If you’re a paediatric or emergency medicine trainee or an emergency nurse, ENP or ACP working in ED or primary care looking to develop your skills this course is for you.

With an expert faculty and a strong focus on evidence-based care with a practical approach, this course will give you the skills you need to provide quality care for children.

We’ll be covering:

General philosophy of PEM and approach to the care of children.

Adapting to life after birth and the care of neonates.

PEM approach to acute presentations to ED, including:

• Respiratory
• Cardiac
• Neuro
• Abdo pain
• Orthopaedics
• Minor injury

Tips and tricks on how to assess and manage common injuries.

Focus on the needs of adolescents.

The approach to medical and trauma resuscitation.

Risk stratification for children.

Communication tips and tricks, including a session on children with complex needs.

Expert faculty: Andy Tagg, Ben Lawton, Henry Goldstein, Tessa Davis, Becky Platt, Dani Hall, Damian Roland, Kat Priddis, Tara George, Liz Herrieven, Anand Nitin Kanani

0900-0915 – SESSION 1: Introduction

• Welcome
• General philosophy of PEM
• Developmentally appropriate communication / communication with children / neurodiversity / complex medical needs

0925-1030 – SESSION 2: Extremes of age in PEM – babies and adolescents

• Adapting to life outside
• The normal baby Feeding, pooing, weeing, feeding (breast and bottle), normal umbilical cords, rashes reflux, Jaundice
• Neonatal badness – causes and how to manage
• HEEADSSS
• Recorded Panel – Managing young people and adolescents – a discussion 

BREAK

1050-1125 – SESSION 3: Approach to illness in children

• Damian’s talk on risk
• Recorded Panel – Fever in children and neonates as a conversation between two DFTB people
• Febrile seizure

1125-1225 – SESSION 4: Chest stuff

• Stridor
• Wheeze in the under 5s (bronchiolitis, preschool wheeze)
• Recorded Panel:Asthma management (when to start inhaled steroids)
• AMA Panel

LUNCH

1310-1415 – SESSION 5: Big sick

• Anaphylaxis
• Shock
• Status epilepticus (inc ConSEPT/ECLIPSE)
• Kahoot Quiz

1415-1455 – SESSION 6: Abdo

• Abdo pain general approach – testicles, penis, appendix and other things I don’t want to be referred and why and what you should do about them
• Recorded Panel: In and out – vomiting, UTIs, diarrhoea and constipation 

BREAK

1510-1635 – SESSION 7: Common trauma in PEM

• Pain assessment and management – think about when to sedate rather than analgese
• Limping child (atraumatic)
• Common injuries
• Basics of Salter Harris
• Head injury algorithms – NICE, PECARN, PREDICT – might already be in the recorded head injury discussion – to check
• AMA Live Panel
• Close

Head injury discussion – when to CT a child
Fingers – include rock, paper, scissors
FORCE CRAFT and other ortho research studies – CUT IF DAN PERRY NOT AVAILABLE
Foreign body removal
Minor burns
How do we personally manage risk…pre-recorded panel
Pneumonia – including CAP-IT
Basics of axis and paed ECGs
Tips & tricks for airway and breathing support
DKA
Thinking about gender, pronouns
Difficult convos and Behavioural de-escalation (differentiate from adults under the influence of drugs and alcohol)
An approach to taking a sexual history…
Gynae differentials
Preparation for procedures
C-spine injuries
Wounds – when to worry (including faces – mouth and eyes etc)
Paediatric trauma call principles (plus zero point survey)
Paeds resus principles – approach to critically unwell kids
Chest pain