Paeds Fever Hangout: temps, teething and tots
Gday, really excited to be able to bring you this latest podcast.
A few weeks ago my local Paediatric partner-in-crime; Dr Mel Thompson and I got chatting about fever, teething and other potential errors, biases and pitfalls of Paediatrics.
This spilled over onto the Twitter feed – resulting in a brief discussion of Paeds fever. So we formed a star panel of Paediatric FOAMed fellows: Drs Natalie May, Damian Roland, Tessa Davis and Melanie Thompson all got together for an international hangout and a bit of banter.
DOWNLOAD the PODCAST here
There were a pile of papers we mentioned or have discussed in the last few weeks. So a quick reference list :
Paediatrics 1998 – UTI prevalence in ED
Clinical Pediatrics 2012 – Evaluation of the Precision of ED Diagnoses in Febrile Children
Pediatrics 2000 – Teething and tooth eruption cohort study
Arch. of Disease in Childhood 1992: Fever associated with teething
Arch Disease in Childhood 2007: Does a teething child need serious illness excluding?
and…. for the highest quality ‘evidence’ check out this pearl from NEONATOLOGY on the WEB
Clinical Case 107: Subarach Sans Scan
First 10EM Journal Club: January 2018
First10EM Journal Club: June 2020
About The Author
Casey Parker
I am a GP working in Broome, NW of Western Australia. I work as a hospital DMO (District Med Officer) doing Emergency, Anaesthestics, some Obstetrics and a lot of miscellaneous primary care. Also on the web as @broomedocs | + Casey Parker | Contact
Thanks Casey. The GP setting is a bit different I believe. Firstly, we have a different, arguably less sick, presentation bias. Secondly, we cannot sit the child around for a urine so our only options are send to ED for observation or send home with pot. Finally, I find a large majority of viral illness kids with a temp have tachycardia but can look well. Is tachycardia as useful in this setting?
Other things I use is strong safety netting, ask them to come back in the afternoon, and lastly I always ask about recent travel as this group has a different hroup of illnesses to consider.
Thanks all, Rob.