Emma Whyte

Emergency medicine trainee, almost a FACEM Paediatric Emergency Medicine trainee

[Emma Whyte @WhyteRhino]

@LisaGotley duration of faecal disimpaction, continue with disimpaction dose until all "chunks" passed and passing liquid. Then half dose for maintenance aim for "porridge" and continue for about the same amount of time as had symptoms #PEMcourse20 @PemCourses

[Emma Whyte @WhyteRhino]

@LisaGotley - Transabdominal USS for rectal diameter may one day replace DRE in children #PEMcourse20

[Emma Whyte @WhyteRhino]

Palpable stool on abdominal exam = faecal impaction so just treat it as such no need for imaging. #PEMcourse20 #FOAMped

[Emma Whyte @WhyteRhino]

@LisaGotley "The Queen of Poo" really has her Shit together #PEMcourse20

[Emma Whyte @WhyteRhino]

@PemCourses Early return to normal diet after gastro is beneficial, avoid fatty foods, foods high in simple sugars, and high sugar drinks. #PEMcourse20

[Emma Whyte @WhyteRhino]

In the setting of Gastro with clinical dehydration ORS is superior to other fluids for enteral rehydration. @PemCourses #PEMcourse20

[Emma Whyte @WhyteRhino]

@PemCourses Rehydration in PEM not evidence based but replacing 50ml/kg over 4-24hrs seems like a good place to start. #PEMcourse20 #FOAMped

[Emma Whyte @WhyteRhino]

When Gastro really is Gastro with Dr Alex Blythe @PEMCourses #PEMcourse20

[Emma Whyte @WhyteRhino]

Children rarely get epididymitis, beware not to miss testicular torsion although more commonly torsion of testicular appendage. @PemCourses #PEMcourse20

[Emma Whyte @WhyteRhino]

Appendicitis: 12-24hrs central visceral abdominal pain, loss of appetite, then migration of pain to RIF, peritonitis and low grade fever. Investigations are rarely helpful #PEMcourse20

[Emma Whyte @WhyteRhino]

@PemCourses Headache in a toddler is a red flag! #PEMcourse20

[Emma Whyte @WhyteRhino]

A proper neurological exam for a child presenting with a headache is sensitive for finding brain tumours #PEMcourse20

[Emma Whyte @WhyteRhino]

@PemCourses Fever and headache; most children will have a viral illness however if not behaving as expected think about Meningitis #PEMcourse20

[Emma Whyte @WhyteRhino]

@fayemj63 "what is the catastrophe?" the game we play in emergency. Hypoglycaemia may be a marker of underlying disease #PEMcourse20

[Emma Whyte @WhyteRhino]

@fayemj63 don't fear giving a bolus of fluid for the poorly perfused patient with DKA #PEMcourse20 #PEMPearls

[Running Doc @runningdoc7]

Check out the new Emergency Medicine courses. Aimed at ED nursing staff and junior doctors, focussing on clinical reasoning in Emergency Medicine. Watch this space for course dates in mid 2020. #PEMcourse20 @alaanibrahim @Inject_Orange #EmergencyMedicine

[Emma Whyte @WhyteRhino]

@Nandini_diy at #PEMCourse20 If you don't think "could this be NAI?" you could easily miss it. #FOAMped

[Emma Whyte @WhyteRhino]

Great talk again this morning by @LisaGotley #PEMcourse20

[PEM courses @PemCourses]

Another great @doodlemedicine drawn by @char_durand summary of Neonatal Clinical Reasoning by @LisaGotley #PEMcourse20 #FOAMed #FOAMped

[Emma Whyte @WhyteRhino]

https://t.co/vqeygKhe2k #PEMPEarls #PEMCourse20

[Running Doc @runningdoc7]

New “Surviving Sepsis Campaign International Guidelines for the Management of Septic Shock and Sepsis-Associated Organ Dysfunction in Children” https://t.co/qQzRGDCJeT
Do you know the Sepsis Six?
#PEMcourse20

[Emma Whyte @WhyteRhino]

More #PEMPearls from Megan King @PemCourses #PEMCourse20 #FOAMped

[Running Doc @runningdoc7]

Could this be paediatric sepsis? Look for the red flags like confusion, lethargy, fever, hypothermia, tachypnoea, tachycardia, rash (not just petechial), low urine output and sore legs. #PEMcourse20