11 Oct, 09 | by Bob Phillips
Not just Alice in Wonderland, it seems, but a bunch of our colleagues are chasing fluffy-tailed bunnies in their treatment of pneumothorax. Oxygen - in high concentrations - is used by some people to treat spontaneous, non-tension, pneumothorax. But why?
6 Sep, 09 | by Bob Phillips
Well, the media has occasional frenzies over the rising tide of male ‘boob jobs’, but to the average paediatrician it’s the rare adolescent that can’t take his T-shirt off because of pubertal breast enlargement that causes real concern. How should such a potentially disabling and yet ultimately short-lived problem be addressed?
2 Aug, 09 | by Bob Phillips
A premature baby born at 24 weeks gestational age is admitted to the neonatal unit having been born in poor condition and receiving cardio-pulmonary resuscitation (CPR) with adrenaline in the delivery room. Considering the available evidence, is the use of CPR at delivery of extremely premature infants associated with very poor outcomes such that CPR in these infants may be inappropriate? Does the administration of CPR provide these infants with a chance of survival free of disability?
12 Jul, 09 | by Bob Phillips
Well, it does, doesn’t it? There’s nothing much you can actually do for recurrent/intermittent viral wheezers, but if you stick them on a few granules of monteleukast in their yoghurt, at least it seems like we’re doing something. Or am I behind the times and there’s great evidence of it’s effectiveness?
8 Jul, 09 | by Bob Phillips
Data can be lost or go missing for lots of different reasons, and it’s quite important to know why as it might make you fundamentally muck-up the results of your study of you deal with it badly.
The most obvious reason for data to get lost is by bad luck, for example a freak accident like power failure in the lab meaning a blood test can’t be analysed. In this setting, the data are missing for no reason but random chance, and are described as “missing completely at random” (MCAR). more…
7 Jul, 09 | by Bob Phillips
Now if you ask me, the idea of treating a penicillin-resistant organism with penicillin seems faintly ridiculous… like an iron with drawing pins on the sole plate. Either the bug is resistant (which to me means it resists dying when I use the drug) or it isn’t (so it will die) but it seems that this may not be as straightforward as it seems.
7 Jul, 09 | by Bob Phillips
It’s an interesting question, and one which may not concern us in the next twenty years (if vaccination programmes are effective and maintained). But until we can eradicate HPV, what should we recommend to mothers who are infected?
2 Jun, 09 | by Bob Phillips
Summer’s here in Yorkshire, and the fruit of the season is strawberries. But strawberry naevi can be troublesome, and cause lots and lots of worries for parents. So how well do we know their natural history? Resolution of 50% at 5 years, 70% at 7 years and 90% at 9 years?
4 May, 09 | by Bob Phillips
“The 3Rs are dead; long live the 3Rs.” So might a herald cry from the battlements of an evidence-based hill. Sharon Straus and Brian Haynes have captured beautifully the need to move beyond just publishing your paper to making evidence available that is ‘reliable, relevant, and readable’.
Why these three Rs? more…
24 Apr, 09 | by Bob Phillips
You have a 7 year old in the ED that needs sutures to a wound inflected when he and his twin were playing Pirates of the Caribbean with kitchen knives … he’s not the sort of chap that will lie still while you stitch him up … so what would you use to keep him down? more…
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