Acute respiratory conditions driving up paediatric admissions . . . and other storiesBMJ 2016; 354 doi: https://doi.org/10.1136/bmj.i5020 (Published 21 September 2016) Cite this as: BMJ 2016;354:i5020
Intuition and sick young children
Acute respiratory conditions continue to drive up paediatric admissions, many of which last less than 48 hours. A qualitative study of staff in an emergency department in Bristol looked at how various clinicians approached the assessment of children under 5 presenting with respiratory symptoms (Emerg Med J doi:10.1136/emermed-2015-205211). Junior staff, especially doctors, were more risk adverse, relying heavily on guidelines, set admission criteria, clinical theory, and second opinions. The authors suggest that we need to look at new ways to foster rapid intuition in juniors, while maintaining safety.
FRISC was a randomised Scandinavian trial to prospectively determine whether percutaneous coronary intervention was the best strategy for non-ST elevation myocardial infarction (NSTEMI). The newly published 15 year results confirm that it is (Lancet …