RESUMO
Paediatric Life Support [PLS] courses are thought to significantly increase knowledge of paediatric resuscitation for all professional groups. PLS and Newborn Life Support [NLS] guidelines were revised and updated in 2005. In a telephonic survey, the retention and awareness of the changes in PLS guidelines were evaluated among 100 junior paediatric doctors. Overall, second on-call doctors tended to score higher than the first on-call doctors [score 6.55 +/- 2.25 vs. 5.89 +/- 2.17 respectively, p = 0.062]. Doctors who attended PLS courses after 2005 tended to have higher scores. There is a need to streamline formalised regular updates [e.g. annual online written multiple choice questions] and in-house rehearsals using mock emergency scenarios at local, regional and national level
RESUMO
Chronic constipation is extremely common gastrointestinal problem in children. Polyethylene glycol [PEG] has been shown to be effective for both disimpaction and maintenance treatment in older children with chronic constipation. Literature review was carried out using Medline via PubMed [1950 to 2010], Cinahl [1982 - 2010] and Embase [1974 to 2010] to evaluate the efficacy and safety of PEG in infants and children less than 3 years of age. There were no relevant reviews in the Cochrane Library. Only 5 relevant studies were found for children in the age group below 3 years. Pooled analysis of all the studies showed a statistically significant difference in the stool frequency before and after treatment with polyethylene glycol [p < 0.001]. Although, limited published evidence to date supports its use in terms of safety and efficacy, larger randomized controlled trials are needed especially in young infants to substantiate the evidence