Paediatric research and bedside decisions, talked through with colleagues.
Two Paeds In A Pod is a paediatric medical education podcast where guests walk through their own studies and the clinical reasoning behind them. Ian Lewins, a paediatric emergency medicine consultant in Derby, usually hosts, and the subjects stretch from sedation for scans and infection risk in babies to formula feeding and climate change.
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Two Paeds In A Pod is a paediatric medical education podcast in which clinicians and researchers talk through the questions that shape children's care. The regular host is Ian Lewins, a consultant in paediatric emergency medicine based in Derby. His introductions are precise about who each guest is: a registrar, a consultant, a PhD candidate, a medical student. Trainees and students share the microphone with senior clinicians. Research is the backbone of several episodes. In 'Episode 82: The FIDO study', Etim Bakumana, an emergency medicine doctor and PhD candidate, explains a study of roughly 1,800 babies that asked whether bedside clinical variables could predict invasive bacterial infection. The aim was something that did not rely on investigations, built instead on the questions, examination findings and gestalt a clinician already has. A low-risk result might spare a baby a heavy workup. The conversation then goes through what happened to the babies, including how many received antibiotics and how many were admitted. The sedation episode is just as concrete. Thomas Jackson, a paediatric registrar, describes using intranasal dexmedetomidine for children having scans, including a lower top-up dose when chloral had failed during the same visit. Doses come in micrograms per kilo, and Lewins presses for the success rate, remarking that it is what people want to know. Some episodes are presented in association with PERUKI, a paediatric emergency research group spanning the UK and Ireland. The priority-setting episode shows research from the inside: an online survey offered in easy-read and advanced versions, as suggested by the young people who helped design it, and answered by healthcare professionals, parents, and children and young people. The guest, Charlotte, finds it comical that quite a few professionals chose the easy-read version. The show also ranges well beyond acute care. Ashley Rees, a paediatrician and medical educator in Hertfordshire, chairs an episode on infant milks and formulae that runs from a baby's earliest days to toddlerhood, with practical points on expressing milk to share the feeding and on counselling parents against co-sleeping. Katie Knight, a paediatric emergency medicine consultant, joins Lewins on climate change, and the talk moves from individual choices to big polluters, greenwashing and fossil fuel sponsorship of museum exhibits. A migraine episode with two guests, including medical student Julia Avery, weighs propranolol against topiramate for teenage girls with frequent headaches, with an eye on teratogenic effects and on which drug worked for an affected parent. The manner is warm and conversational, and guests are thanked generously. What a listener takes away is a walk through someone's reasoning, from how a study was built to why one drug gets chosen over another.
Made for: Suits a clinician in paediatrics or emergency care, at any stage from student to consultant, who wants a study or a prescribing decision explained by someone who has worked through it.
What sets it apart: Guests often explain research they carried out themselves, from a study of infection risk in babies to intranasal dexmedetomidine sedation for scans, and the host presses for the headline result. Some episodes are presented in association with the PERUKI research group, and they sit alongside conversations on infant feeding and climate change.
2 Paeds in a Pod is a clinical paediatrics podcast exploring the decisions, dilemmas, and systems that shape everyday practice.While rooted in paediatric emergency medicine, the conversations range across the breadth of paediatrics — from acute presentations and diagnostic uncertainty to wider service design, professional development, and the evolving evidence base.Each episode brings structured discussion to real-world clinical questions. Alongside practical case-based reflection, we highlight research that has caught our eye and consider how emerging evidence should — or should not — influence frontline care.This podcast is for paediatric consultants, trainees, advanced practitioners, and…
A fever under six hours gets a second look, and your pen has a reason to move.
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Short reviews from the PlayNext desk, based on the episodes we processed.
A practical conversation about using clinical signs to assess infection risk in infants.
FIDO takes a research acronym and turns it into a practical bedside question: can everyday clinical observations help estimate invasive bacterial infection risk in infants before investigations enter the picture? Ian Lewins keeps the conversation steady while Dr.
A clear, grounded account of how paediatric emergency research priorities are gathered and narrowed.
Priority-setting in paediatric emergency research feels concrete here as PERUKI gathers questions from healthcare professionals, children and young people, parents, carers, and adults with experience of PEM care.
A grounded discussion of dexmedetomidine and paediatric MRI sedation success.
Paediatric MRI sedation is framed here as a practical problem: helping a child complete the scan while choosing a protocol that still has a chance after an earlier attempt has failed.
A grounded paediatric guide to infant formula, specialist milks, marketing rules and safer feeding routines.
Infant formula is treated here as a practical part of paediatric education, shaped by history, marketing and the tired reality of early family life.
Katie Knight links paediatric practice with climate action, greenwashing, and the value of getting involved in campaigning.
Two Paeds In A Pod makes a clear case for why climate change belongs inside paediatric practice, not just around it. Ian Lewins speaks with Dr. Katie Knight about the link between environmental harm, clinical responsibility, and the limits of relying on personal choices alone.
Local medicine, told through physicians' lives.
Clinical oncology evidence, translated into treatment decisions.
Dr.
PERUKI's paediatric emergency medicine prioritisation turns 305 survey responses into a ranked research agenda, and Charlotte Sloan explains the process with Ian Lewins on Two Peds in a Pod.
["Ian Lewins on Two Peds in a Pod interviews paediatric registrar Thomas Jackson about a North Middlesex Hospital audit of intranasal dexmedetomidine for MRI sedation.", "The first NICE-guided epoch covered 33 scans over 11 months and achieved a 52% overall success rate, with midazolam succeeding in only 4 of 12 attempts.", "A second 8-month chloral-only epoch still reached only 55%, while the dexmedetomidine epoch reached 81% overall and 85% per protocol across 32 scans.", "Jackson also reports heart-rate drops in about 70% of children, no fluid boluses or other interventions, and continued use of dexmedetomidine as a top-up when chloral fails."]
Two Peds in a Pod has Ashley Rees, a consult paediatrician and medical educator in Hertfordshire, and Rahi Vandabor, a paediatric dietitian and British Dietetic Association spokesperson, talking through baby formula and breast milk from the first days of life to toddlerhood.
Katie Knight tells Ian Lewins that climate change is a paediatric issue because air pollution, heat waves, vector spread, pre-term birth, infant deaths, and climate anxiety all affect child health.
Two Peds In A Pod examines whether high-dose magnesium supplementation helps adolescents with migraine.
Becky Joyce describes moving from more than 10 years as a neonatal nurse into advanced practice, where her first lumbar puncture and intubation felt “utterly terrifying.” Vicky Payne says students on the Southampton course unpick what they think they know, then rebuild their skills through the year.
Paediatric dentistry registrars Jessica Tolbert and Lucy Brown tell host Ian Lewins that a knocked-out adult tooth should be put back in the socket ideally within 30 minutes, or stored in milk.
Anna Baverstock, consultant paediatrician at Musgrove Park Hospital, explains how a tweet two years earlier grew into the "I support kindness for all in paediatrics" project and a 2019 Royal College meeting workshop.
Host Ian Lewins interviews Dr.
Two paediatricians discuss a paper on interpreting clinical signs in meningitis, focusing on meningococcal disease and diagnostic reasoning.
Two paediatric consultants discuss the history and structure of the written exams for paediatric trainees, explaining changes in nomenclature and exam order flexibility.