ITP typically presents with a sudden appearance of a petechial rash, spontaneous bruising, and/or bleeding in an otherwise well child.

Anaemia is a common incidental finding in the ED. Symptoms may include pale skin, fatigue, breathlessness and many more...

HSP is a multi-system vasculitic disorder which can affect skin and joints. Children will require a urine dipstick, BP and assessment of fluids.

Peritonsillar abscess (aka Quinsy) is a collection of pus in the peritonsillar space as a result of tonsillitis causing irritation.

Fractures of the facial bones are a common presentation to the ED but can lead to airway problems.

Tonsillitis is inflammation of the palatine tonsils (including the pharynx and adenoids) as a result of either a bacterial or viral infection.

Pre-tibial lacerations usually affects the older population when the skin over the shin becomes thin and friable, allowing small injuries to cause the skin to tear for easily.

Nicotine poisoning has proven to be fatal in children since e-cigarettes were introduced several years ago. A fatal dose can be as little as 1mg/kg.

Careful calculation of elemental iron is important to determine toxicity. Severe overdose can range from 75-150 mg/kg and be potentially fatal.

Local Anaesthetics (LAs) are used widely in Emergency Medicine. Toxicity occurs rapidly when LAs enters systemic circulation.

Naloxone is an opioid antagonist used to reverse the effect of opioid intoxication. Following reversal, patients need to be observed for at least 6 hours longer.

SCIWORA: Spinal Cord Injury Without Radiological Abnormality accounts for 6-19% of spinal cord injuries in children, and 9-14% in adults.

Safeguarding and promoting the welfare of children is the responsibility of EVERY member of staff in the NHS.

It’s always important to remember when considering a CT: there is no safe low level of radiation exposure!