Paediatric Watch newsletters

"Paediatric Watch - Lessons from the Frontline" newsletters take learnings from a de-identified critical incident (or incidents) and highlights opportunities to improve safety for children and young people presenting to hospitals across NSW.

Read past editions below.

Sepsis

June 2026

This edition highlights common misses and misconceptions delaying recognition and management of sepsis, reinforcing use of the paediatric or neonatal sepsis pathways to support early intervention.


Testicular torsion

May 2026

This edition highlights key reminders for clinicians in the management of acute scrotal pain and early diagnosis of testicular torsion.


Recognising Deterioration in Children with Disability

September 2025

This edition highlights the critical role of parents and carers in recognising early signs of clinical deterioration in children with disability.


Gastroenteritis – Red Flags in Infants

November 2024

Assessment and management of an infant with ongoing gastrointestinal fluid losses.


Asthma in Adolescents

June 2023

Highlighting the red flags and risk factors clinicians need to consider specific to adolescents with asthma.


Unrecognised Oesophageal Intubation

July 2022

Sharing learnings from a coronial investigation following the failure to recognise oesophageal intubation in a child.


Myocarditis in a 7-Year-Old

January 2024

The symptoms of myocarditis may be subtle and non-specific such as fatigue, malaise and abdominal pain, making the diagnosis difficult in children.

How ideal was your last discharge?

April 2022

Educating families and carers prior to discharge is a crucial step in empowering them to care for their child at home. This edition focuses on the 'Teach back' and the IDEAL discharge tool. A short video is available demonstrating how to use these tools.

The ins and outs of urethral injuries in male children during catheterisation

March 2026

This edition highlights key risks, real-world cases and essential techniques to prevent urethral injuries in male children during urinary catheterisation.


Harm associated with the application of tissue glue

October 2025

This edition highlights practical tips and techniques for clinicians to prevent harm when applying tissue glue to children with facial lacerations.


Near miss: 10 times adrenaline (epinephrine) dose error in anaphylaxis

March 2023

Errors in adrenaline dosing are common, particularly in time critical high-stress situations such as anaphylaxis. This edition focuses on lessons learnt and strategies to reduce adrenaline dosing errors.


Preventing harm when securing and removing a peripheral intravenous cannula splint

May 2025

Important steps to take that help prevent injury to babies and children when securing and removing peripheral intravenous access devices.

Red flags for non-accidental injuries in children. Is this child at risk?

August 2024

This is an update of the issue released in 2023. It is now accompanied by a short video to assist health workers in NSW to recognise and respond to the red flags of non-accidental injuries in children.


Recognising oronasal bleeding as a red flag in non-accidental injury

July 2024

One-third of Australian children experience physical abuse. Not only is it common, but it can be missed or misdiagnosed.


Escalation of abnormal radiological findings

August 2023

This edition highlights the importance of reviewing and communicating abnormal radiological findings suggestive of a non-accidental injury to a senior doctor in a timely manner.