The Education Hub - Conversation with the experts

Narrative Medicine 1 – What stories shape your life? BONUS Pt.1

This is a BONUS mini-series from our sister show 'Teach, Think, Treat' (TTT). These episodes are first published on that channel before coming here to CWTE. We wanted to share this fascinating series with you, on the concept of narrative medicine.
Join us for a thought-provoking three-part mini-series on narrative medicine, where storytelling meets the art and science of care. Featuring Dr. Mariam Tokhi and Dr. Fiona Reilly, we explore texts that reveal the power of narrative medicine in healthcare and life. 
Link to the poem What the Doctor Said by Raymond Carver. 
Follow our sister show TTT via the main page below and click on Apple and Spotify icons to load it into your app.
educationhubttt.podbean.com

Kidney health in ex-prem infants

Monitoring and managing the health of kidneys in the neonatal population is important for their longevity. In this podcast, we talk with paediatric nephrologist, Dr Tom Forbes, as he discusses the whys and hows of monitoring the health of kidneys in premature infants. Tom also talks about the Neonatal Kidney Collaborative Guidelines for the follow-up of ex-neonatal patients with respect to their kidney health. Don't forget about World Kidney Day 13th March. 
World Kidney Day 2025 Homepage https://www.worldkidneyday.org/
Kidney Health Australia (includes an online kidney health check for adults and lots of other resources for kidney patients of all ages) https://kidney.org.au/
Kidney Health Monitoring in Neonatal Intensive Care Unit Graduates – Clinical Practice Guideline from the NKC.
Kidney Health Monitoring in Neonatal Intensive Care Unit Graduates: A Modified Delphi Consensus Statement | Pediatrics | JAMA Network Open | JAMA Network
World Kidney Day: Case Finding for Kidney Disease in Children– From Neonates to Adolescents
https://www.kireports.org/article/S2468-0249(24)03464-8/fulltext
 

Procedural sedation in the Emergency Department

Did you know that about 10% of the population avoid seeking medical care due to fear associated with medical procedures?   
Early healthcare experiences shape future responses and poorly managed procedural distress can have long-term negative effects.   
When a procedure is anticipated to be particularly painful or distressing, we may need consider the use of procedural sedation.   
But which sedation is the best? when should we use it? and what do we need to consider?  
To help answer these questions and talk more about procedural sedation in the Emergency setting we are lucky to be joined by Amanda Stock and Melanie Turner.
Communicating procedures to Children  
Nitrous Oxide - Oxygen Mix 
Ketamine use for procedural sedation
B+ videos 
 

Iron deficiency in children

Whilst iron is important for red blood cell production in the body, about a third of the population are deficient in iron. Treatment in adults is a relatively simple process but is more complex in children. Join us as we talk with paediatric haematology trainee, Dr Cara Lacey as she discusses the recognition and treatment of iron deficiency in children.  
 
https://www.rch.org.au/clinicalguide/guideline_index/iron_deficiency/ 
https://www.rch.org.au/uploadedFiles/Main/Content/nutrition/Iron.pdf 

An Education Odyssey - Ed Hub 2024 Year in Review - BONUS

In this BONUS episode from our sister show Teach Think Treat, we delve into what the Education Hub at the RCH has done during this year. From running multiple escape rooms to producing regular podcasts and creating new face-to-face conversational education sessions, we’ve done a lot! We ponder the pitfalls of education in a large hospital setting, the power of outreach and how to inspire people to attend education programs in person. Join us as we take you on our 2024 education odyssey at the Education Hub – RCH. 

Farm safety for children

Whilst there are thousands of them dotted across the country, farms are a very unique place of work. And the reason for this is that farms are the livelihood of the farmers themselves and almost always, the farmers live on the farm. This means, if the farmers have children, the children are also on the farm and in many cases, they will work on the farm, often from a young age.  
But just like any workplace and any home, accidents can happen and some of these are serious.  
Today we have 3 guests who each have a different role to play in farm safety for children and are coming to this conversation from different perspectives. 
 
