The Education Hub - Conversation with the experts

PP: UTIs - when to do a lumbar puncture?

This week we examine a large retrospective study from the US that looked at how often (or infrequently) well-looking febrile infants are found to have UTIs and meningitis. This article has helped mould our rubric for investigating infants with PUO (fever of unknown origin).For the written summary of this paper and link to the original paper, please visit the Paediatric Papers websitePODCAST DISCLAIMER:This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics.The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however t​he information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation.This podcast should not be reproduced without the written permission of The Education Hub (education.hub@rch.org.au​).

PP: COVID-19 - don’t miss the associated inflammatory syndrome

Welcome to the first episode of the Paediatric Papers segment of our podcast! This week we delve into a case series of children with COVID-19 who developed the Paediatric Inflammatory Multisystem Syndrome - Temporally associated with SARS-Cov-2 (PIMS-TS). The article arms us with information on how to not-miss the syndrome and ways to distinguish it from other, very similar, conditions.For the written summary of this paper and link to the original paper, please visit the Paediatric Papers websitePODCAST DISCLAIMER:This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics.The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however t​he information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation.This podcast should not be reproduced without the written permission of The Education Hub (education.hub@rch.org.au​).

CWTE: How to communicate with pre-schoolers

Honesty is the key to communicating with toddlers and children. This episode covers useful strategies for talking to toddlers truthfully about their illness, asking and answering questions, acknowledging their feelings and listening.Associate Professor Brigid Jordan is a social worker and infant mental health clinician, educator and researcher. Her research focus is the impact of early life stress on the health and mental health of infants. She has had a key role in developing the clinical field of infant mental health in Australia, and has served on the Board of Directors and Executive Committee of the World Association for Infant Mental Health.PODCAST DISCLAIMER:This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics.The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however t​he information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation.This podcast should not be reproduced without the written permission of The Education Hub (education.hub@rch.org.au​).

CWTE: Normal infant crying, sleeping and feeding behaviours

Crying, sleeping and feeding are normal infant behaviours, so what are the signs that there might be a problem? Associate Professor Brigid Jordan and Dr Emily Littlejohn discuss this question and more about abnormal behaviour, the impacts on babies and their parents, and how healthcare workers can help.Brigid is a social worker and infant mental health clinician, educator and researcher. Her research focus is the impact of early life stress on the health and mental health of infants. She has had a key role in developing the clinical field of infant mental health in Australia, and has served on the Board of Directors and Executive Committee of the World Association for Infant Mental Health.PODCAST DISCLAIMER:This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics.The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however t​he information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation.This podcast should not be reproduced without the written permission of The Education Hub (education.hub@rch.org.au​).

CWTE: Hospitalisation from a toddler’s point of view

The emotional development of our youngest patients can be disrupted by hospitalisation. In this episode, A/Prof Brigid Jordan provides us with a framework for understanding how toddlers react to illness, and explores the difference between tolerable stress and trauma.Brigid is a social worker and infant mental health clinician, educator and researcher. Her research focus is the impact of early life stress on the health and mental health of infants. She has had a key role in developing the clinical field of infant mental health in Australia, and has served on the Board of Directors and Executive Committee of the World Association for Infant Mental Health.PODCAST DISCLAIMER:This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics.The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however t​he information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation.This podcast should not be reproduced without the written permission of The Education Hub (education.hub@rch.org.au​).

CWTE: Infant emotion and behaviour dysregulation

This is the first episode of a four part series on infant mental health, with expert guest Associate Professor Brigid Jordan AM interviewed by Dr Emily Littlejohn. The series covers the principles of emotional development of patients in the 0-5 age group, how this can be disrupted by hospitalisation and how we can support the mental health of our patients and families. Brigid is a social worker and infant mental health clinician, educator and researcher. Her research focus is the impact of early life stress on the health and mental health of infants. She has had a key role in developing the clinical field of infant mental health in Australia, and has served on the Board of Directors and Executive Committee of the World Association for Infant Mental Health.PODCAST DISCLAIMER:This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics.The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however t​he information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation.This podcast should not be reproduced without the written permission of The Education Hub (education.hub@rch.org.au​).

