The need for improved management of status epilepticus in children in Australia: Time from seizure onset to treatment is consistently delayed.

Aim: To determine if the management of paediatric status epilepticus (SE) follows accepted clinical practice guidelines.

Methods: Retrospective, consecutive series of patients with SE who attended the emergency departments from two NSW sites over a 12-month period. SE was defined as a convulsive seizure, 5 min or more in duration.

Management of status epilepticus in children prior to medical retrieval: Deviations from the guidelines.

Aim: To evaluate the influence of adherence to treatment guidelines on outcomes in children presenting with status epilepticus (SE) using the Newborn and Paediatric Emergency Transport Service, New South Wales prospective registry.

Methods: We reviewed the treatment of children with SE, transported by the Newborn And Paediatric Emergency Transport Service to a tertiary paediatric hospital, over 1 year. We evaluated variation in management from the New South Wales clinical practice guideline.

Outcomes of deviation from treatment guidelines in status epilepticus: A systematic review.

Objective: Due to a gap between published clinical guidelines on status epilepticus SE and clinician management of SE, a systematic review was performed to investigate treatment adherence to SE guidelines and its impact on patient outcomes.

Methods: Medline and Embase searches were conducted for studies appraising adherence to SE guidelines (from 1970 and 1st April 2018). The quality of eligible studies was assessed by QUADAS- 2 criteria.

Caring for children and adolescents with epilepsy: creating an innovative electronic educational resource.

The majority of children and adolescents with epilepsy are managed in the community setting by general paediatricians. However, there is a paucity of practical, relevant information and standardised management documents assisting paediatricians. In the era of sub-specialisation, an electronic educational resource developed by specialists in epilepsy and paediatrics enhances the interface between tertiary and secondary/primary care.

The association between maternal country of birth and neonatal intensive care unit outcomes.

Background: Immigration is increasingly common worldwide and its impact on neonatal intensive care unit outcomes is uncertain.

Aims: To determine the outcomes of children of immigrant mothers admitted to NICUs in New South Wales (NSW), Australia, between 2000 and 2006.

Study Design: Record linkage study of routinely collected state-based health databases.

Refractory otitis media: an unusual presentation of childhood granulomatosis with polyangiitis.

Childhood granulomatosis with polyangiitis (cGPA), previously known as Wegener's granulomatosis, is a rare, potentially fatal necrotizing vasculitis, the symptoms of which overlap with infection. We present a 16-year-old girl who, following 6 months of treatment for persistent middle ear effusion with progressive sensorineural hearing loss, developed rapidly progressing pneumonia, with pleural effusion, and multiple cavitatory lung lesions. Investigations demonstrated high titer c-ANCA and nasal septal biopsy confirmed the diagnosis of cGPA.

Clinical profile of Langerhans Cell Histiocytosis at a tertiary centre: a prospective study.

Objective: To study the varied presentations of Langerhans Cell Histiocytosis (LCH), the differential diagnosis of the varied presentations and the time lag in achieving the diagnosis. Prospective analysis of children diagnosed to have LCH over a period of 51 mo was done. A complete history and physical examination was undertaken in all patients, followed by relevant laboratory and radiological evaluation.

Transfusion of blood and components in critically ill children.

The physicians prescribing transfusions must have a thorough understanding of the various blood products, their indications and contraindications, and requirements for modification of the blood products to prevent probable adverse effects. Decision to give an RBC transfusion should not be based solely on Hb concentration, it should take in account high severity of illness; active bleeding; emergency surgery; etc. Using restrictive transfusion strategy of transfusion RBCs can decrease transfusion requirements without increasing adverse outcomes.

School absenteeism among children and its correlates: a predictive model for identifying absentees.

Objectives: To determine the magnitude of absenteeism and its correlates and to develop a model to predict absenteeism in school children.

Designs: A cross-sectional study.

Setting: three government schools in Delhi.

Communicating oesophageal duplication cyst with heterotopic pancreatic tissue - an unusual cause of recurrent pneumonia in an infant.

Unlabelled: Communicating oesophageal duplication cyst with heterotopic pancreatic tissue is rare congenital anomaly and unusual cause of recurrent pneumonia in children. We report a 10-month-old boy who presented with history, examination and investigations suggestive of aspiration pneumonia since birth. The imaging studies revealed a thin walled cavity communicating with the oesophageal lumen that was excised by surgery.