How do we know when something it good enough? Close enough that we can use product A instead of product B? Well, that’s the issue we’ve addressed in our methods chat this month (https://adc.bmj.com/content/105/3/304.2) We’ve also looked at what used to be the things that sprang to mind with breathing difficulties; bronchiolitis and asthma. For bronchs - what dose of high flow oxygen (https://adc.bmj.com/content/105/3/304.1)? For asthma - could macrolides save the day (https://adc.bmj.com/content...
Mar 27, 2020•12 min•Ep. 221
Jonathan Davis talks to Professor Yuan Shi - Department of Neonatology, Chongqing Medical University Affiliated Children's Hospital, China, who recently published recommendations for pregnant and new born babies in suspected infection with Covid-19. They also discuss what signs to look out for in patients. Read the letter on the on the ADC website (https://fn.bmj.com/content/early/2020/03/04/archdischild-2020-318996). It was accepted on February 20, 2020 and first published March 4, 2020.
Mar 19, 2020•19 min•Ep. 220
Editor-in-Chief of ADC Nick Brown and Rachel Agbeko bring you the monthly Atoms - the highlights of the April 2020 issue. Read it on the Archives of Disease in Childhood website: adc.bmj.com/content/105/4/i
Mar 18, 2020•14 min•Ep. 219
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the March 2020 issue. Read it on the Archives of Disease in Childhood website: adc.bmj.com/content/105/3/i
Mar 12, 2020•8 min•Ep. 218
The delight we all have in neonates spills over this issue, where we tackle the thorny issues of QTc prolongation with domperidone (https://adc.bmj.com/content/105/2/202) and how best to manage the concerns of a midwife over an raised cord blood lactate (https://adc.bmj.com/content/105/2/200.1). Sadly, how to remember how to calculate QTc or work in a constructive interprofessional manner aren’t all cleared up. We also consider what isn’t being said when people write (https://adc.bmj.com/content...
Mar 05, 2020•12 min•Ep. 217
Later than usual, this is the podcast about the Archimedes of the December 2019 issue. Children seem to throw up because they are poorly, or because they are excited, or because they are hot, or because they had too many fizzy sweeties, or because they know you’ve just had the car cleaned. So how do we manage a child who’s had a little head bump and has thrown up once? Find out in this podcast (and read more here: https://adc.bmj.com/content/104/12/1231) You can also discover if slow and steady ...
Mar 03, 2020•14 min•Ep. 216
The infant mortality rate in USA exceeds that of most other developed nations, ranking 26th among Organisation for Economic Co-operation and Development countries. This ADC Spotlight podcast is about inequity and health. Professor Heather Burris is the first author of the paper “Racial disparities in preterm birth in the US; a biosensor of physical and social environmental exposures” (https://adc.bmj.com/content/104/10/931). Professor Richard David is the author of the accompanying editorial “In...
Feb 14, 2020•37 min•Ep. 215
Editor-in-Chief of ADC Nick Brown and Senior Editor Rachel Agbeko bring you the monthly Atoms - the highlights of the February 2020 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/105/2/i
Jan 30, 2020•14 min•Ep. 214
MRI is essential to the clinical management of children and young people with brain tumours and it is common practice to show these to patients and families, but how they emotionally respond to seeing brain tumour imaging? Rachel Agbeko explores the qualitative study "Patients’ and parents’ views on brain tumour MRIs" with the leading author of the paper Natalie Tyldesley-Marshall (Research fellow at the Institute of Applied Health Research, University of Birmingham, UK) and Dr Gail Halliday, Co...
Jan 16, 2020•17 min•Ep. 213
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the January 2020 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/105/1/i
Dec 19, 2019•7 min•Ep. 212
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the December 2019 issue. Read it on the Archives of Disease in Childhood website: adc.bmj.com/content/104/12/i
Nov 20, 2019•7 min•Ep. 211
This month brings big decisions and how to make them in our critical appraisal note (https://adc.bmj.com/content/104/11/1114.2) and this flows seamlessly into the questions too... almost like there’s some planning involved. We’re asking if prenatal echo can tell us who will need emergency atrial septostomies to make birth as safe to home as close to home a reality (https://adc.bmj.com/content/104/11/1114.1.abstract), and if apparently asymptomatic babies and children with malrotation really need...
Nov 11, 2019•14 min•Ep. 210
What if children could vote earlier? And before that, could they make themselves heard by entrusting their parents with their vote? Professor Neena Modi (Imperial College London, UK) says ‘yes’ and ‘yes’. Listen to the thought-provoking conversation with ADC’s Senior Editor Rachel Agbeko. The two paediatricians discuss the evidence behind these proposals and the role of doctors in the process of giving children a voice. Read the related paper on the Archives of Disease in Childhood website (free...
Oct 28, 2019•26 min•Ep. 209
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the November 2019 issue. Read it on the Archives of Disease in Childhood website: adc.bmj.com/content/104/11/i
Oct 17, 2019•6 min•Ep. 208
Does bronchiectasis trouble you at night? Or during the day? Or the weekends? Would you like to brush up on the best evidence to treat and prevent exacerbations? Pop onto this podcast or read more here https://adc.bmj.com/content/early/2019/07/20/archdischild-2019-317562 You’ll I’m sure be wondering about how much you can extrapolate from the adult data into the kids, and this short appraisal note on our blog might help you https://blogs.bmj.com/adc/2019/08/22/neonates-are-not-tiny-children/ Bea...
