Getting your heart dirty: A toolkit for clinicians working with children with severe neurological impairment

Advances in medical care and changes in societal expectations have resulted in different patterns of survival for children and adolescents with severe neurological disability. Increased longevity, new and unseen multi-morbidity, and access to an increasing array of new and often invasive interventions offers significant decision-making challenges to children, parents, and clinicians. Sometimes it is not clear if we are helping or harming.

Maternal tuberculosis and impacts on child health

Around a half of women in tuberculosis-endemic countries are infected with Mycobacterium tuberculosis and over 1.7 million females of reproductive age (15-45 years) fall ill with tuberculosis (TB) each year. Pregnancy is associated with an increased risk of TB disease which has major consequences for maternal health – TB is the major non-obstetric cause of maternal mortality globally – and for the health of their baby.

Bringing innovation into everyday care: Insights from Victoria’s genomics journey

Genomics has moved rapidly from being purely a research tool to being part of routine care in many specialities and health services. Past Grand Round presenters have described how this has enhanced their service – how genomic care may improve patient outcomes, is cost-effective and can be delivered rapidly for acute cases.

Taking a lifelong perspective on Cerebral Palsy: Challenges and opportunities

Emma Livingstone, CEO of UP – The Adult Cerebral Palsy Movement, will share insights from her lived experience and advocacy work on the evolving care and understanding of cerebral palsy (CP) across the lifespan. Her presentation will explore recent research advancements, the lifelong nature of CP, and the importance of addressing co-morbidities. She will also discuss how child practitioners can better equip children with CP for adulthood.

An evidence-based system for early years interventions to reduce child health and developmental inequities: Insights from the interventional birth cohort study Born in Bradford’s Better Start (BiBBS)

There are real challenges in delivering equitable health care in a community, even when there is policy and service goodwill. This is an issue for health services around the world. For the past ten years BiBBS has been working alongside service partners and families to co-design, implement and evaluate multiple early years interventions that are delivered as a part of usual practice in disadvantaged inner-city areas in the UK.

A cut-throat business: Head & Neck Surgery in children

In this age of subspecialisation, effective communication and collaboration is key. How do we improve the care of children with head and neck conditions? Head & Neck Surgery is an established subspecialty within Otorhinolaryngology globally. Here at RCH, The University of Melbourne & MCRI, we are navigating the ever-changing complexity and diversity of congenital, acquired and neoplastic head and neck conditions.

Co-designing interventions for high quality paediatric health care

Opportunities exist to leverage implementation science and quality improvement science to advance quality care. During this presentation we will compare and contrast implementation science and quality improvement science. We will explore how methods from both fields have been used to improve our understanding of discharge communication practices in emergency departments in Canada.