Difficult vascular access in the peri-arrest child
In this episode I provide a structured approach to managing difficult vascular access in peri-arrest child including providing pearls to help you succeed.
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Paediatric Emergencies 2021 Announcement
The Paediatric Emergencies 2021 Conference is a free one day livestream via YouTube happening on 18th November 2021 starting at 09:00 (UK time). No registration or login is required and to watch all you need to do is visit Paediatric Emergencies on YouTube.
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Paediatric Emergencies 2020 Talks are Now Available
The talks from the Paediatric Emergencies 2020 Conference livestream are now available to watch
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The Dos and Don’ts of Waiting for the Paediatric Retrieval Team
What to do and the common mistakes to avoid while managing a critically ill child prior to the paediatric retrieval team’s arrival.
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Paediatric Emergencies 2020 tickets are now on sale
Tickets for Paediatric Emergencies 2020 are now on sale. for more details or to book visit the conference page
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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)…
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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)…
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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...
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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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