Paediatric Emergency Medicine: Self Harm in Children

Welcome

I struggled to find PEM resources for my CT3 year, despite the variety of excellent resources out there. I hope this website will help point you in the right direction. I'm not a PEM expert, but am following the guidance CEM have issued (in the form of a syllabus) to put together this page. This page is not endorsed by CEM, and any mistakes are mine.

Please comment with corrections, additions and further suggestions.

All the information here is collected from the internet, and it might be out of date or inaccurate, so please use your judgement and adhere to your hospital's protocols. If you do notice any errors or omissions please comment so we can put them right!

To navigate, decide whether you want to start with a PMP or a PAP. You can then select which PMP or PAP you want to look at. You will then be taken to the summary page for that PMP, with links expanded topic collections. If you know what topic you want to look at already, click on the link on the right hand side.

From a medical point of view, it is worth remembering that especially in toddlers who have a low mass, one pill can kill. Especially:
- Cardiac drugs
- Antidiabetics
- Antidepressents
- Iron, vicks, pepto - bismul (contains salicylates)

One pill killers: Do you know which common drugs are potentially fatal for a small child with ONE pill?https://t.co/OehAgPqmb7 #MedEd #toxicology #FOAMed pic.twitter.com/cPdiHUhnXj
— Paediatric FOAMed (@PaediatricFOAM) August 22, 2018

From a mental health point of view - remember to complete all safeguarding paperwork, and encourage talking and communication.

Children’s mental health is a hugely increasing problem of our times. We see it in ED at its worst but remember all parents & carers have to consider their own & their kid’s mental health. Put this poster up in your ED - if it helps 1 family you’ve won #MentalHealthAwarnessWeek pic.twitter.com/boe6ufklSY
— ED Doc (@4hrEmergencyDoc) May 15, 2019

Your thorough HEADSSS assessment will help make sure all important points are covered.

References
https://pemgeek.com/2016/10/27/one-pill-killers/
https://www.nice.org.uk/guidance/cg133/resources/selfharm-in-over-8s-longterm-management-pdf-35109508689349
https://www.nice.org.uk/guidance/cg16/resources/selfharm-in-over-8s-shortterm-management-and-prevention-of-recurrence-pdf-975268985029
https://www.health.gov.au/internet/publications/publishing.nsf/Content/triageqrg~triageqrg-mh
https://www.rcemlearning.co.uk/curriculum/paeds-acute/pap2/
https://www.rcemlearning.co.uk/modules/paediatric-toxicology-considerations/
https://youngminds.org.uk/find-help/for-parents/parents-guide-to-support-a-z/parents-guide-to-support-self-harm/
https://www.nspcc.org.uk/preventing-abuse/keeping-children-safe/self-harm/
https://www.rcemlearning.co.uk/foamed/the-3cs-of-paediatrics/

Subject Links

Welcome

Sunday, 14 July 2019

Self Harm in Children

No comments:

Post a Comment