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Paracetamol: mostly harmless?

This post was inspired by Colin Parker (the original C. Parker) and the team at EMPEM.org who did a discussion on the recent paper released by the ISAAC group (International Study of Asthma and Allergy in Childhood).  This collaborative of researchers (based in NZ, but internationally reaching – kinda like Dr C. Nickson) has been […]

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Clinical case 041: Classic croup – or is it?

I caught this audio last week at about 4 AM when the ambos rushed this 3 1/2 year old boy in with his mother to ED.  The story was classical croup – a day of URTI sxs, coryza, low grade fever followed by the early AM wake up with stridor, the “seal barking” cough and […]

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Bronchiolitis: whatever works! The evidence 2011

The winter in Australia is at an end, which means we hope we have seen the last of those wheezy, crackly, sick looking babies for the moment.  Bronchiolitis is the bread and butter of a lot of Paeds wards and EDs over the winter, we all know how to diagnose it and what the normal […]

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Acute severe asthma: the evidence 2011

All of these recent posts and commentary on severe COPD has lead to a few discussions about the management of the Acute Severe Asthmatic around my workplace.  It is fair to say that this is an area where tradition and long-held beliefs have a grip, but there is a bit of recent evidence to suggest […]

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Asthma Update – keep the purple dragon in the cupboard….

The MJA has just released a review of the management of asthma in kids the review looks mainly at chronic / outpatient management and there are a few changes.  They also looked at acute management of asthma and have created a divide between young (< 5 yrs) and older children with regards to oral steroid […]