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Tessa Davis
Paeds EM doc - returned from Aus to work in the NHS. Read more about me at
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Tessa Davis 4h
of to have mine too. Good chat.
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Tessa Davis 4h
I think it’s an important rule for trainees to know as easily overlooked
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Damian Roland 4h
Yes Yes. Important this is our expert practice. Not for general use!!
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Tessa Davis 4h
but the best rule for trainees to follow is not to discharge if tachy 2/2
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Tessa Davis 4h
so with experience you could discharge in a few specific cases 1/2
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Tessa Davis 4h
true, but then that’s not really a tachycardic child
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Tessa Davis 4h
Tim, I would not send that child home. Interesting to hear you would.
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Tessa Davis 4h
are you referring to isolated tachy? I was thinking of unwell tachy child
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Damian Roland 4h
wheezer who has had B-agonist (often co-present with fever)
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Tessa Davis 4h
yes, but assuming they have to come to ED because they are unwell
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Tessa Davis 4h
what’s an example of a tachy child you’d send home?
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Tessa Davis 4h
but surely with no intervention and tachycardic you still wouldn’t send home?
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Tessa Davis 4h
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Stephanie Doniger 7h
"Pour some sugar on [it]"🎼 the 🔑to successful paraphimosis reduction. Works as osmotic agent to decrease edema + analgesia!
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Damian Roland 4h
the key is the question. “still’ tachycardic is different from tachycardic
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Tim Horeczko 4h
Then relative mild tachycardia doesn't connote same sinister status as adults
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Tim Horeczko 4h
As long as we know *why* Johnny is still a little tachycardic, we're often ok
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Tessa Davis 4h
It would be v rare for me to discharge a tachycardic child. It was advice given to me by years ago & has stuck with me since.
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Tessa Davis 9h
Agreed - needs to be a culture of supporting junior staff, positive feedback, empathy, mentoring, alongside resilience training
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David Rouse 10h
tools like this are ace but, they can't prevent burnout alone
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