LEAP: 5 senses

LEAP, Listen, Empower, Adapt, Perform. Mindfulness for health care workers by health care workers, developed and narrated by Dr Amanda Stock and Dr Anna Englin.Disclaimer: This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics. The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however the information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation. This podcast should not be reproduced without the written permission of The Education Hub (Education.Hub@rch.org.au)

LEAP: For keeping the hands safe: an exercise for keeping the hands away from the face

This exercise will help you keep your hands safe and away from your face. It is most effective when the recording is listened to in a quiet space with the eyes closed or the gaze kept soft. LEAP, Listen, Empower, Adapt, Perform. Mindfulness for health care workers by health care workers, developed and narrated by Dr Amanda Stock and Dr Anna Englin.Disclaimer: This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics. The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however the information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation. This podcast should not be reproduced without the written permission of The Education Hub (Education.Hub@rch.org.au)

LEAP: At the end of a shift: preparing for home - option 2

Exercises for processing difficult events at work. LEAP, Listen, Empower, Adapt, Perform. Mindfulness for health care workers by health care workers, developed and narrated by Dr Amanda Stock and Dr Anna Englin.Disclaimer: This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics. The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however the information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation. This podcast should not be reproduced without the written permission of The Education Hub (Education.Hub@rch.org.au)

LEAP: At the end of a shift: preparing for home - option 1

Exercises for processing difficult events at work. LEAP, Listen, Empower, Adapt, Perform. Mindfulness for health care workers by health care workers, developed and narrated by Dr Amanda Stock and Dr Anna Englin.Disclaimer: This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics. The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however the information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation. This podcast should not be reproduced without the written permission of The Education Hub (Education.Hub@rch.org.au)

LEAP: Keeping cool whilst wearing PPE

LEAP, Listen, Empower, Adapt, Perform. Mindfulness for health care workers by health care workers, developed and narrated by Dr Amanda Stock and Dr Anna Englin.Disclaimer: This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics. The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however the information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation. This podcast should not be reproduced without the written permission of The Education Hub (Education.Hub@rch.org.au)

LEAP: Clear thinking in a crisis

Many of us have experienced the sensation of freezing during a crisis. This is because our thinking/rational mind is overwhelmed and shuts down. This exercise helps to interrupt the panic cycle and allows us to think clearly. This is best practised when you are feeling calm so it can be easily accessed during a crisis. LEAP, Listen, Empower, Adapt, Perform. Mindfulness for health care workers by health care workers, developed and narrated by Dr Amanda Stock and Dr Anna Englin.Disclaimer: This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics. The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however the information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation. This podcast should not be reproduced without the written permission of The Education Hub (Education.Hub@rch.org.au)

LEAP: When you’re feeling overwhelmed

These exercises may help you when you feel overwhelmed. If possible, practise these in a calm setting so that you become familiar with them. LEAP, Listen, Empower, Adapt, Perform. Mindfulness for health care workers by health care workers, developed and narrated by Dr Amanda Stock and Dr Anna Englin.Disclaimer: This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics. The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however the information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation. This podcast should not be reproduced without the written permission of The Education Hub (Education.Hub@rch.org.au)

LEAP: Preparing for a shift - option 2

This exercise may help more "visual" learners. Listen, Empower, Adapt, Perform. Mindfulness for health care workers by health care workers, developed and narrated by Dr Amanda Stock and Dr Anna Englin.Disclaimer: This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics. The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however the information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation. This podcast should not be reproduced without the written permission of The Education Hub (Education.Hub@rch.org.au)

LEAP: Preparing for a shift - option 1

To enhance clear thinking and control anxiety. This exercise works very well in a group setting, such as a huddle or handover. Mindfulness for health care workers by health care workers, developed and narrated by Dr Amanda Stock and Dr Anna Englin.Disclaimer: This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics. The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however the information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation. This podcast should not be reproduced without the written permission of The Education Hub (Education.Hub@rch.org.au)

LEAP: Introduction

LEAP, Listen, Empower, Adapt, Perform.Mindfulness for health care workers by health care workers, developed and narrated by Dr Amanda Stock and Dr Anna Englin.Disclaimer: This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics. The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however the information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation. This podcast should not be reproduced without the written permission of The Education Hub (Education.Hub@rch.org.au)

CWTE: RCH ED Point-of-Care Ultrasound

In this episode, we interview Dr Adam O'Brien and Ms Tania Griffiths about the development of the RCH ED POCUS Project and the work they do in ED and around the hospital to educate doctors and nurses about bedside ultrasound.PODCAST DISCLAIMER:This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics.The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however t​he information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation.This podcast should not be reproduced without the written permission of The Education Hub (education.hub@rch.org.au​).

