Recent Submissions

  • Facial palsy as a presenting feature of coarctation of aorta

    Margabanthu, Gomathi; Brooks, Julia; Barron, David; Miller, Paul; Margabanthu, Gomathi; Paediatrics; George Eliot Hospital; Walsgrave Hospital; Birmingham Children's Hospital (Oxford University Press, 2003-03-01)
    We report the unusual presentation of coarctation of the aorta with facial nerve palsy in an infant and a child. The facial nerve palsy and hypertension resolved spontaneously after relief of the aortic coarctation. Our two cases are the first reports of unidentified coarctation of the aorta presenting as facial nerve palsy, with the infant being the youngest to be reported.
  • Is tympanic membrane thermometry the best method for recording temperature in children?

    Dew, Paula L.; Dew, Paula L.; Children's Hospital at Home (CHAH) Team; George Eliot Hospital NHS Trust (SAGE Publications, 2006-06)
    Tympanic membrane thermometry has become increasingly popular for measuring temperature in children. The aim of this review is to ascertain the most appropriate, research-based thermometry method for use with children in acute healthcare settings. The following are considered: Concerns regarding the accuracy of the tympanic membrane thermometer. Whether comparison of the tympanic membrane thermometer with temperature measurement at other body sites is appropriate. How choice of thermometer may be influenced by children's and nurses' preferences, technique, the age of the child, ear size and children with otitis media, perforated eardrums, cerumen (ear wax), ear pain or grommets in-situ. Children's preferences and rectal thermometry in relation to children's rights, which have not been reviewed so far.
  • Cross-boundary rotational working for neonatal nurses

    Kane, Tina; Kane, Tina; Paediatrics; Nursing and Midwifery Registered; George Eliot Hospital NHS Trust (RCN Publishing (RCNi), 2007-05)
    Neonatal services in England and Wales are undergoing significant changes as a result of technological advances as well as the development of new networks. These changes have had a dramatic effect on the neonatal workforce. The skills of the available staff govern the level of activity of neonatal units: many units have had to re-evaluate the services they can safely deliver with the available workforce. This has resulted in the re-configuration of some neonatal units and changes in the dependency levels of many. Units have had to undertake reviews of the patterns of working of their staff to ensure that a skilled and competent workforce is available to provide the level of care each neonatal service requires. Shortages in some areas have meant that units have had to find new ways to retain and update skilled staff. This article describes a rotational programme developed with the aim of providing a continued clinical development pathway for neonatal nursing staff. The programme incorporates competency assessments of emergency skills and clinical and technological advances in neonatal care.