In today's episode, we're going to be talking to Dr. Mary Mathias, a consultant haematologist and the Haemophilia Centre Director at Great Ormond Street Hospital. We're going to be talking about haemophilia. In part one, we're going to cover a pathophysiology presentation and diagnosis, and then part two, which will come next week, we're going to cover management complications and prognosis.

*

Resources mentioned:

Biss T, Sibson K, Baker P, Macartney C, Grayson C, Grainger J, et al Haematological evaluation of bruising and bleeding in children undergoing child protection investigation for possible physical maltreatment: A British Society for Haematology Good Practice Paper. Br J Haematol. 2022; 199(1): 45–53. https://doi.org/10.1111/bjh.18361

United Kingdom Haemophilia Centre Doctors Organisation: https://www.ukhcdo.org/guidelines/

British Society of Haematology guidelines: https://b-s-h.org.uk/guidelines/guidelines

*

We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/

This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/

Twitter: @GOSHLearnAcad | Instagram: @GOSHLearnAcad

Sound effects obtained from https://www.zapsplat.com

Join us on this episode as we speak to members of the Long Term Ventilation Team at Great Ormond Street Hospital about principles of LTV and how they manage their patients at GOSH.

*

Resources mentioned

Pan Thames Long Term Ventilation Website: https://ltv.services/

European Respiratory Society: https://www.ersnet.org/

American Society of Sleep Medicine: https://aasm.org/

Well Child: https://www.wellchild.org.uk/

*

We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/

This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/

Twitter: @GOSHLearnAcad | Instagram: @GOSHLearnAcad

Sound effects obtained from https://www.zapsplat.com

Join us on this episode as we speak to Dr Deborah Zeitlin about non-accidental injury and physical abuse. Dr. Zeitlin is a consultant general paediatrician here at GOSH where she is the named Doctor for Safeguarding for Children and Young People. This is the second part of this two part episode.

Child abuse is not an easy topic to talk about or listen to. Remember to look after yourselves. There are some resources in the episode description of places you can go to for help if you've been affected by anything that we've discussed.

*

Resources mentioned

Royal College of Radiologists: The radiological investigation of suspected physical abuse in children 2018: https://www.rcr.ac.uk/media/nznl1mv4/rcr-publications_the-radiological-investigation-of-suspected-physical-abuse-in-children-revised-first-edition_november-2018.pdf

RCPCH Child Protection Evidence: Systematic reviews: https://childprotection.rcpch.ac.uk/child-protection-evidence/

RCPCH Bruising: Systematic review: https://childprotection.rcpch.ac.uk/child-protection-evidence/bruising-systematic-review/

RCPCH Fractures: Systematic review: https://childprotection.rcpch.ac.uk/child-protection-evidence/fractures-systematic-review/

RCPCH Head and Spinal Injuries: Systematic review: https://childprotection.rcpch.ac.uk/child-protection-evidence/head-and-spinal-injuries-systematic-review/

NSPCC Physical Abuse: Statistics briefing: https://learning.nspcc.org.uk/research-resources/statistics-briefings/physical-abuse#:~:text=Concerns%20around%20physical%20abuse%20have,Northern%20Ireland%20in%202022%2F2023.

Working Together to Safeguard Children 2023: https://assets.publishing.service.gov.uk/media/669e7501ab418ab055592a7b/Working_together_to_safeguard_children_2023.pdf

Children Act 1989: https://www.legislation.gov.uk/ukpga/1989/41/contents

British Association of Haematology Guidance on haematological investigations when abuse is suspected: https://onlinelibrary.wiley.com/doi/full/10.1111/bjh.18361

Child Protection System in England: https://learning.nspcc.org.uk/child-protection-system/england#:~:text=the%20child%20is%20in%20need,of%20the%20Children%20Act%201989

RCPCH Wellbeing Support: https://www.rcpch.ac.uk/resources/where-go-help-support-doctors-wellbeing

*

We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/

This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://...

Join us on this episode as we speak to Dr Deborah Zeitlin about non-accidental injury and physical abuse. Dr. Zeitlin is a consultant general paediatrician here at GOSH where she is the named Doctor for Safeguarding for Children and Young People. We're gonna split this episode into two parts. Look out for part two coming soon.

Child abuse is not an easy topic to talk about or listen to. Remember to look after yourselves. There are some resources in the episode description of places you can go to for help if you've been affected by anything that we've discussed.

*

Resources mentioned

Royal College of Radiologists: The radiological investigation of suspected physical abuse in children 2018: https://www.rcr.ac.uk/media/nznl1mv4/rcr-publications_the-radiological-investigation-of-suspected-physical-abuse-in-children-revised-first-edition_november-2018.pdf

RCPCH Child Protection Evidence: Systematic reviews: https://childprotection.rcpch.ac.uk/child-protection-evidence/

RCPCH Bruising: Systematic review: https://childprotection.rcpch.ac.uk/child-protection-evidence/bruising-systematic-review/

RCPCH Fractures: Systematic review: https://childprotection.rcpch.ac.uk/child-protection-evidence/fractures-systematic-review/

RCPCH Head and Spinal Injuries: Systematic review: https://childprotection.rcpch.ac.uk/child-protection-evidence/head-and-spinal-injuries-systematic-review/

NSPCC Physical Abuse: Statistics briefing: https://learning.nspcc.org.uk/research-resources/statistics-briefings/physical-abuse#:~:text=Concerns%20around%20physical%20abuse%20have,Northern%20Ireland%20in%202022%2F2023.

