Hannah Walsh et al highlight how linguistic challenges can be overcome, to potentiate participation in research studies (see page
Another interesting article dealing with diverse population needs is that by Thillagavathie Pillay et al, who explain the recently revised UK risk-based strategy for BCG vaccination at 28 days after birth or soon thereafter, which is related to...]]>
Staff changeover is stressful and a source of significant anxiety for rotating clinicians and the wider team; paediatric rotations can be particularly unfamiliar.
To improve induction for junior doctors and nurse practitioners in a general paediatrics department at a tertiary London hospital (approximately eight new juniors per rotation); and to maintain clinical and departmental confidence over changeovers with a digital...]]>
With a variety of vasoactive agents available with differing modes of action and little in the way of high-quality evidence from the paediatric population, starting and choosing the right inotrope in children with severe sepsis can be a difficult decision. In this paper we discuss basic pharmacology and physiology as well as a reasoned approach on when and how to use inotropes in a general paediatric and emergency department setting until the paediatric critical care retrieval team arrives.
There are numerous types of shock in paediatric patients, each meriting a different approach to management. What is universal across the spectrum of managing shock is that the main goal is to restore oxygen delivery to vital organs. Improving the balance between oxygen delivery and utilisation is of essence. It is also worth considering that cardiovascular management of a...]]>
There are many challenges to ensuring good representation within a research study, one such challenge is spoken language.
The implications of language-based exclusion in research are that essential data could be missed; including how different groups of people present clinically in relation to disease, or differences in responsivity to treatments.