Add To Favorites A patient and their family will often ask the most sensible, thoughtful questions and we’ll head to the evidence to find that research doesn’t quite fit the bill. We discuss this in both the abstract ‘what’s the methodological issues here’ bit of Achimedes (https://adc.bmj.com/content/108/4/323.2) and bring it to life via our case …
Straightening the curves – ADC Archimedes April 2023 Read More »
Add To Favorites Sudden Unexpected Postnatal Collapse can be a really disturbing event, and one where the whole team need to pull together. A trio of international neonatologists considered if therapeutic hypothermia might be an option for the baby – while we summarise in this podcast their full thoughts are seriously worth a read: https://adc.bmj.com/content/108/3/236.1 …
Collapses, guidelines, and how to go forwards – Archimedes March 2023 Read More »
Add To Favorites Neonates are a breadth of … well… actually breathing is one of the big issues they have. Adding a squirt of finely curated surfactant we know can help them out, and LISA (less invasive surfactant administration) is probably the best at the job. But it’s pretty stressful having things splashed into your …
Lower distress or more breathing? – Archimedes February 2023 Read More »
Add To Favorites We are faced in paediatrics with some very, very difficult situations. Where our humanity and medical training come to the fore – in working with families dealing with the cliff edge of their child’s mortality – is where we need to put the same emotional and intellectual effort we would want if …
Archimedes July 2022: Broken hearts and trying to fix them Read More »
Add To Favorites This month we have an interlude in our rush to ask, acquire, appraise and apply the next quality evidence available to our clinically greedy hands, and spend five minutes going over the process of creating an Archimedes. Dr. Bob Philips, Social Media, and Archimedes Editor take you through what you might expect …
Add To Favorites This month we go all buggy, thinking about how we can use EU-level regulatory frameworks to help us act in our clinical lives (https://adc.bmj.com/content/107/5/507.2). We also address the persuasive power of an accelerated BCG reaction in children… fort noted by Koch of Koch’s Postulates in rodents (https://adc.bmj.com/content/107/5/507.1), and ask a partially useful …
Add To Favorites Croaking and wheezing and slightly exhausted… not the average neonatologist but Archimedes this month is brought to you from post-natal palaces and ‘post-nasal drip’. We start thinking about how best to communicate a post-natal diagnosis of Down syndrome(https://adc.bmj.com/content/107/4/409.1), which is prefaced by some thoughts on what it means to undertake a ‘good’ …
Add To Favorites A bit like aircraft, intubating and extubating are the awkward and skill-requiring parts of a ventilator journey. Well, not so much the tube removal itself, but the choice of when to do it. And we’ve got a topic report which asks if the ubiquitous ultrasound could help us with that decision: (https://adc.bmj.com/content/107/3/303.1). …
