Childhood emergencies

May 2010

AFP Cover 2010 May

Childhood emergencies

May 2010 Vol 39 (5) 257-352

The theme for the May issue of AFP is Childhood emergencies. This month's articles include Croup, Assessment of the unwell child, Meningococcal sepsis, Croup – assessment and management, Minor head injuries in children – an approach to management & Type 1 diabetes in children – emergency management.



Janice Charles, Helena Britt, Salma Fahridin

Assessment of the unwell child

Adriana Yock Corrales, Mike Starr

Meningococcal sepsis

Shabna Rajapaksa, Mike Starr


Assessment and management

Shabna Rajapaksa, Mike Starr

Minor head injuries in children

An approach to management

Carl Luckoff, Mike Starr

Type 1 diabetes in children

Emergency management

Aris Siafarikas, Susan O’Connell

Up front

Letters to the editor


Bacterial cystitis in women

Amanda Chung, Mohan Arianayagam, Prem Rashid

Erectile dysfunction – when tablets don’t work

Ian A R Smith, Nicholas McLeod, Prem Rashid

Circadian rhythms and depression

Philip Boyce, Erin Barriball


Aspirin, flu and general practice research

Jenni Parsons

Epicentre of influenza

The primary care experience in Melbourne, Victoria

Jenny Bocquet, Tania Winzenberg, Kelly A Shaw

Asthma Cycle of Care attendance

Overcoming therapeutic inertia using an asthma clinic

Patrick D Byrnes, Colleen McGoldrick, Margaret Crawford

Patient initiated aggression and violence in Australian general practice

Laura Forrest, Rhian Parker, Kelsey Hegarty, Hagen Tuschke


Two HEADSSS are better than one

A biopsychosocial screening tool for use when treating other doctors

Hilton Koppe

Failure to diagnose: brain tumour

Sara Bird

Genomics and general practice: the next 10 years

Lawrence Leung


Online palliative care information for GPs

Christine Sanderson, Jennifer Tieman

Tips from the toolkit: 4

Starting a practice

Neville Steer

Back pages

Clinical challenge

Deepa Daniel


AFP Podcasts

Interviews May 2010

Epicentre of Influenza: The primary care experience in Melbourne, Victoria

Dr Jenny Bocquet talks about her qualitative research project exploring the early experience of selected frontline general practices in managing the 2009 H1N1 influenza outbreak. Dr Bocquet discusses the context of why she decided to perform this study, how her research was carried out, and the type of general practices involved. She discusses her how the general practices fared, including the strategies they used to manage, and whether they coped or were supported by government services. Dr Bocquet goes on to discuss how we can approach things differently in future flu seasons, and where we go from here to ensure greater preparation and support from government health services.

Duration: 21 minutes 13 seconds
File size: 5MB

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Meningococcal sepsis, croup, and minor head injuries in children

Dr Mike Starr talks about three childhood emergency presentations: meningococcal sepsis, croup, and minor head injuries, all of which are of significant importance in general practice. For each presentation, Dr Starr discusses which children are at risk, possible presentations, what to watch out for in history and examination, necessary investigations, and important management considerations in a general practice and a hospital setting.

Duration: 21 minutes 51 seconds
File size: 5MB

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Emergency Management of Type 1 Diabetes in Children

Dr Aris Siafarikas talks about how to approach the assessment and management of a child presenting in diabetic ketoacidosis due to Type 1 diabetes. Dr Siafarikas discusses diabetic ketoacidosis, including how children might present, which Type 1 diabetic patients are prone to developing DKA, and how general practitioners can diagnose a patient presenting in DKA. Dr Siafarikas then goes on to explore the appropriate management of a patient in DKA, including resuscitation, monitoring, rehydration and electrolyte replacement, insulin therapy, and managing recovery and follow-up. He also discusses the most important complication of severe DKA, that being cerebral oedema.

Duration: 10 minutes 33 seconds
File size: 2MB

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