The PaedsHub Pod

In this episode, Dr Felicity Cooksey speaks to Dr Kate McCann about adverse childhood experiences. Dr Kate McCann is a community child health consultant and member of the Trauma Informed Strategy Group in Somerset.

We discuss how adverse childhood experiences may impact a child’s development and the importance of recognising and responding to childhood trauma.

Recommended Resources:

TED Talks

• Dr Nadine Burke Harris – TED talk: How childhood trauma affects health across a lifetime.

• Molly Wright- TED talk: How Every Child Can Thrive by Five

Articles

• Feli...

This episode, the Paedshub Pod team got together for our annual roundup. Felicity Cooksey, Leila Ellis, Lorna Hack and Paulina Connolly discuss 12 articles that we enjoyed over the past year from ADC. Happy New Year!

Articles & related resources:

1. Barriers to initiating and implementing palliative and end of life care for children with life-limiting conditions- A mixed methods study in a UK Children’s Hospital.

https://adc.bmj.com/content/107/Suppl_2/A299.1

2. Pharmacokinetic and pharmacodynamic data from the NEOLEV1 and NEOLEV2 studies. 

https://adc.bmj.com/conte...

In this episode Dr Lorna Hack speaks to Dr Anirban Majumdar about Spinal Muscular Atrophy, and the remarkable advances made in managing this condition in the twenty-first century.

Dr Majumdar is a Consultant Paediatric Neurologist at the Bristol Royal Hospital for Children, and delivers the regional Neuromuscular Service.

We discuss: the genetic basis of SMA, the targets of disease modifying treatments, the pros and cons that guide treatment choice, and monitoring of treatment efficacy.

Article: https://adc.bmj.com/content/108/Suppl_2/A199

...

In this episode, Dr Felicity Cooksey talks with Dr Marie Monaghan about idiopathic intracranial hypertension. Dr Monaghan is a general paediatric consultant with a specialist interest in epilepsy, based at Bristol Royal Hospital for Children. She co-authored a paper titled ‘Consensus recommendations for the assessment and management of idiopathic intracranial hypertension in children and young people’, which was published in Archives of Disease in Childhood.

Dr Monaghan discusses her experiences of working abroad, why cases of idiopathic intracranial hypertension are predicted to rise and how to approach a suspected case.

L...

In this episode, Dr Leila Ellis welcomes Nicola O'Donnell to the podcast to discuss psychosocial support for childhood cancer survivors. Nicola is a Health Psychologist and is completing the final year of a PhD with the University of York exploring psychoeducation interventions for young people with retinoblastoma funded by the Childhood Eye Cancer Trust (CHECT).

Resources:

Charities:

In this episode Dr Lorna Hack speaks to Dr Dinesh Giri about obesity, it's growing prevalence and associated complications. Tertiary management for obese children is discussed, including the increasing use of medication.

Dr Giri is a Paediatric Endocrine Consultant at the Bristol Royal Hospital for Children, and is part of the team who run the weight management service.

Dr Giri's book recommendation: 'The Secret' by Rhonda Byrne

Articles discussed:

Gap in obesity monitoring in preschool children:

https://adc.bmj.com/content/108/Suppl_2/A64.2<...

In this episode Dr Paulina Connolly welcomes Professor Ramanan to the Podcast. Professor Ramanan is a Consultant Paediatric Rheumatologist at Bristol Royal Hospital for Children, and Associate Editor of Archives of Disease in Childhood. They explore the evidence behind current treatment strategies for Kawasaki disease, reviewing the recent paper from Archives titled 'Infliximab for intensification of primary therapy for patients with Kawasaki disease and coronary artery aneurysms at diagnosis'

The full link to the article can be found below:

https://adc.bmj.com/content/108/10/833

...

In this episode, Dr Felicity Cooksey talks with Dr Denize Atan about nutritional blindness. Dr Atan is an Associate Professor and an Honorary Consultant in Neuro-ophthalmology at the Bristol Eye Hospital. She co-authored a review published in Archives of Disease in Childhood titled ‘Nutritional blindness from avoidant-restrictive food intake disorder- recommendations for the early diagnosis and multidisciplinary management of children at risk from restrictive eating.’

The link to the full article can be found below:

https://adc.bmj.com/content/early/2023/07/05/archdischild-2022-325189

Dr Atan discusses the importance of asking about diet, why grow...

This episode the Paedshub Pod team Felicity Cooksey, Leila Ellis and Paulina Connolly discuss 12 articles that we enjoyed over the past year from ADC. Happy Christmas!