Sep 26, 2019•14 min•Ep. 207
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the October 2019 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/104/10/i
Sep 17, 2019•7 min•Ep. 206
Discussion of a cross over RCT of oxygen automation in nasal high flow oxygen and the associated editorial. ADC Fetal & Neonatal Associate Editor Jonathan Davis talks to Charles Roehr (Oxford University Hospitals); Peter Reynolds (St. Peters Hospital, Chertsy, Surrey); and Peter Dargaville (Royal Hobart, Tasmania, Australia). Read the paper 'Randomised cross-over study of automated oxygen control for preterm infants receiving nasal high flow': https://fn.bmj.com/content/104/4/F366. Read the ...
Sep 16, 2019•28 min•Ep. 205
We have all manner of interesting stuff this month - if you want to keep troublesome cold sores away you can read the extra stuff here http://doi.org/10.1136/archdischild-2019-317249 after listening to our summary - if you want to help crying colic-y babies with probiotics you may want to brush up here http://doi.org/10.1136/archdischild-2019-317368 You may also want to write your own Archi - which is brilliant! Just make sure you know how you’re incorporating evidence, expert experience and exp...
Aug 29, 2019•12 min•Ep. 204
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the September 2019 issue. Read it on the Archives of Disease in Childhood website: adc.bmj.com/content/104/9/i
Aug 21, 2019•7 min•Ep. 203
Last month we asked about newborn baby checks being enhanced with pulse oximetry - this month we’re asking “What should you do with a sacral dimple?” (The answer is not “Throw it in the brig until it’s sober”). The answer - in terms of ultrasounding or not - can be found here (https://adc.bmj.com/content/104/8/816.1). You might also be wondering about the mineralisation of your jejunally fed kids too… I know I’ve spent many minutes wondering about how to spell that .. and if copper really is a t...
Aug 06, 2019•10 min•Ep. 202
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the August 2019 issue. Read it on the Archives of Disease in Childhood website: adc.bmj.com/content/104/8/i
Jul 18, 2019•7 min•Ep. 201
How do we approach parents about organ donation? In the second episode of the ADC Spotlight, Rachel Agbeko invites an intensivist, Dr Susan Bratton, (Pediatric Critical Care Medicine, University of Utah, Salt Lake City, USA) and a psychologist, Dr Anne-Sophie Darlington (School of Health Sciences, University of Southampton, UK) to talk about end of life care for children and organ donation. They are the authors of two papers available for free for a month on the ADC website: - Parents’ experienc...
Jul 10, 2019•27 min•Ep. 200
All over the world, tonight, you can hear the sound of babies being examined for covert abnormalities. One of those tests would be the click-hip-thing, one pulse oximetry. Can we make pulse oximetry better though - well here’s an Archi that asks just that (https://adc.bmj.com/content/104/5/504). More babies could be found in those very special fish tanks with portholes - popping them out of those and into cots would be nicer for the families but maybe harder for the smallest children to grow and...
Jun 26, 2019•13 min•Ep. 199
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the July 2019 issue. Read the highlights on the Archives of Disease in Childhood website: adc.bmj.com/content/104/7/i
Jun 13, 2019•7 min•Ep. 198
Welcome to the new ADC Spotlight podcast! We'll be covering areas that don’t usually get much attention or might be taken for granted with the goal of promoting dialogue. In this first podcast, Rachel Agbeko, Associate Editor of Archives of Disease in Childhood, is joined by Jennifer Preston, Senior Patient and Public Involvement Manager at the University of Liverpool, Hugh Davies, Paediatrician and Research Ethics Advisor at the Health Research Authority and Bob Phillips, Paediatric Oncologist ...
Jun 07, 2019•34 min•Ep. 197
The application of the best available evidence sometimes leaves you deciding which systematic review of RCTs is the best, and sometimes scrabbling in the tattered remnants of case reports. This podcast takes you across that spectrum from thinking about zinc supplementation for pneumonia in western Europe (https://adc.bmj.com/content/104/6/605.1) to the removal of a VP shunt in a child with appendicitis (https://adc.bmj.com/content/104/6/607 )… who also have a VP shunt, obviously. And we referenc...
May 24, 2019•11 min•Ep. 196
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the June 2019 issue. Read the highlights on the Archives of Disease in Childhood website: adc.bmj.com/content/104/6/i
May 23, 2019•8 min•Ep. 195
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the May 2019 issue. Read the highlights on the Archives of Disease in Childhood website: adc.bmj.com/content/104/5/i
Apr 23, 2019•6 min•Ep. 194
Sometimes there are days where you wish you’d not done something, and for many of us, those will be the days after drinking on an evening/night/early-morning out. (And for those who live in Oxford; it’s NEVER the kebab van. It’s the beer.) But there are gems of wisdom to be found by those who observe the socially unfettered antics, as you’ll hear if you listen in. You’ll also get to learn about how best to manage an asymptomatic twin if their sib is admitted with group B strep disease, [https://...
Apr 02, 2019•13 min•Ep. 193
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the April 2019 issue. Read the highlights on the Archives of Disease in Childhood website: adc.bmj.com/content/104/4/i.
Mar 28, 2019•6 min•Ep. 192