CWTE: How and when to report to child protection

When might we suspect child abuse, maltreatment or neglect? What do we do with those concerns? How do you make a report to child protection?Dr Anne Smith (Director of the Victorian Forensic Paediatric Medical Services) discusses this and much more - including a step-by-step guide on what a conversation with Child Protection Services might be like.The Victorian Forensic Paediatric Medical Services (VFPMS) has state-wide responsibilities in relation to forensic medical assessments and care for abused, assaulted and neglected children. The service structure is a 'hub and spoke' model, with a Melbourne-based 'hub' at two sites - the Royal Children's and Monash Children's Hospitals - and 'spokes' in regional Victoria at the major hospitals and health services. The Royal Children's Hospital, Melbourne, governs the VFPMS and provides administrative oversight. We encourage early consultation with the VFPMS when concerns arise regarding child maltreatment. Early conversations regarding concerns about child maltreatment may minimise later complications and reduce angst experienced by abused or neglected children, their family members and the professionals who care for them. Services provided at The Royal Children's Hospital and Monash Medical Centre can be arranged by calling 1300 66 11 42.Resources:Information on how to refer to the VFPMSInformation about guidelines for forensic assessment and learning toolsPODCAST DISCLAIMER:This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics.The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however t​he information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation.This podcast should not be reproduced without the written permission of The Education Hub (education.hub@rch.org.au​).

CWTE: How to take a forensic history

Assessing for child abuse can be very confronting. Dr Anne Smith (Director of the Victorian Forensic Paediatric Medical Services) ​discusses how forensic history taking differs from other day-to-day assessments, important salient history and examination details to include and helpful hints when doing one.The Victorian Forensic Paediatric Medical Services (VFPMS) has state-wide responsibilities in relation to forensic medical assessments and care for abused, assaulted and neglected children. The service structure is a 'hub and spoke' model, with a Melbourne-based 'hub' at two sites - the Royal Children's and Monash Children's Hospitals - and 'spokes' in regional Victoria at the major hospitals and health services. The Royal Children's Hospital, Melbourne, governs the VFPMS and provides administrative oversight. We encourage early consultation with the VFPMS when concerns arise regarding child maltreatment. Early conversations regarding concerns about child maltreatment may minimise later complications and reduce angst experienced by abused or neglected children, their family members and the professionals who care for them. Services provided at The Royal Children's Hospital and Monash Medical Centre can be arranged by calling 1300 66 11 42.Resources:Information on how to refer to the VFPMSInformation about guidelines for forensic assessment and learning toolsPODCAST DISCLAIMER:This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics.The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however t​he information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation.This podcast should not be reproduced without the written permission of The Education Hub (education.hub@rch.org.au​).

CWTE: How to talk to families about forensic concerns

Discussions about child abuse are stressful - for both clinicians and carers. Dr Anne Smith (Director of the Victorian Forensic Paediatric Medical Services) ​talks to us about how to navigate these tricky conversations.The Victorian Forensic Paediatric Medical Services (VFPMS) has state-wide responsibilities in relation to forensic medical assessments and care for abused, assaulted and neglected children. The service structure is a 'hub and spoke' model, with a Melbourne-based 'hub' at two sites - the Royal Children's and Monash Children's Hospitals - and 'spokes' in regional Victoria at the major hospitals and health services. The Royal Children's Hospital, Melbourne, governs the VFPMS and provides administrative oversight. We encourage early consultation with the VFPMS when concerns arise regarding child maltreatment. Early conversations regarding concerns about child maltreatment may minimise later complications and reduce angst experienced by abused or neglected children, their family members and the professionals who care for them. Services provided at The Royal Children's Hospital and Monash Medical Centre can be arranged by calling 1300 66 11 42.Resources:Information on how to refer to the VFPMS: https://www.rch.org.au/vfpms/refer/Information about guidelines for forensic assessment and learning tools: https://www.rch.org.au/vfpms/guidelines/Information about learning tools: https://www.rch.org.au/vfpms/tools/PODCAST DISCLAIMER:This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics.The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however t​he information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation.This podcast should not be reproduced without the written permission of The Education Hub (education.hub@rch.org.au​).