Working Together to Safeguard Children 2023: https://assets.publishing.service.gov.uk/media/669e7501ab418ab055592a7b/Working_together_to_safeguard_children_2023.pdf

Children Act 1989: https://www.legislation.gov.uk/ukpga/1989/41/contents

British Association of Haematology Guidance on haematological investigations when abuse is suspected: https://onlinelibrary.wiley.com/doi/full/10.1111/bjh.18361

Child Protection System in England: https://learning.nspcc.org.uk/child-protection-system/england#:~:text=the%20child%20is%20in%20need,of%20the%20Children%20Act%201989

RCPCH Wellbeing Support: https://www.rcpch.ac.uk/resources/where-go-help-support-doctors-wellbeing

*

We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/

This podcast is brought to you the GOSH Learning Academy. To find more about our work y...

Join us as we talk to Dr Anne Kelly, consultant haematologist at GOSH, about blood transfusions. In part one, we covered patient blood management, including safe prescribing and transfusion thresholds. In part two we're going to discuss major complications, risk management and rules around taking consent.

*
Resources mentioned

Blood components website/app: https://www.bloodcomponents.org.uk/

Current UK Neonatal/Paediatric transfusion guideline: https://b-s-h.org.uk/guidelines/guidelines/transfusion-for-fetuses-neonates-and-older-children

UK Guideline on irradiation of blood components: Foukaneli T et al; Guidelines on the use of irradiated blood components. Br J Haematol. 2020 Dec;191(5):704-724.

SHOT: https://www.shotuk.org/

Patient Blood Management (NHSBT): https://hospital.blood.co.uk/patient-services/patient-blood-management/

Haematological evaluation of bruising and bleeding in children undergoing child protection investigation for possible physical maltreatment: A British Society for Haematology Good Practice Paper: https://onlinelibrary.wiley.com/doi/full/10.1111/bjh.18361

*

We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/

This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/

Twitter: @GOSHLearnAcad | Instagram: @GOSHLearnAcad

Sound effects obtained from https://www.zapsplat.com

Join us as we talk to Dr Anne Kelly, consultant haematologist at GOSH, about blood transfusions. In part one, we cover patient blood management, including safe prescribing and transfusion thresholds. In part two (coming next week), we're going to discuss major complications, risk management and rules around taking consent.

*
Resources mentioned

Blood components website/app: https://www.bloodcomponents.org.uk/

Current UK Neonatal/Paediatric transfusion guideline: https://b-s-h.org.uk/guidelines/guidelines/transfusion-for-fetuses-neonates-and-older-children

UK Guideline on irradiation of blood components: Foukaneli T et al; Guidelines on the use of irradiated blood components. Br J Haematol. 2020 Dec;191(5):704-724.

SHOT: https://www.shotuk.org/

Patient Blood Management (NHSBT): https://hospital.blood.co.uk/patient-services/patient-blood-management/

Haematological evaluation of bruising and bleeding in children undergoing child protection investigation for possible physical maltreatment: A British Society for Haematology Good Practice Paper: https://onlinelibrary.wiley.com/doi/full/10.1111/bjh.18361

*

We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/

This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/

Twitter: @GOSHLearnAcad | Instagram: @GOSHLearnAcad

Sound effects obtained from https://www.zapsplat.com

Join us as we talk to CNS Nicola Greenwood all about stomas and gastrostomies. We're going to cover the different types of stoma and gastrostomy, stoma care, common complications, and the important role that stoma care nurses play.

*

Resources mentioned:

Coloplast: https://www.coloplastprofessional.co.uk/advanced-wound-care/?utm_source=google&utm_medium=cpc&utm_campaign=CPHCP_UK_EN_AW_PMax_WC_NA_Nproduct_CuttingGuide&gad_source=1&gclid=CjwKCAjw-O6zBhASEiwAOHeGxS-q316eINONOghMY8r9au5gRbK43697uv5SyIMOANIsxXcT-RMEJxoC9TMQAvD_BwE&gclsrc=aw.ds

Salts: https://www.salts.co.uk/healthcare-professionals

Buttony Bear: https://www.buttonybear.com/

Colostomy UK: https://www.colostomyuk.org/

Bladder and Bowel UK: https://www.bbuk.org.uk/

*

We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/

This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/

Twitter: @GOSHLearnAcad | Instagram: @GOSHLearnAcad

Sound effects obtained from https://www.zapsplat.com

Join us as we talk to Dr Alexis Bouvier, consultant in General Paediatrics at Great Ormond Street Hospital, about neonatal jaundice. We discuss pathophysiology, classifications, investigation and management.

This episode corresponds to learning outcomes in the Neonatology section of the MRCPCH exam curriculum.

Peer reviewed by Dr Keir Sheils.

*

Resources mentioned:

NICE Guideline - Jaundice in newborn babies under 28 days: https://www.nice.org.uk/Guidance/CG98

NICE Jaundice Charts: https://www.nice.org.uk/guidance/cg98/resources/treatment-threshold-graphs-excel-544300525

BiliApp

*

Did you know that GOSH runs exam prep courses for the MRCPCH? Find out more here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/education-and-training/postgraduate-medical-education/mrcpch-examinations/

*

We would love to get your feedback on our podcasts, and your suggestions for future topics you would like to hear. Please help us by filling out our feedback survey at: https://www.smartsurvey.co.uk/s/GOSHpodcasts/

This podcast is brought to you the GOSH Learning Academy. To find more about our work you can visit our website here: https://www.gosh.nhs.uk/working-here/gosh-learning-academy/

Twitter: @GOSHLearnAcad | Instagram: @GOSHLearnAcad

Sound effects obtained from https://www.zapsplat.com