Adc Podcast

Bob Phillips talks you through this month's Archimedes questions, including is ultrasound scanning as sensitive as CT in detecting skull fractures in children presenting following head injury? And should children who have a febrile seizure be screened for iron deficiency? For the full articles, see http://adc.bmj.com/content/99/10.toc

Mark Beattie discusses his picks from September's ADC. For all the content from the issues, see: http://adc.bmj.com/content/99/9.toc

Mark Beattie discusses his picks from August's ADC. For all the content from the issues, see http://adc.bmj.com/content/99/7.toc

Listen here to a shortcut to the answers for these clinical questions: Ultrarapid intravenous rehydration in children who are dehydrated from viral gastroenteritis: does it work? http://adc.bmj.com/content/99/9/878.1.full Humidified heated high flow nasal cannula versus nasal continuous positive airway pressure for providing respiratory support following extubation in preterm newborns http://adc.bmj.com/content/99/9/880.full After that, you might want to read about studies which compare some therapy to "standard care": http://blogs.bmj.com/adc/2014/07/09/compared-to-standard-care/ As always, let us know your thoughts on the podcasts via twitter or facebook, or comment on the podcast page.

Community-acquired pneumonia (CAP) remains a force to reckon with, as it accounts for 1.1 million of all deaths in children less than 5 years of age globally, with disproportionately higher mortality occurring in the low and middle income-countries (LMICs) of Southeast Asia and Africa. Existing strategies to curb pneumonia-related morbidity and mortality have not effectively translated into meaningful control of pneumonia-related burden. A recent systematic review in ADC looks at trials conducted in LMICs to determine the most suitable antibiotic therapy for treating pneumonia (very severe, severe and non-severe). ADC global health commissioning editor Nick Brown talks to one of the authors, Rehana Salam, Division of Women and Child Health, The Aga Khan University, Karachi, Pakistan, to hear what they found. Read the paper: http://goo.gl/ZCw0Rr

Summer might be here, and the time might be right for dancing in the streets, but for the dedicated follower of EBM, there's only one thing to listen to. This month's Archimedes podcast covers a rant about journal clubs, using subcutaneous fluids in children and the treatment of congenital CMV infection. The papers can be found here: http://adc.bmj.com/content/99/8.toc As always, comments on the podcast, section and EBM in general are very welcome by email to info.adc@bmj.com or on twitter @ADC_BMJ.

Mark Beattie discusses his picks from July's ADC. For all the content from the issues, see http://adc.bmj.com/content/99/7.toc

In this month's Archimedes update, Dr Bob Phillips wonders about when to act, when to stop acting, and when to do nothing at all - in the context of diagnostic testing - and summarises two Archimedes reports; one on whether or not to apply splints to neonates you've cannulated, the other on the need for septic screens in neonates with soft tissue infections. The full papers can be found here: Splints - http://adc.bmj.com/content/99/7/694.1.extract Septic Screens - http://adc.bmj.com/content/99/7/695.extract Diagnostic Thresholds - http://adc.bmj.com/content/99/7/694.2.extract He also encourages you to get in touch by email to info.adc@bmj.com or on twitter @ADC_BMJ.

Managing even uncomplicated HIV infection is a major undertaking. When compounded by nutritional compromise, as it so often is, it becomes many times more complex. When the two co-exist, mortality rises exponentially so awareness, prevention, early identification and aggressive management are essential. In this podcast, ADC's global health editor Nick Brown talks to Anna Rose, UCL, about her recent paper which examines both the HIV/ malnutrition relationship and the multiple spokes, social and medical required to tackle this global problem. Read the full paper here: http://goo.gl/ojCTxO

Editor Mark Beattie discusses his highlights from the June edition of ADC. Find all the content from the issue here: http://adc.bmj.com/content/99/6.toc Listen to the referenced podcast on HIV and malnutrition here: http://goo.gl/D31I6X

Mark Beattie discusses his selection from May's edition. For all the content, see http://adc.bmj.com/content/99/5.toc The ADC FN EPIcure2 podcast he mentions is available here http://goo.gl/5Mn50M

FN editor Martin Ward Platt talks through his picks from May 2014's edition. For all the articles, see http://fn.bmj.com/content/99/3.toc

In this month's Archimedes podcast, section editor Bob Phillips discusses the ADC blog series on the basics of evidence based medicine http://goo.gl/CQM4P8 and two questions regarding diagnostic cerebral catheterisation http://goo.gl/ulmSr6 and measuring serum sodium from capilliary blood samples http://goo.gl/uAFhKH. There's also a bonus treat of a haematological top tip.

Research understanding the lives of children with disabilities in low-income and middle-income countries has predominantly focused on prevalence studies with little progress on evidence-based service development. At the same time, global attention in child health has shifted from child survival strategies to those that bring child survival and development together. Aisha Yousafzai, Aga Khan University, Karachi, Pakistan, has led a review in May's ADC which examines whether intervention research can be better aligned with current theoretical constructs of disability and international guidelines that advocate for the realisation of rights for children with disabilities and inclusive early childhood development. ADC global health editor Nick Brown asks her about the conclusions. Read the full paper: Moving beyond prevalence studies: screening and interventions for children with disabilities in low-income and middle-income countries http://goo.gl/ISp259

Ronny Cheung, Department of Paediatrics, Imperial College Healthcare NHS Trust, and Claire Lemer, Evelina Children's Hospital, Guy's and St Thomas’ NHS Trust, look at the role of data in improving the quality of care for children and young people: how they can help to identify a problem, guide design of solutions, and evaluate changes in practice. Drs Lemer and Cheung introduce some principles for measurement in the field of quality improvement, and discuss how to use and present data to maximise their value and impact in quality improvement initiatives. Read the full article: Equipped: quality improvement: Using data to improve care http://goo.gl/ZOmp6u

It is vital to involve children, young people and families in the design, delivery and improvement of their care. Their involvement can range from individuals giving feedback, such as patient stories, to collaborative work including patient groups and communities helping to develop and commission services. In this podcast Sophie Robertson, Paediatric Department, Portsmouth Hospitals NHS Trust, Kate Pryde, Department of Child Health, University Hospital Southampton NHS Foundation Trust and Kath Evans, Head of Patient Experience - Maternity, Newborn, Children and Young People, NHS England, discuss the methods of involving patients in care, and how this can lead to meaningful participation and improvement of services. Read their ADC article on this topic: Patient involvement in quality improvement: is it time we let children, young people and families take the lead? http://goo.gl/ETgGW1

Archimedes editor Dr Bob Phillips discusses April's Archimedes questions. For the articles, see this month's edition of the journal: http://adc.bmj.com/content/99/4.toc

Editor Mark Beattie discusses some choice papers from April's ADC. For all the content in this edition, see: http://adc.bmj.com/content/99/4.toc

Editor Mark Beattie talks through his highlights from the March edition. For all the content, see: http://goo.gl/qgrA4V

Professor Neil Marlow is the lead author on the EPIcure2 paper published In ADC Fetal and Neonatal. He has led several large studies of the outcome of preterm delivery, including the first EPIcure study which was influential in shaping aspects of current national policy. Neil has been Professor of Neonatal Medicine at University College, London, since 2008, having previously been the chair of Neonatal Medicine in Nottingham, and he is a past President of the European Society for Paediatric Research. Read the full paper, open access, here: http://goo.gl/NAd6gd The previous publications from EPIcure2 to which he refers in the podcast are BMJ 2012;345:e7961 and BMJ 2012;345:e7976.