In the emergency setting, sepsis is the primary or differential diagnosis for a substantial proportion of febrile or unwell children. In this Grand Round, we will discuss challenges with early recognition and initial management of sepsis in children. We will discuss RCH efforts to improve the care of children with sepsis, including local, national, and international collaborations.
In this Grand Round meet the recipients of the inaugural small translation research grants. Launched last year by the Clinical Research Incubator, this funding initiative aimed to empower 10 RCH clinicians who were new to research, including nurses, doctors, and allied health professionals.
This Grand Round will provide a critical overview of what we know about holding children for clinical procedures, considering the child, parent, health professional and system factors which can influence procedural practice. Lucy will discuss an approach to challenge accepted narratives within practice and adopt a more child-centred rights-based approach to reduce harm and the use of restrictive practice during procedures.
The approach and attitude towards Functional Neurological Disorders (FND) has changed over the last decade and anecdotally at least, we seem to be seeing more cases in our day-to-day practice. Patients with functional symptoms present to many disciplines and functional symptoms can co-exist with organic pathology. There is now evidence to show earlier diagnosis and treatment can lead to more positive outcomes.
After completing a comprehensive process, including stakeholder engagement and workshops, the Murdoch Children’s Research Institute has established a Cancer Flagship to bring together child health researchers across multiple disciplines interested and invested in childhood cancer across the research continuum.
The Grand Rounds will explore:
Bringing the voice of the child and family into our day-to-day interactions, and the importance of lived experience perspectives when designing new approaches to support mental health and wellbeing.
The Victorian hip dysplasia registry (VicHip) is part of a transformative effort in Victoria to improve the diagnosis and treatment of hip dysplasia. In this Grand Round, four VicHip team members will speak about their approach, which includes a streamlined process for clinicians, integrated data systems, and stakeholder engagement and research. If you’re a health professional, researcher or parent looking for more information, tools and publications about hip dysplasia, this session will be a valuable resource.
Rare Diseases Now (RDNow) was established in 2019 with funding from The Royal Children’s Hospital Foundation to provide an advanced, clinically integrated diagnostic pathway for children with rare diseases (RD). We have delivered value to children and families by providing access to frontier multi-omics technologies, working on solutions to optimise rare disease care and upskilling the workforce. In this Grand Round we will describe the impact of our work at the individual, team and national levels and show how the Melbourne Children’s Campus is positioned as a global leader in rare disease care.
This Grand Round, in the lead up to Child Protection Week 3-9th September, will focus on how as a health service we can identify children who are at risk of missing out on essential medical care. Each year at RCH thousands of health care encounters are missed when children and young people are not brought for scheduled appointments. For some children this can lead to harm, and rarely even have fatal consequences. As a health service we need to consider what the impacts are for these children and be aware of our role in reducing the risk of harm in this vulnerable group.
Multi-disciplinary care is vital for the treatment of complex patients, especially those with rare diseases. The benefits of multi-disciplinary collaboration go beyond clinical outcomes and include research.
