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Never Again Podcast

Never Again Podcast

Created in collaboration with the Coroners Court of Queensland, the Never Again Podcast explores learnings from real healthcare investigations.

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15 hours ago

If you think that only elderly people in hospital can get sepsis, then think again. Sepsis is an extreme response to an infection where your immune system becomes dysregulated and causes injury to your own tissues and organs.

TPCH General Paediatrician and Paediatric Emergency Consultant Dr Irfan Khan says that whilst sepsis is rare in children, it is time critical and parents recognising when their child is unusually sick is crucial so clinicians can act fast.

"We want to assess the whole child, rather than just one high fever, so I am looking at whether they are alert or drowsy, if their breathing is rapid, is their skin cold, mottled or blotchy or whether they have a rash that does not fade with pressure. The most important thing is severe unexplained pain or irritability, and parents have a good idea of what that child's baseline is," he explains.

"There are certain cohorts that are more vulnerable, including neonates, kids with existing conditions such as a cancer diagnosis or chronic conditions, kids with immune deficiencies or if they have incomplete immunisations, as well as post-surgical patients.

"A child does not need to have every warning sign but if your child is not improving as expected or is rapidly becoming more unwell, then those four words can help start and important conversation: could it be sepsis?" 🏥🚨
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If you think that only elderly people in hospital can get sepsis, then think again. Sepsis is an extreme response to an infection where your immune system becomes dysregulated and causes injury to your own tissues and organs. 

TPCH General Paediatrician and Paediatric Emergency Consultant Dr Irfan Khan says that whilst sepsis is rare in children, it is time critical and parents recognising when their child is unusually sick is crucial so clinicians can act fast. 

We want to assess the whole child, rather than just one high fever, so I am looking at whether they are alert or drowsy, if their breathing is rapid, is their skin cold, mottled or blotchy or whether they have a rash that does not fade with pressure. The most important thing is severe unexplained pain or irritability, and parents have a good idea of what that childs baseline is, he explains. 

There are certain cohorts that are more vulnerable, including neonates, kids with existing conditions such as a cancer diagnosis or chronic conditions, kids with immune deficiencies or if they have incomplete immunisations, as well as post-surgical patients.

A child does not need to have every warning sign but if your child is not improving as expected or is rapidly becoming more unwell, then those four words can help start and important conversation: could it be sepsis? 🏥🚨
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/ metronorthhealth
If you think that only elderly people in hospital can get sepsis, then think again. Sepsis is an extreme response to an infection where your immune system becomes dysregulated and causes injury to your own tissues and organs. 

TPCH General Paediatrician and Paediatric Emergency Consultant Dr Irfan Khan says that whilst sepsis is rare in children, it is time critical and parents recognising when their child is unusually sick is crucial so clinicians can act fast. 

"We want to assess the whole child, rather than just one high fever, so I am looking at whether they are alert or drowsy, if their breathing is rapid, is their skin cold, mottled or blotchy or whether they have a rash that does not fade with pressure. The most important thing is severe unexplained pain or irritability, and parents have a good idea of what that child's baseline is," he explains. 

"There are certain cohorts that are more vulnerable, including neonates, kids with existing conditions such as a cancer diagnosis or chronic conditions, kids with immune deficiencies or if they have incomplete immunisations, as well as post-surgical patients.

"A child does not need to have every warning sign but if your child is not improving as expected or is rapidly becoming more unwell, then those four words can help start and important conversation: could it be sepsis?" 🏥🚨

...

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Waste management is essential to keeping a hospital running, but have you ever wondered what happens to sharps and other tricky to dispose of items?

Well, that's why we have RBWH Sharps Officer Andrea, who is trained in the safe collection and replacement of sharps containers! 💉⚠️

"I have a background in environmental engineering and before this role was working as a patient support officer. I have always been so passionate about waste management and environmental sustainability which is how I found my way into this team in 2024," Andrea said. 

"What I really enjoy about my job is knowing what we do every day contributes to a safer healthcare environment, protects our staff and patients and helps us meet environmental responsibilities.

"I am so lucky to work with an amazing team who are committed to the safe collection and appropriate disposal of waste."

#ShoutoutSaturday to Andrea and the waste management team for keeping our facilities clean and safe!

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If you've ever found yourself scrolling social media in bed at night, you may have come across the term 'orthosomnia' which describes an obsessive pursuit on achieving a perfect sleep. 😴

Whilst orthosomnia is more of an internet term than an official diagnosis, TPCH Senior Sleep Psychologist Elena says that practicing good sleep hygiene techniques are essential. 

"This includes things like ensuring your bedroom environment is dark, cool and comfy, not eating a big meal within three hours of bedtime, getting some sunlight first thing in the morning and making sure you're not spending too much time in bed when you're not sleeping," Elena explains. 

"The enemy of a good sleep is focussing on it too much but if you're taking over 30 minutes on average to fall asleep, if you are waking up in the night and finding it hard to go back to sleep or you are still feeling really sleepy after a full 7-9 hours, these are some things that could be a concern.

"If you do have a sleep issue related to falling asleep, staying asleep or waking up too early, then seeing a sleep psychologist is a first line treatment, and your GP can refer you to one."

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Slips and falls happen... but they don’t have to! ⛷️

Did you know that falls are the leading external cause of injury-related hospital admissions in Queensland? 

Occupational Therapists like Bella and Cody play a major role in providing patients with education on how to prevent future falls, including strategies like: 
⚠️ Have a night light next to your bed
⚠️ Ensure walkways are clear of clutter
⚠️ Rugs and cords are cleared from thoroughfares
⚠️ Use recommended mobility aids or equipment prescribed by your Physio or OT 
⚠️ Use a personal alarm device to ensure you receive assistance from emergency services in case of a fall

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