Farm Family Safety Toolkit | National Centre for Farmer Health
 
RCH, Farm Safety Fact Sheet
https://www.rch.org.au/kidsinfo/fact_sheets/Farm_Safety/
 
VFF, Child Safety on Farms Guidebook
Available with additional information: https://www.makingourfarmssafer.org.au/resources/child-safety-on-farm-handbook/
Direct link for handbook: https://www.makingourfarmssafer.org.au/wp-content/uploads/2023/05/VFF-Child-Safety-on-Farms-Guidebook-PDF.pdf
 
Kidsafe Victoria, Farm Safety Information and resources
https://www.kidsafevic.com.au/home-safety/farm-safety-creative-competition/
Direct link to parent guide to farm safety: https://www.kidsafevic.com.au/wp-content/uploads/2022/05/202204-Kidsafe-Parents-Guide-to-Farms-web-version.pdf
Direct link to farm safety checklist: https://www.kidsafevic.com.au/wp-content/uploads/2021/04/Farm-Safety-Checklist_Digital.pdf
 
Victorian Better Health Channel, Farm Safety Information
https://www.betterhealth.vic.gov.au/health/healthyliving/farm-safety-children
 
Royal Life Saving Australia, Farm Water Safety
https://www.royallifesaving.com.au/stay-safe-active/locations/farm-water-safety

The vomiting child

In paediatrics, we are used to vomit. Lots of vomit. Sometimes it feels as if just looking at the child in the wrong (or right) way makes them vomit.  
In this podcast with Dr Jeremy Friend we discuss a sensible approach to the vomiting child and ask the question, why did they vomit? 

Trauma informed preventative care (TIPC)

As we shift the focus from “What’s wrong with you?” to “What’s happened to you?”, we can be better informed of a patient’s situation and can approach their care accordingly. This is known as Trauma Informed Preventative Care (TIPC). In this episode, Dr Catherine Olwenyi, paediatric anaesthetist and key area lead for the Campus Mental Health Strategy’s TIPC key area talks about the TIPC framework and how we can our patients’ responses to care. 
Resources
https://mentalhealth.melbournechildrens.com/media/vqpd3ddb/tipc-policy-summary.pdf
https://www.healthcaretoolbox.org/

Blood pressure in children

About 15% of children globally have high blood pressure and many may not know it until it causes problems in adult life. Early detection is therefore critical to prevent cardio-vascular disease. PhD candidate, Jonathan Glenning from the Murdoch Children’s Research Institute’s Heart Research Group gives us an overview of high blood pressure in children and talks about his vision of drastically increasing the rate of childhood blood pressure monitoring. 

Constipation in children

How do you approach the common clinical presentation of constipation? In this case-based episode, we are joined by paediatric gastroenterologist, Dr Mark Oliver. Mark is given 4 typical age-related presentations, where he discusses how best to manage these.  
RCH Encoporesis Fitness Training Diary: 
https://www.rch.org.au/uploadedFiles/Main/Content/kidsinfo/constipation-encopresis-diary.pdf  
RCH Constipation Clinical Practice Guidelines: 
https://www.rch.org.au/clinicalguide/guideline_index/Constipation/  
North American Society for Pediatric Gastroenterology, Hepatology & Nutrition (NASPGHAN): 
https://naspghan.org/  

Learning from Wadja Aboriginal Family Place - Introduction

Learning from Wadja is a new sub-series for health professionals who work with aboriginal patients and their families. Wadja is at The Royal Children's Hospital, Australia on Wurundjeri land. In this first podcast, we ask Selena and Mick from Wadja Aboriginal Family Place how they run culturally sensitive services for Aboriginal and Torres Strait Islander children and their families who visit RCH for care. We also discuss how Wadja was founded and a bit about its history. 