Leila's recommendations from Fetal and Neonatal:

Marshall A, Ladlow OJ, Bannink C, et al. Apnoea-triggered increase in fraction of inspired oxygen in preterm infants: a randomised cross-over study Archives of Disease in Childhood - Fetal and Neonatal Edition.

https://fn.bmj.com/content/early/2023/08/28/archdischild-2023-325849

Cromb D, Hall M, Story L, et al. Clinical value of placental examination for...

The BNFc recommends age-banded dosing for children prescribed oral paracetamol for non-post operative pain. This was recently challenged by Kirstie Wright and her colleagues following their study published in Archives of Disease in Childhood.  Evaluation of age-banded dosing of oral paracetamol in hospitalised children: a retrospective analysis using clinical data in a tertiary paediatric hospital | Archives of Disease in Childhood (bmj.com)

In this episode, Dr Felicity Cooksey meets with Ceri Gaskell, a specialist pharmacist at Bristol Royal Hospital for Children, to explore the debate.

Resources:

·      Oral paracetamol dosing in hospitalised children in the UK...

In this episode, Dr Leila Ellis welcomes Dr Alicia Regan to the podcast to discuss neurodevelopmental care in the neonatal unit. Alicia is a paediatric registrar with a special interest in neonatal medicine based in the South West. She has been working with colleagues to introduce the South West Cuddle Bundle aiming to educate staff and parents on the benefits of cuddles in the neonatal unit.

Publications:

In this episode, Dr Felicity Cooksey welcomes Dr Michelle Cutland to the podcast. Dr Cutland is clinical director for the children’s service at a Sexual Assault Referral Centre in the South West of England and clinical co-lead for Physical Signs of Child Sexual Abuse 3rd Ed, which is due for release in August 2023.

They discuss communicating with children and young people following disclosures of sexual harm, the importance of reinforcing bodily autonomy to children and the updates to Physical Signs of Child Sexual Abuse (also known as the ‘purple book’). 

Resources

·      Data on the scale a...

This month Dr Tabitha Campbell, GP trainee, joins Dr Paulina Connolly to talk through the 15-minute Consultation paper: “What do paediatricians need to know about child refugee and migrant health needs?” by Dr Aoife Ryan & Dr Alison Kelly from the Online First section of ADC Education & Practice: https://ep.bmj.com/content/early/2023/01/26/archdischild-2022-324836

Dr Campbell originally found the 3-D assessment on Paediatric FOAMed:  “The 3-D Assessment for Refugee, Asylum-Seeking or Trafficked Children”, an excellent article by Dr Laura C. Wood: https://www.paediatricfoam.com/2018/03/refugee-asylum-seeking-trafficked-children/

Another extremely useful resource by the RCPCH - Refugee a...

This episode was recorded in front of a live audience at the 2023 RCPCH Annual Conference, Glasgow. Dr Felicity Cooksey and Dr Leila Ellis were joined by an expert panel to discuss: What could the role of the general paediatric ward be in caring for a young person with a mental health presentation?

Panelists included:

In this episode Dr Paulina Connolly discusses recent articles looking at the neonatal microbiome, dysbiosis and interventions intended to manipulate the microbiome & improve neonatal outcomes:

Manipulating the neonatal gut microbiome: current understanding and future perspectives | ADC Fetal & Neonatal Edition (bmj.com)

Impact of intrapartum antibiotics on the infant gastrointestinal microbiome: a narrative review | Archives of Disease in Childhood (bmj.com)

Effect of prophylactic dextrose gel on the neonatal gut microbiome | ADC Fetal & Neonatal Edition (bmj.com)

Necrotising enterocolitis, late-onset sepsis and mortality after routine probiotic introduction in the...

This month Dr Simon Parke, Paediatric Oncologist, joins Dr Paulina Connolly to discuss the research paper: "Can I go home now? The safety and efficacy of a new UK paediatric febrile neutropaenia protocol for risk-stratified early discharge on oral antibiotics" by Dr Jackson et al from the March 2023 edition of Archives of Disease in Childhood (https://adc.bmj.com/content/108/3/192). Dr Parke's film recommendation is "The Princess Bride", and his book recommendation "Love in the Time of Cholera" by the author Gabriel García Márquez.

In this episode, Dr Rebecca Treleaven discusses the complexities of the clinician parent exchange and how to improve our communication skills through the review article: “Vulnerabilities in clinician–parent exchanges and the cascade of communication traps: a review”

https://adc.bmj.com/content/108/2/86.

