Guideline review Best practice consensus guidelines for medication safe paediatric ward rounds produced by RCPCH / NPPG joint standing committee on medicines, Dr D Marikar ep.bmj.com/content/early/…

Cystic fibrosis transition from paediatric to adult care Amazing improvements means nearly all CF children will become adults Only 23% teams have formal transition programme International survey results🗺️ adc.bmj.com/content/early/…

🆕 🚨 September 2024 issue out now Read it here: adc.bmj.com/content/109/9

Natural history of spinal cord compression stage AFMS3 in infants with achondroplasia 40% progress and undergo neurosurgery Suggest all have MRI at 6m Retrospective cohort study 🇬🇧 Prof Amaka C Offiah Great Ormond Street Neurosurgery adc.bmj.com/content/early/…

Evaluating decision regret after extremely preterm birth Less regret in: 💠‘Active’ vs ‘comfort' care 💠Recalled prenatal consult 💠Mother vs doctor making decision 💠Infant survived vs died Survey of 242 mothers 🇺🇸 fn.bmj.com/content/early/…

Diagnosis journey for children with juvenile idiopathic arthritis 4 themes: 💠Initially trivialising symptoms to urgency 💠Perception gap 💠Lack of guidance 💠Care pathway Qualitative study 🇫🇷 adc.bmj.com/content/early/…

Images in paediatrics Greenish-yellow fluorescence of scalp kerion celsi using Wood’s lamp (Consent obtained from parents) adc.bmj.com/content/early/…

Problem solving in clinical practice Neurological presentation does not always mean neurological diagnosis A teenager presents with sudden-onset severe back pain, bilateral lower limb paraesthesia and inability to walk following hyperextension of spine What do you do?

Images in neonatal medicine Extensive aplasia cutis congenita of the trunk Conservative management often successful (Parental consent obtained) fn.bmj.com/content/early/…

Predicting extubation failure in preterm infants using lung ultrasound Not very predictive More accurate in <28w <7 days old Prospective diagnostic accuracy study 🇦🇺 Arun Sett Kate Hodgson Brett J. Manley 🤷🏼‍♂️ fn.bmj.com/content/early/…

Editorial Untangling the physiology and pathophysiology of neonatal hypoglycaemia fn.bmj.com/content/early/…

Voices of experience: what Dutch parents teach us about values and intuition in periviable decisions Families considered Infants’ future, family life and ‘giving a chance’ Most parents said made decisions more intuitively vs rationally Qualitative study fn.bmj.com/content/early/…

What do parents think about having a periviable guideline? Prefer multiple prognostic factors to assist decision-making Semistructured interviews 🇳🇱 fn.bmj.com/content/early/…

Effects of a live versus heat-inactivated probiotic Bifidobacterium spp in preterm infants No difference in: 🔸Faecal calprotectin (primary outcome) 🔸Short chain fatty acids 🔸Microbiota 🔸Clinical outcomes Single centre double-blinded RCT 🇦🇺 Gayatri Jape

Transport of critically ill children to PICU in in UK and Ireland: 2013–2022 Just under 5000 children/yr transported Half <1 year old 75% accompanied by parent Retrospective PICANet Audit data Sarah E Seaton 🏳️‍🌈 Michael Griksaitis Deirdre O'Shea💙 Hannah Buckley - Senior Research Statistician adc.bmj.com/content/early/…

Viewpoint Rollout of Martha’s Rule: implications for care @jandudley17 @cheungronny adc.bmj.com/content/early/…

Love a good podcast? 🎧 BMJ has 20 different podcasts covering a wide range of topics. We produce over 150 episodes, with over 2 million downloads, each year. The ADC podcast should be the one for you. Find out more and subscribe today 👉 adcbmj.podbean.com

Viewpoint Improving safety of unlicenced liquid specials medicines in the UK Need national system changes rather than more vigilance and diligence From Joint RCPCH NPPG Medicines committee Yincent Tse Ashifa Trivedi Jo Crook 💙 Paeds Pharmacologist (Dan)

Should we use an ‘accelerated’ course of antenatal corticosteroids for women at risk of preterm birth? Many guidelines recommend if delivery likely <24 hours But limited evidence and risk of harm fn.bmj.com/content/early/…