Child health informatics

This episode with Professor Jim Buttery dives into the complexities of healthcare data sharing, the barriers created by privacy laws and disparate systems, and the potential solutions to these challenges. Key highlights include discussions on the issues with interoperability within Australian healthcare, the impact of historical systems like EMRs on data sharing and emerging technologies that could revolutionise how healthcare data is managed and utilized. Professor Buttery also touches on the role of consumer expectations in driving improvements and consumer involvement in the future of healthcare informatics. 

Vaccine administration insights

In this episode, we explore the intricacies of vaccine administration in community settings with Rachael McGuire, Education Nurse Coordinator at The Melbourne Vaccine Education Centre. This episode covers a range of topics, including optimal locations for childhood vaccinations, tips for immunisers, s-trategies for enhancing patient comfort and handling common concerns like allergies and illnesses. Rachael also shares valuable insights into professional collaboration, emerging trends in vaccination and essential resources for healthcare professionals. 

Vaccine hesitancy

Whilst many people can appreciate the importance of vaccinations, there exists a small percentage of the population who are hesitant to receive them. In this episode, we chat with Dr Jessica Kaufman about the rate the vaccination amongst children in Australia, the factors that contribute to vaccine hesitancy and some practical strategies to address those who are hesitant. 

Involving LGBTIQA+ Communities in Research and Improvement

In this episode we speak with Ken Knight, Chair of the Melbourne Children's LGBTIQA+ Collective, about what it takes to be LGBTIQA+ inclusive in care, and in health and medical research.
Anyone interested in joining the Campus LGBTQIA+ Collective can email ken.knight@mcri.edu.au 
MJA article - The kids are OK: it is discrimination not same-sex parents that harms children: https://www.mja.com.au/journal/2017/207/9/kids-are-ok-it-discrimination-not-same-sex-parents-harms-children 
Queers in Science: https://queersinscience.org.au/ 

Managing escalated behaviour in a paediatric setting

Whilst the changing behaviours of patients in hospital can be caused by any number of reasons, one of these of course is due to dissatisfaction. This also occurs in some children when they are in hospital and can often be well misunderstood as to why it occurs and how it is managed. There are also adults; whether they are staff or families of patients, who may exhibit escalated behaviours. Christie and Kathy share their experiences and expertise around this topic. 

ECG in the Paediatric Emergency Department

Explore the world of ECG’s from the perspective of a paediatric emergency specialist, John Cheek.  We discuss some key differences related to paediatric ECG’s in the ED such as indications, history taking tips and common paediatric pathologies. 

Supporting the LGBTQIA+ Community – Part 1

In this episode we speak with Hannah Nicholls, a Radiographer at St. Vincents, about her experience coming out at work. She has driven change in how her organisation supports members of the LGBTQIA+ community and has made progress in creating more welcoming spaces.

Neurofibromatosis 1 (NF1)

How much do you know about Neurofibromatosis? In this episode, RCH Neurologist, Dr Gabriel Dabscheck takes us through this genetic condition as we explore its features, diagnosis, surveillance and treatment.  
Resources: 
https://www.ctf.org.au/ 
https://www.ctf.org/ 
https://nervetumours.org.uk/ 
https://www.flickerofhope.org.au/ 

Procedural holding of children

Procedures can be invasive and uncomfortable. For children, this can, at times, be challenging and scary. In this episode, we chat with Stacey Richards from the RCH Procedural Holding Committee and Emma McDonald from the RCH Comfort Kids team. Stacey and Emma discuss procedural holding for children and provide some useful tips for ensuring children and comfortable and safe during procedures. 
Resources: 
For families (SR):  Kids Health Information : About Kids Health Information (rch.org.au) 
Comfort Kids : For kids (rch.org.au) RCH TV : Be Positive (B+) 
For clinicians (EM): Clinical Guidelines (Nursing) : Procedure Management Guideline (rch.org.au) 
https://educationhubcwte.podbean.com/mf/play/q3ktap/show_13278_episode_923768.mp3  Podcasts : Essential Ethics (rch.org.au) 
https://www.megfoundationforpain.org/ 
 
For up to date information from the Procedural Holding Committee: 
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