In this episode, Dr Felicity Cooksey has a conversation with Dr Helen Leveret about child poverty and how paediatricians can advocate for reducing health inequalities. They discuss the article Child poverty and health inequalities in the UK: a guide for paediatricians | Archives of Disease in Childhood (bmj.com).

Resources:

https://bmjpaedsopen.bmj.com/content/6/1/e001631- Dr Singh & Dr Uthayakumar-Cumarasamy review on the Cost of living crisis: a UK crisis with global implications – A call to action for Paediatricians.

https://www.rcpch.ac.uk/key-topics/child-health-inequalities- the RCPCH child health inequalities toolkit to as...

In this episode, Dr Felicity Cooksey & Dr Leila Ellis have a conversation with Katie Heard, a Specialist Pharmacist with an interest in antimicrobials and infectious diseases, about Group A Strep & looking at the interim clinical guidance from the UK HSA.  They discuss signs of Streptococcal infections and Scarlet fever, local statistics, the FeverPAIN score & the recent changes to it, testing and prescribing advice taking into consideration current supply issues.

Resources discussed:

UK HSA Interim Clinical Guidance & Safety netting advice: 

In this episode, Dr Felicity Cooksey has a conversation with Dr Anna Baverstock, a paediatric consultant and Senior Doctor Wellbeing Lead for Somerset NHS Foundation Trust. They discuss having brave conversations, enabling authentic inclusion and why Dr Baverstock believes we can change workplace culture one conversation at a time.

Together they explore Dr Baverstock’s recent article on kindness and inclusion (BACCH News September 2022 | British Association for Community Child Health) and a systematic review on the impact of unacceptable behaviours between healthcare workers by Dr Linda Guo and her colleagues (Impact of unacceptable behaviour between healthcare workers on...

This month Dr Rebecca Treleaven talks through the research article 'Do you know when the inhaler is empty' (https://adc.bmj.com/content/107/10/902).

This month Dr Felicity Cooksey talks to Dr Sarah Bridges about help seeking behaviours and giving safety netting advice. Their discussion focuses on the article ‘Parental and physician disagreement on help-seeking in paediatric case scenarios’ by Sarah Visscher and her colleagues from the September 2022 edition of Archives of Disease in Childhood (https://adc.bmj.com/content/107/9/833).  Dr Sarah Bridges’ book recommendation was ‘Lessons in Chemistry’ by Bonnie Garmus.

Disclaimer: Dr Sarah Bridges helped to develop the Handi App along with other Musgrove Park Hospital paediatric consultants.

This month Dr Paulina Connolly discusses the article ‘Antenatal corticosteroids and neurodevelopmental outcomes in late preterm births’ with statistician Dr Hannah Sallis (https://fn.bmj.com/content/107/3/250).

(14:42) Dr Rebecca Treleaven then talks about ‘Recognition of sickle cell crises in the paediatric emergency department’ (https://ep.bmj.com/content/107/3/169).

Dr Felicity Cooksey explores integrated child health models of care with paediatric consultant, Dr Sarah Bridges. They focus on a report ‘A new model to deliver scheduled outpatient care’ (https://adc.bmj.com/content/107/6/616) and discuss Dr Bridges’ experience of setting up an integrated child health model of care in Taunton.

(21:12) Dr Dan Leach then discusses a recent randomised control trial for daytime urotherapy in nocturnal enuresis (https://adc.bmj.com/content/107/6/570).

This month Dr Tom Siese discusses the article, ‘Is the NICE traffic light system fit-for-purpose for children presenting with undifferentiated acute illness in primary care?’ from the May edition of Archives of Disease in Childhood (https://adc.bmj.com/content/107/5/444).

(16:00) Then Dr Anthony Hopkins explores if neonates with mild hypoxic-ischaemic encephalopathy benefit from therapeutic hypothermia (https://fn.bmj.com/content/107/3/324).

Welcome to the first episode of the PaedsHub Pod!

This month Dr Felicity Cooksey discusses the article ‘Infant Escherichia coli urinary tract infection: is it associated with meningitis?’ (https://adc.bmj.com/content/107/3/277)

(10:20) Dr Rebecca Treleaven then explores the best way to monitor growth (https://adc.bmj.com/content/107/4/341).

(19:50) Dr Paulina Connolly ends our episode by reviewing the article ‘Validating clinical practice guidelines for the management of febrile infants presenting to the emergency department in the UK and Ireland’ (https://adc.bmj.com/content/107/4/329).