Emma Whyte

@LisaGotley duration of faecal disimpaction, continue with disimpaction dose until all "chunks" passed and passing liquid. Then half dose for maintenance aim for "porridge" and continue for about the same amount of time as had symptoms #PEMcourse20 @PemCourses

@LisaGotley - Transabdominal USS for rectal diameter may one day replace DRE in children #PEMcourse20

Palpable stool on abdominal exam = faecal impaction so just treat it as such no need for imaging. #PEMcourse20 #FOAMped

@LisaGotley "The Queen of Poo" really has her Shit together #PEMcourse20

@PemCourses Early return to normal diet after gastro is beneficial, avoid fatty foods, foods high in simple sugars, and high sugar drinks. #PEMcourse20

In the setting of Gastro with clinical dehydration ORS is superior to other fluids for enteral rehydration. @PemCourses #PEMcourse20

@PemCourses Rehydration in PEM not evidence based but replacing 50ml/kg over 4-24hrs seems like a good place to start. #PEMcourse20 #FOAMped

When Gastro really is Gastro with Dr Alex Blythe @PEMCourses #PEMcourse20

Children rarely get epididymitis, beware not to miss testicular torsion although more commonly torsion of testicular appendage. @PemCourses #PEMcourse20

Appendicitis: 12-24hrs central visceral abdominal pain, loss of appetite, then migration of pain to RIF, peritonitis and low grade fever. Investigations are rarely helpful #PEMcourse20

@PemCourses Headache in a toddler is a red flag! #PEMcourse20

A proper neurological exam for a child presenting with a headache is sensitive for finding brain tumours #PEMcourse20

@PemCourses Fever and headache; most children will have a viral illness however if not behaving as expected think about Meningitis #PEMcourse20

@fayemj63 "what is the catastrophe?" the game we play in emergency. Hypoglycaemia may be a marker of underlying disease #PEMcourse20

@fayemj63 don't fear giving a bolus of fluid for the poorly perfused patient with DKA #PEMcourse20 #PEMPearls

Check out the new Emergency Medicine courses. Aimed at ED nursing staff and junior doctors, focussing on clinical reasoning in Emergency Medicine. Watch this space for course dates in mid 2020. #PEMcourse20 @alaanibrahim @Inject_Orange #EmergencyMedicine

@Nandini_diy at #PEMCourse20 If you don't think "could this be NAI?" you could easily miss it. #FOAMped

Great talk again this morning by @LisaGotley #PEMcourse20

sccm.org/getattachment/… #PEMPEarls #PEMCourse20

More #PEMPearls from Megan King @PemCourses #PEMCourse20 #FOAMped