Bronchiolitis
Bronchiolitis is a viral infection of the lower airways, most often in infants but can affect children up to two years of age. It is commonly caused by respiratory syncytial virus (RSV), although it can be caused by numerous other viruses and it has a peak incidence in the autumn/winter…
Raised Intracranial Pressure
Airway opening manoeuvres (avoid head-tilt and chin-lift in trauma, use jaw thrust) as required with high flow oxygen (10-15 litre/minute via face-mask with reservoir bag) and suction airway as needed. Immobilise cervical spine in trauma patient…
Sepsis
Urgent semi-elective intubation and ventilation should be undertaken if there is ongoing signs of shock unresponsive to 40 ml/kg of fluid resuscitation or if there is airway obstruction/loss of protective airway reflexes at any stage (cardiovascular resuscitation should occur before induction of anaesthesia)…
Status Epilepticus
Airway opening manoeuvres with high flow oxygen (10-15 litre/minute via face-mask with reservoir bag) and suction secretions as needed. Consider nasopharyngeal airway if difficultly maintaining airway (insertion of oropharyngeal airway normally not possible due to clenched teeth)…
Acute Asthma
Intubate if there are life threatening features that are refractory to standard treatment i.e. silent chest, oxygen saturations <92%, cyanosis, poor respiratory effort, hypotension, altered consciousness or exhaustion...
Paediatric Emergencies Intubation Course - 30th April 2026
Paediatric Emergencies Practical Workshop - 1st May 2026
Paediatric Emergencies 2025 - 13th November 2025
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About Me
Dr Christopher Flannigan
Consultant Paediatric Intensivist - Royal Belfast Hospital for Sick Children
I’m a Paediatric Intensivist from Northern Ireland and my goal is to improve the care delivered to critically ill and injured children. I have a particular interest in the initial resuscitation and stabilisation and in the use of information technology in the clinical environment. I have designed a number of medical applications which have been shown to improve emergency prescribing. If you have any comments or queries please drop me an email
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