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). As for popping a tube in, how do you know it’s in the right place? Slide that probe over - at least in neonates - and see if you can see the tip located properly (h...
Mar 02, 2022•12 min•Ep. 281
Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, and Senior Editor, Dr Rachel Agbeko, bring you the Atoms - the highlights of the March 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/3/i Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at ...
Feb 14, 2022•18 min•Ep. 280
When we ask our PICO questions, how often do we think about what we’re not asking … and when should we revise them? That’s the core of this little piece which encourages us to think about thinking a bit - https://adc.bmj.com/content/107/2/193.2. Far less profound, and far more helpful, is the question of if twins (and triplets and higher orders) are at greater risk of RSV just by being doublets (which really should be what we call them) - https://adc.bmj.com/content/107/2/193.1. And almost as us...
Jan 28, 2022•10 min•Ep. 279
Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, and Senior Editor, Dr Rachel Agbeko, bring you the Atoms - the highlights of the February 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/2/i
Jan 19, 2022•16 min•Ep. 278
We’re never going to be satisfied with the search of direct randomised evidence in paediatrics - unless we’re working in the hallowed hills of 'paed oncology' of course - so how should we think about the weight of evidence to change things? There’s a classic lack of direct, trial data when it comes to considering when to give vaccines after TNF-alfa treatments in pregnancy [https://adc.bmj.com/content/107/1/93.1] but what is out there can be digested and considered and given as a pithy conclusio...
Dec 22, 2021•13 min•Ep. 277
Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, brings you the monthly Atoms - the highlights of the January 2022 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/107/1/i
Dec 15, 2021•8 min•Ep. 276
We visit the land of diagnostics in our thinking again this month, deciding when a test can really help us by pressing on to make, or exclude, a diagnosis, and when it simply nudges us a bit one way or another (YOU’LL NEED TO FIND LINK - STARTS There’s something unnerving about getting a test result. And is title is ‘Spins and snouts’) But then we leap away from it, like a young gazelle or enthusiastic neutrophil, to ask the question “Should all infants with delayed cord separation be investigat...
Nov 25, 2021•9 min•Ep. 275
Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, brings you the monthly Atoms - the highlights of the December 2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/12/i
Nov 18, 2021•6 min•Ep. 274
ADC Fetal and Neonatal’s Associate Editor, Jonathan Davis, and the Edition Editor of the journal, Ben Stenson, discuss the highlights from the November 2021 issue. The Fantoms article: https://fn.bmj.com/content/106/6/571 Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-...
Nov 17, 2021•22 min•Ep. 273
ADC Fetal and Neonatal’s Associate Editor, Jonathan Davis, and the Edition Editor of the journal, Ben Stenson, discuss the highlights from the September 2021 issue. The Fantoms article: https://fn.bmj.com/content/106/5/457 Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc...
Oct 29, 2021•20 min•Ep. 272
Extracting urine has been the subject of Archimedes in the past, but this month wee (geddit?) have questions relating to when you’ve found a UTI. Could you treat a wee one with oral rather than IV antibiotics? (Full answer here: https://adc.bmj.com/content/106/11/1135.1) Should you make all the little ones with UTI to bend around and take a few mls of CSF from them? (Read on … https://adc.bmj.com/content/106/11/1138). Good questions - and more are possible too - keep sending them. We also consid...
Oct 27, 2021•16 min•Ep. 271
Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, brings you the monthly Atoms - the highlights of the November 2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/11/i
Oct 20, 2021•8 min•Ep. 270
Have you ever had a question you thought … “OOOO! That’s an Archimedes in waiting that is!”. Well, join in the footsteps of those who have climbed the craggy path through submission, review, Editorial Board and onwards to the sunny pastures of ‘Online First’ and eventually the Paper Journal (where, like one of our colleagues, your Gran can try and order one from the newsagents because she’s so proud of you). The Grannies being delighted this month will be able to learn all about if their migrain...
Sep 21, 2021•15 min•Ep. 269
Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, brings you the monthly Atoms - the highlights of the October 2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/10/i
Sep 16, 2021•7 min•Ep. 268
Have you ever wanted to get your Archimedes answer to a clinical question into our journal and onto this podcast? Did you worry that because it was about a strange device for making balloons blow up by using your nose that we’d laugh it out of the park? Well - you need not have worried - but it’s already been done (see https://adc.bmj.com/content/106/9/923.1). Same with uncertainties about single-dose old-fashioned UDP-N-acetylglucosamine enolpyruvul transferase disruptors (https://adc.bmj.com/c...
