BNSSG Paeds Pod – Détails, épisodes et analyse

Speaker

Dr Dan Magnus - consultant in Paediatric Emergency Medicine

Blurb

Want to brush up on your knowledge on your knowledge of measles and pertussis? Refresh your clinical knowledge, keep up to date and be prepared to answer any parental queries.

Paediatric Emergency Medicine consultant Dan Magnus guides us through diagnosis and management of measles and whooping cough as well as taking us back to basics with a methodical approach assessing the sick child.

Resources

• Adam Finn Ted talk: How Vaccines Really Work 
• Healthier together 
• Handi app 

Speaker

Dr David Capehorn - GP partner and Honorary Associate Specialist in Paediatrics. 

Blurb

Should we always investigate lymphadenopathy in children and how worried should we be? Is fever a predictor of illness? When should we investigate intermittent abdominal pain? How do we interpret investigations in children?  GP and Honorary Associate Specialist in Paediatrics tackles these questions and more, challenging us with common myths and pitpalls in Primary Care Paediatrics.

Resources

• Bristol Children's Hospital: chronic abdominal pain in children (https://uhbw.mystaffapp.org/diliboards/46/diliboard_contents/12401/document_view.pdf)
• Park: Evaluation of neck masses in children  (https://pubmed.ncbi.nlm.nih.gov/7762481/)

Two podcasts in one! In this episode we are joined by Dr Natasha Smallwood, Paediatric consultant with an interest in Rheumatology, and Mr James Barnes, Paediatric Orthopaedic consultant. They share their approaches to the complex topic of the limping child. We discuss the possible breadth of differentials, red flags, referral criteria and tips for assessment in primary care.

Episode resources

• BCH limping primary care assessment of acute limp in children
• NICE: acute childhood limp

In this episode, we're joined by Dr. David Capehorn, Honorary Associate Specialist and Expert in Paediatrics, who's been at the forefront of the Primary-Secondary Care interface for 30 years. With reference to two classic cases, David helps us navigate key learning from the new 2022 NICE guidelines on correct management of UTIs in children and his own summary article on identifying and treating UTIs promptly for under 16s.

More specifically, we discuss:

• Diagnosis
• Urine interpretation
• When to send urine for culture tests
• Immediate management
• Follow-up investigations
• Referral
• And prevention

Feedback:

Let us know what you thought about this episode of BNSSG Paeds Pod here, via our feedback form! Completing the form should take between 1-3 minutes, and your responses are invaluable in helping Ruth and the team to shape future episodes.

Episode resources:

• “⁠Identify and Treat Urinary Tract Infection Promptly in Under 16s⁠” by Dr. David Capehorn⁠
• NICE Urinary Tract Infections in Under 16s: Diagnosis and Management guidelines⁠⁠
• BNSSG Remedy Urinary Tract Infection in Children: Management and Referral guidelines⁠⁠
• NICE Fever in Under 5s: Assessment and Initial Management guidelines
• ⁠⁠ERIC – The Children’s Bowel & Bladder Charity⁠

In this episode, we're joined by Dr. Michael Malley, Paediatric Emergency Medicine Consultant, as he guides us through the non-blanching rash in children. More specifically, we discuss:

• Differentials of meningococcal septicaemia
• Other causes of sepsis with DIC
• Non-accidental injury
• Haematological malignancies
• Henoch schonlein purpura
• Idiopathic thrmbocytopenic purpura
• And benign mechanical causes of petechiae

And all with respect to the discerning features of each, when to refer, management in Primary Care, and good safety-neating advice for parents.

Feedback:

Let us know what you thought about this episode of BNSSG Paeds Pod here, via our feedback form! Completing the form should take between 1-3 minutes, and your responses are invaluable in helping Ruth and the team to shape future episodes.

Episode resources:

• Bristol Children's Hospital Non-Blanching Rash guidelines
• Bristol Children's Hospital Henoch Schonlein Purpura guidelines

Thanks to the Bristol Royal Hospital for Children for these resources.

Watch this space for episodes of the new BNSSG Paeds Pod, brought to you by BNSSG Training Hub, and set to cover topics relevant to local primary care clinicians.

Speaker

Dr Anirban Majumdar: consultant Paediatric Neurologist

Blurb

Join GP Ruth Bowen exploring the challenging topic of chronic headaches with consultant Paediatric Neurologist Dr Anirban Majumdar. We discuss management of migraines and tension headaches including alternative medicines and supplements, the often challenging overlap between headache phenotypes in CYP, red flags and indications for referral.

Resources

• Headsmart (https://www.mybrainfirst.org/)
• Migraine trust (https://migrainetrust.org/)
• Bristol Children's Hospital: Paediatric headache for Primary Care (https://uhbw.mystaffapp.org/diliboards/46/diliboard_contents/307/document_view.pdf)
• British Paediatric Neurology Association: CHaT (Children's Headache Training) (https://courses.bpna.org.uk/index.php?page=childrens-headache-training)

Speaker 

Dr Nick Sargant: consultant in Paediatric Allergy and Paediatric Emergency Medicine at Bristol Royal Hospital for Children.

Nick Sargant breaks down CMPA, guiding our Primary Care assessment, management and referral criteria as well as helping us distinguish CMPA from commonly confused differentials.

Resources:

• Allergy UK -cow's milk allergy
• Anaphylaxis UK
• British society of allergy and clinical immunology 
• ICON 

Speaker 

Helen Tapson -South Gloucestershire Public Health Consultant. Lead for health inequalities in CYP.

"We are all in the same storm but we are not all in the same boat". 

What local and national projects are striving to tackle health inequalities in Children and Young People? What part do we play in Primary Care? 

Play on to find out more as South Gloucestershire Public Health consultant Helen Tapson guides us through the challenging topic of CYP health inequalities: highlighting exciting current national and local projects  and using cases to explore practical tips and resources to empower us in Primary Care.

Resources

• South Gloucestershire Director of Public Health Report: Giving Children the Best Start in Life
• One stop shop (South Gloucestershire)
• Virtual hub for financial support (North Somerset)
• Citizens advice (Bristol, South Gloucestershire, North Somerset)
• Cost of living advice (South Gloucestershire)
• Cost of living advice (North Somerset)
• Cost of living support (Bristol)
• Healthy start vouchers
• NHS stop smoking app
• The Haven (BNSSG)

Speaker:

Dr Dinesh Giri, consultant Paediatric Endocrinologist (Bristol Children's Hospital)

With rates of obesity in Children and Young people on the rise, consultant Paediatric Endocrinologist Dr Dinesh Giri gives tips on approaching this tricky subject, what we can do in Primary Care to support and appropriately manage these children and onward referral, including the new government commissioning of severe obesity in CYP clinics.

Resources

• NHS: fussy eaters 
• BeeZees bodies: top tips to tackle fussy eating
• Change4life (renamed 'healthier families') 
• Live well: advice for parents of overweight children 
• Healthy start (money for healthy food for 0-4s with a carer on benefits)
• Health Education England Childhood Obesity elearning