Michelle Davison
287 posts

Michelle Davison
@eduAcute
Staff specialist emergency physician and Director of Medical simulation company eduAcute.
Brisbane, Queensland Katılım Ocak 2014
110 Takip Edilen201 Takipçiler


Twitter data being used to judge likely mobility for outbreaks! Bet you didn't know that was a Big brother use for Twitter #EAPS2018

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Ammonia levels in neonate higher. Abn is >200 wheras older child > 100. good classification #EAPS2018

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@eduAcute Could have a huge impact on hospital bed availability in bronch season!
Sunshine Coast, Queensland 🇦🇺 English

50% hydration ok in bronchiolitis. We should be sending more of these kids home. Last 10-15 years we have inc admissions 4 fold with absolutely NO increase in ICU admissions. #eaps2018
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@DrSuneth In fact they only had to have feeding half ok if no RF and O2 only for sats under 90%. Similar to current RCH melb guide but not Qld...
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@eduAcute As long as they aren’t too young and it’s not affecting their feeding they are going to do ok right? What were their indications for o2?
Sunshine Coast, Queensland 🇦🇺 English

40% glucose 0.5ml/kg better analgesia than 25% glucose for Neonatal pain. No changes in glucose levels up to 30 mins. Maybe we can be using more glucose #EAPS2018

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@edexam Wasn't recorded Andy. French paediatric cardiologist at European paediatric conference. Great talk. Much of it came from this position statement

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Sensitivity 96% for hx, exam, ECG. Pearl: post-exertional syncope (NOT MiD exertional) is usu VVS. Myoclonic jerks happen AFTER syncope cw seizure before. EcG green light #EAPS2018

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Activities that cause events. B blockers and wake group 2 pts gently! No alarm clock #EAPS2018

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Long Qtc is a CHILDHOOD disease mostly 2/3 of males have events by 18 and half females. If get to 20s without one risk of events less likey....good pearl #EAPS2018
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Seizures DURING exercise is a red flag. Is NEVER epilepsy and is anoxic seizure could be CBVT. ECG at baseline may be normal. Need EST and cardiology referral #EAPS2018
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Paediatric syncope moat vasovagal only 2% cardiac but electrical disturbances and structural heart disease are impt #EAPS2018

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@DrSuneth Bottom line I am taking away is compared with Europeans we are admitting WAY too many bronchs and are sticking HFNC and O2 on way too many also.
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@DrSuneth Reported...also if no wet nappy in 12 hrs then that is a red flag.
If only 50% normal intake should probably come in but I am thinking that would be few of our patients
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