmary, Leicester LE1 5WW, UK; m.prasad{at}nhs.net Paroxysmal non-epileptic events (PNEs) refer to episodic ...
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Table 2

Resistance from colleagues Stakeholder engagement is crucial, make this a trust priority. Use data and patient stories to win hearts and minds, use patient feedback and serious untoward incidents to ...