2020 Paediatric grand rounds
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A long & torturous path: A case of caustic ingestion

The Yellow zebra
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Dr Li-Zsa Tan, Staff Specialist, Paediatric Gastroenterology, JHCH
Dr Rowen Seckold, Paediatric Endocrinologist, JHCH
Dr Bruce King, Staff Specialist, Paediatric Endocrinology, JHCH |
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Khalaf R, Phen C, Karjoo S, Wilsey M. Cholestasis beyond the Neonatal and Infancy Periods. Pediatr Gastroenterol Hepatol Nutr. 2016;19(1):1-11. |

Paediatric toxicology poisons

Migraine

Refusal of vitamin K

Congenital diaphragmatic hernia

Refugee health plan
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Dr Murray Webber, Clinical Lead, Refugee Health Program
Fatima Mardenli, Arabic Interpreter, Multicultural Health Unit
Eleanor Benge, Multicultural Health Liaison Officer
Alejandro Silva, Multicultural Health Liaison Officer |
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Refugee Health Service |
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NSW Refugee Health Service Appointment reminder translation tool |
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Clinical Videoconferencing (Scopia) intranet page |
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HNE Community Health Pathway, Refugee Health |
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Log on to My Health Learning to enrol in Meeting the healthcare needs of refugees
By completing both modules of this course you will be better able to:
Recognise people from refugee and refugee-like backgrounds
Recognise how the refugee experience prior to arrival impacts people’s healthcare needs
Focus on building trust and creating safety
Use professional interpreters, on-site or over the phone
Check that you are being understood
Find out what other priorities the person may have
Ask about beliefs around health, illness and health practices
Refer patients to cost-effective, culturally relevant options, make it easy for patients to get there, and follow up
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Febrile neutropaenia
Presented by the Paediatric Oncology Team, John Hunter Children's Hospital
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Dr Joshua Serov, Paediatric Oncology Fellow
Dr Michelle Wong, Paediatric Oncology Registrar
Dr Brooke Gardiner, Paediatric Oncology SMRO
Dr Frank Alvaro, Paediatric Oncologist |
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Febrile neutropenia |
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Overview of neutropenic fever syndromes |
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Chamberlain JD, Smibert E, Skeen J, Alvaro F. Prospective audit of treatment of paediatric febrile neutropenia in Australasia. J Paediatr Child Health. 2005;41(11):598-603. |
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Lehrnbecher T, Phillips R, Alexander S, Alvaro F, Carlesse F, Fisher B, et al. Guideline for the management of fever and neutropenia in children with cancer and/or undergoing hematopoietic stem-cell transplantation. J Clin Oncol. 2012;30(35):4427-38. |
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Haeusler GM, De Abreu Lourenco R, Clark H, Thursky KA, Slavin MA, Babl FE, et al. Diagnostic Yield of Initial and Consecutive Blood Cultures in Children With Cancer and Febrile Neutropenia. J Pediatric Infect Dis Soc. 2020. (Abstract only). |

Paediatric palliative care in the time of COVID-19
Presented by the Paediatric Palliative Care team, John Hunter Children's Hospital |
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Dr Sharon Ryan,
Staff Specialist Paediatrician
Dr Amanda Evans, Paediatric Fellow
Mr Sean Wood, Social Worker
Ms Sarah Smith, Bereavement Co-ordinator
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Weaver MS, Wiener L. Applying Palliative Care Principles to Communicate With Children About COVID-19. J Pain Symptom Manage. 2020. |
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Lawrie I, Murphy F. COVID-19 and Palliative, End of Life and Bereavement Care in Secondary Care: Role of the specialty and guidance to aid care. NHS. 2020.
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Wilkinson D. Ethics framework for use in acute paediatric settings during COVID-19 pandemic. 2020. |
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Laventhal N, Basak R, Dell ML, Diekema D, Elster N, Geis G, et al. The Ethics of Creating a Resource Allocation Strategy During the COVID-19 Pandemic. Pediatrics. 2020. |

Discussing weight with parents
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Dr Nidhi Panickedr & Dr Rowen Seckold
Paediatricians
John Hunter Children's Hospital
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Oude Luttikhuis H, Baur L, Jansen H, Shrewsbury VA, O'Malley C, Stolk RP, et al. Interventions for treating obesity in children. Cochrane Database of Systematic Reviews. 2019(3). |
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Ho M, Garnett SP, Baur L, Burrows T, Stewart L, Neve M, et al. Effectiveness of lifestyle interventions in child obesity: systematic review with meta-analysis. Pediatrics. 2012;130(6):e1647-71. |

Precision sedation in PICU & anti-NMDA receptor encephalitis
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Dr Yolly Coleman & Dr Rob Smith
Paediatrician & Paediatric Neurologist
John Hunter Children's Hospital
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Society guideline links: Procedural sedation in children |
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Acute disseminated encephalomyelitis (ADEM) in children: Treatment and prognosis |
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Paraneoplastic and autoimmune encephalitis |
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Kayser MS, Dalmau J. Anti-NMDA Receptor Encephalitis in Psychiatry. Curr Psychiatry Rev. 2011;7(3):189-93. |
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Titulaer MJ, McCracken L, Gabilondo I, Armangue T, Glaser C, Iizuka T, et al. Treatment and prognostic factors for long-term outcome in patients with anti-NMDA receptor encephalitis: an observational cohort study. Lancet Neurol. 2013;12(2):157-65. |
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Reid AH, McCall S, Henry JM, Taubenberger JK. Experimenting on the past: the enigma of von Economo's encephalitis lethargica. J Neuropathol Exp Neurol. 2001;60(7):663-70. |

Late diagnosis of CF