Aug 31, 2021•17 min•Ep. 267
Editor-in-Chief of the Archives of Disease in Childhood, Dr Nick Brown, brings you the monthly Atoms - the highlights of the September 2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/9/i
Aug 23, 2021•7 min•Ep. 266
This podcast is a roundtable discussion of recent papers on Laryngeal mask use in neonates. ADC Editor Jonathan Davis (NICU Perth Children's Hospital) interviews Charles Rohr (Southmead Hopsital, Bristol, England; Newborn Services, John Radcliffe Hospital, Oxford, UK), Calum Roberts (Monash Hospital, Melbourne, Australia), and Joyce O'shea (Royal Hospital for Children Glasgow, Scotland) Related articles from ADC Fetal and Neonatal edition: https://fn.bmj.com/content/early/2021/04/21/archdischild...
Aug 06, 2021•26 min•Ep. 265
The deliciousness of a fresh home-grown strawberry is tricky to top, isn’t it? And the sense of disappointment when you realise a slug has felt the same way about it? This glimpse into my gastronomic preferences also relates to a critical appraisal note from this month (https://adc.bmj.com/content/106/8/821.2) It’s shockingly relevant to one of the articles too - a belief changer perhaps - about ultrasound screening in Beckwith-Weiderman syndrome (https://adc.bmj.com/content/106/8/824). The othe...
Aug 05, 2021•13 min•Ep. 264
It’s the height of summer in the UK and, of course, this makes our thoughts turn to concussion, slipped upper femoral epiphyses and proxy outcomes. (Well, to be honest, I’m not sure it really does... but if you do play out more maybe concussion is more likely and certainly some orthopaedic things are?) SUFE is something we do occasionally see and want to prevent really long term consequences. If one side has slipped though, should the surgical team go in and pin the other in place? (https://adc....
Jul 30, 2021•13 min•Ep. 263
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the August 2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/8/i
Jul 20, 2021•9 min•Ep. 262
Editor-in-Chief of ADC, Nick Brown, brings you the monthly Atoms - the highlights of the July 2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/7/i
Jun 28, 2021•8 min•Ep. 261
Have you been faced with a vomiting child in the ED and wanted to make it stop? (Not the ED shift .. well maybe .. but vomiting?) This is the month for you. Our first question asks if we can give dex not pred for asthma attacks (https://adc.bmj.com/content/106/5/509), which is a bit easier as a single shot, and bit less puke-making, but is it as good against asthma? The second asks if we can safely give ondansetron to kids who have bumped their heads (https://adc.bmj.com/content/106/5/507.1) wit...
Jun 22, 2021•15 min•Ep. 260
ADC Fetal and Neonatal’s Associate Editor, Jonathan Davis, and the Edition Editor of the journal, Ben Stenson, discuss the highlights from the May issue. Read the Fantoms here: https://fn.bmj.com/content/106/3/229 Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at podcasts.apple.com/gb/podcast/adc-…ast/id333278832...
Jun 08, 2021•24 min•Ep. 259
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the June 2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/6/i
Jun 01, 2021•5 min•Ep. 258
Do you always keep your phone on the latest OS? Do you tend to play the alpha releases? Have you only just moved to streaming TV services? Where do you sit on the curve of innovation adoption in medical practice? We chat about this (https://adc.bmj.com/content/106/4/401.2) before launching into a discussion of how single parents fare compared to couples in the world of child adoption (read more here: https://adc.bmj.com/content/106/4/401.1). We stay off the track of medicinal products and device...
May 17, 2021•15 min•Ep. 257
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the May2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/5/i
May 10, 2021•6 min•Ep. 256
When was the last time you had a twinge in your navicular? Did you know you could develop an eponymous osteochondrosis? And if a child did go and do that - what should you do about it? (Yes. This is a non-stop tease. You’ll have to listen or read here https://adc.bmj.com/content/106/3/303 to find out more.) Now that almost seamlessness leads into our leader - how do you know what you don’t know - and how to keep abreast of the width of your ignorance (https://adc.bmj.com/content/106/3/301.2) and...
May 05, 2021•13 min•Ep. 255
Are we reliable, as a podcast and a source of information? What does that word even mean? Well we delve a little deeper into that in this edition (https://adc.bmj.com/content/106/2/195.2) We also ask the question about what degree of weight loss for a healthy newborn really IS normal (https://adc.bmj.com/content/106/2/195.1) and while it’s fascinating, I’d advise using this knowledge wisely and approaching guideline writers rather than your midwifery colleagues with your newfound limits of Norma...
Apr 28, 2021•15 min•Ep. 254
ADC Fetal and Neonatal’s Associate Editor Jonathan Davis and the Edition Editor of the journal Ben Stenson discuss the highlights from the March issue. Read the Fantoms here: https://fn.bmj.com/content/106/2/115 Please listen to our regular podcasts and subscribe in Apple Podcasts, Google Podcasts, Stitcher and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at podcasts.apple.com/gb/podcast/adc-…ast/id333278832...
Apr 12, 2021•25 min•Ep. 253
Editor-in-Chief of ADC Nick Brown brings you the monthly Atoms - the highlights of the April 2021 issue. Read it on the Archives of Disease in Childhood website: https://adc.bmj.com/content/106/4/i
Apr 06, 2021•6 min•Ep. 252
