Intraosseous lines are a reliable and rapid tool for obtaining vascular access in emergency situations, particularly in children. Their use is recommended when intravenous access cannot be easily secured and there is a need for fluid or pharmacological resuscitation. Training in this technique is included in the Advanced Trauma Life Support (ATLS) and Advanced Paediatric Life Support course (AP...

BACKGROUND Children dying of a life threatening disease suffer a great deal at the end of life. Symptom control is often unsatisfactory, partly because many caregivers are simply not familiar with paediatric palliative care. To ensure that a child with a life-threatening condition receives high quality palliative care, clinical practice guidelines are needed. The aim of this study is to improve...

BACKGROUND Several efforts have been made to assure and to improve the quality of procedural sedation and analgesia (PSA) performed by emergency physicians (EPs) in The Netherlands. This study investigated the current PSA practice and competences of EPs in both adult and paediatric patients. In particular, if residency and current training, awareness of guidelines is sufficient for registered E...

OBJECTIVES To determine the relationship between glycaemic control trajectory and the long term risk of severe complications in people with type 1 diabetes mellitus, as well as the effects of paediatric and adult HbA1c levels. DESIGN, SETTING, PARTICIPANTS Data linkage study of data for adults with childhood-onset type 1 diabetes (diagnosed during 1975-2010) who had transitioned from paediatr...

OBJECTIVE To evaluate the inventory for initial treatment of critically ill children. DESIGN Prospective study. SETTING Paediatric emergency settings in 15 major district general hospitals. METHODS Using an "expert opinion" created by paediatric intensivists, all hospitals were visited twice to check the inventory. Firstly, to examine the initial site of emergency care for children coming...

The objective of this paper was to review existing information regarding food effects on drug absorption within paediatric populations. Mechanisms that underpin food-drug interactions were examined to consider potential differences between adult and paediatric populations, to provide insights into how this may alter the pharmacokinetic profile in a child. Relevant literature was searched to ret...

The aim of this update is to describe the paediatric highlights from the 2010 European Respiratory Society Annual Congress in Barcelona, Spain. Abstracts from the seven groups of the Paediatric Assembly (Respiratory physiology, Asthma and allergy, Cystic fibrosis, Respiratory infection and immunology, Neonatology and paediatric intensive care, Respiratory epidemiology and Bronchology) are prese...

Sevinç Polat, Ayşe Gürol*, Ayda Çelebioğlu & Zuhal Keskin Yildirim Bozok University, School of Health, Department of Paediatric Nursing, Turkey; Atatürk University, Health Services Vocational School, Turkey; Atatürk University, Faculty of Health Sciences, Department of Paediatric Nursing, Turkey; Atatürk University, Faculty of Medicine, Division of Paediatric Oncology, Erzurum, Turkey E-mails: ...

1Department of Paediatric Rheumatology, Children’s Hospital, University Duisburg-Essen; 2German Center for Rheumatism in Children and Adolescents, Garmisch-Partenkirchen; 3Centre of Paediatric Rheumatology, Asklepios Children’s Hospital, Sankt Augustin; 4University Children’s Hospital, Hamburg Eppendorf; 5Department of Paediatrics, HELIOS Hospital Krefeld; 6University Children’s Hospital, Muens...

AIM To compare paediatric radiology provision across the UK with national standards published by the Department of Health and the Royal College of Radiologists (RCR). MATERIALS AND METHODS Audit standards and indicators for paediatric imaging were derived from "Delivering quality imaging services for children",1 "Standards for imaging in cases of suspected non-accidental injury"2 and "Improvi...