The Education Hub - Conversation with the experts

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: 
Subscribe to Education Hub (confirmsubscription.com) 

Non-specific abdominal pain in children

Abdominal pain can have a wide range of differential diagnoses and determining the right one can be very complex and stressful, particularly if the pain has a time critical cause. We are joined by Dr Amanda Stock from RCH Emergency who discusses the possible causes and sequelae of abdominal pain and describes the implications of functional abdominal pain. 

Difficult airway management in children

In this episode we talk about managing children's airways under difficult circumstances. Dr Stefan Sabato and A/Prof Elliot Long from the RCH will explore multiple aspects of airway management, where difficulty may be encountered. The discussion includes anatomical difficulty, physiological difficulty and other circumstances where the situation in which the airway is being managed is difficult. The contributors to difficulty will be explored for each of these circumstances, as well as solutions and pitfalls.
RCH Airway guideline:
https://www.rch.org.au/clinicalguide/guideline_index/Emergency_airway_management/
 

Tonsil-adenoidectomy - PART 2 - Discharge education

Joining me today are Bec Marshall and Claire De Simone, whom are the Clinical nurse consultants for the ENT department. This is the second part of a 2-part series on Tonsil-adenoidectomy.
In the outreach service we often deliver education about managing patients who have undergone Tonsil-adenoidectomy and receive many questions on what we teach children and families about the care at home.
Bec and Claire discuss the importance of parent/family education, how this can lead to decrease admission rates and improve outcomes.
 

Tonsil-adenoidectomy - PART 1 - Oxygen Desaturation

Joining us today are Bec Marshall and Claire De Simone who are the Clinical Nurse Consultants for the ENT department. Bec and Claire discuss the current management of oxygen desaturations following tonsil-adenoidectomy.
In the following podcast (PART 2), we will talk about the discharge education given to families, following this procedure. This will cover what we teach children and families about the care at home.
 

Rapid Sequence Induction

Today we are joined by Dr. Rebecca McIntyre, staff anaesthetist at the RCH. Rebecca takes us through the management of Rapid Sequence Inductions for the paediatric patients undergoing anaesthesia. 

Paediatric fasting for anaesthesia and surgery

Joining us today is the Deputy Director of Anaesthesia at the RCH. The wonderful Dr Philip Ragg.  
In this episode we discuss, perhaps the most requested and controversial topic; paediatric fasting for anaesthesia and surgery.