Obgyn Key

  Look in the mouth. If you can see anything obvious occluding airway then remove it if it is easy to do so but don’t sweep with your finger further than…

  Prepare your equipment. It is important to set up all your equipment beforehand so that it is ready to grab when you are in the middle of a procedure –…

Box 4.1 Clinical features suggestive of physical abuse History   Delayed presentation (accident happened several days ago)   Story does not fit with the observed injuries. (Can you imagine what happened from…

  Be honest. Don’t say it’s not going to hurt if it will as this undermines the child’s trust in you.   Explain in simple terms, but not too simple. Choose a…

  Talk to colleagues. – Formal support. Many paediatric departments will have a debriefing session following upsetting events (such as child protection cases, prolonged resuscitation or the death of a child)…

 Top Tip The UK was previously divided into ‘deaneries’ responsible for overseeing the training of doctors working in that geographical area. As a result of the recent NHS reforms (Health…

  start timer   don’t drop them (use a towel if being passed to you – they’re very slippery when you have gloves on)   dry vigorously and discard wet towel   wrap in…

  Confidentiality. In order to allow the young person to feel comfortable in sharing information with you, it is helpful to remind them that any information they share with you will…

  There is a separate British National Formulary (BNF) for prescribing in children (BNFc). It is an indispensible resource and amongst other useful material, at the very back of the book…

Neurological problemFix and follow3 monthsAbnormal visionReaching for objectsPassing objects hand to hand6 months8 monthsAbnormal visionMusculoskeletal problemNeurological problemSitting unsupported12 monthsMusculoskeletal problemNeurological problemPincer grip12 monthsVisual problemCo-ordination problemGross motor problemWalking unsupported18 monthsMusculoskeletal problemNeurological…