Transforming academic medicine through social media: why isn’t it working for me? rdcu.be/eIbdb "For physicians in all specialties, social media literacy is becoming an essential skill for modern healthcare communication" Huge thanks to Kikelomo Babata and Daniel O'Reilly

Excellent article with many important points.

On #WorldSepsisDay highlighting editorial (with @apsmunro.bsky.social ) "Time for paediatrics to screen out sepsis “screening” www.bmj.com/content/381/... (For example screening, by definition, requires patient to be asymptomatic. But many patients receiving a “sepsis screen” are symptomatic)

It's #worldsepsisday Please consider this Sepsis Research Priority Survey with the @LindAlliance Led by the sepsis expert @Dr_Elliot_Long as part of the PASSPORT study. www.passport-platform.org

Post Lunch Stuart Hartshorn on the CURLY study Cefalexin for UTIs – Right treatment Length in Young children. curly.digitrial.com Interesting findings already on frequency of true culture positive in Children presenting to EDs #PERUKI25

And now Charlotte Durand on e-scooters Audit from Alderhey demonstrated a clear signal for the incidence of Major Trauma from e-scooters. Helmet wearing (or lack of) was an issue **Private e-Scooters are illegal** #PERUKI25

A great question form the audience on Urine Studies. What about sites which still use pad urines? Shouldn't we be researching them? Two Issues: 1. Can't ethically do a study actively supporting a treatment NICE doesn't recommend #PERUKI25

The EASY study. fundingawards.nihr.ac.uk/award/NIHR15... "But it wasn't" - Tom Waterfield #PERUKI25

Having taken a hiatus from BlueSky I'm back. It's the @PERUKItweep conference 2025 Thomas Waterfield kicks off. One of the self proclaimed "UTI men" (with @stuarthartshorn) #PERUKI25

Our vaccine effectiveness study has just been released. "In keeping with the treatment to prevention principle of the #NHS 10 Year plan, we would ask all health care systems to consider how they will optimise the roll out of RSV vaccination for mothers" www.sciencedirect.com/science/arti...

Short excerpt on impact of #measles and importance of #vaccination

Thanks for inviting us to take part in this Vital paper showing that PEWS is able to Detect clinical Deterioration in children. So it would be good to use the same PEW scoring system. Go national PEWS! @damianroland.bsky.social #greatnorthchildrenshospital @mariekeemonts.bsky.social

"..higher Uncertainty Tolerance was linked to doctor well-being but its impact on resource use & patient outcomes remains unclear" Lots of potential confounders but does your approach to risk impact on longer term enjoyment of Emergency Medicine? emj.bmj.com/content/42/1...

Short excerpt on impact of #measles and importance of #vaccination

When the hot break comes to an end parents & carers of children with asthma need to be aware of ⚡️Thunderstorm Asthma ⚡️ www.healthforkids.co.uk/leicestershi... Most importantly know your inhalers; remember to use a spacer and be aware you can take up to 10 puffs

Inequitable management of procedural pain in children: reduction of ileocolic intussusception as an example Our view Point article highlighting the need to avoid making assumptions about analgesia and sedation (greyed area in image a case in point...) adc.bmj.com/content/earl...

I used to start every talk by asking: “What do I want to say?” Now I ask: “𝐒𝐨 𝐰𝐡𝐚𝐭?” Not in a cynical way — in a generous one. Because the best presentations aren’t about us. They’re about the people listening. 🧵

Is observation an investigation? www.youtube.com/watch?v=wtIw...

What's the impact of RSV vaccination on overall ED attends We compared Catalonia with UK sites up to April 2024 We noted year-to-year variability, regardless of centre and within same country, which may mask or exaggerate impact of any intervention. www.sciencedirect.com/science/arti...

Short infographic on the potential impact of the FIDO study What are your preconceptions on managing febrile infants? youtu.be/IxLFHYtZaGA?... Paper: www.sciencedirect.com/science/arti...

Amazing piece of work by @DrSimonCraig & colleagues A caregiver's concern their child is getting worse is an independent risk factor for ICU admission A number of really important take-aways from this study so it isn't mis-interpreted. Thread 1/n 🧵 www.thelancet.com/journals/lan...

Even if podcasts aren’t your thing I highly recommend you listen to this It doesn’t take the direction you think it might & will make you reflect on difficult conversations, relationships & making assumptions Thank you Chris and Xand www.bbc.co.uk/sounds/play/...

🚨Now in print 🚨 Evidence of Poor Utility of Current Sepsis Screening Tools in an At-Risk Population of Children With Community-Acquired Pneumonia More evidence rejecting SIRS as basis for #sepsis "screening" journals.lww.com/pidj/fulltex... (screening rant: www.bmj.com/content/381/...)

#Maythe4thBeWithYou Two previous Star Wars themed blogs... The Star Wars Guide to Decision Making rolobotrambles.com/starwarsdeci... “Your eyes can deceive you. Don’t trust them.” – Obi-Wan Kenobi The Star Wars Guide to Quality Improvement rolobotrambles.com/starwarsqi/ #StarWarsDay

Overuse of investigations, interventions and medications in Child Health. An ongoing review since 2016 publications.aap.org/pediatrics/a... #PAS2025

Just experimenting with some off the cuff videos from the Paediatric Academic Societies meeting First off from James Perrin’s Keynote

So perhaps the reason that the #NHS is struggling is that we don't get up early enough for meetings.... #PAS2025 (this is a joke in case your sarcasm font isn't working)

Hawk versus Dove debate on the use of salbutamol in bronchiolitis. The 'against' speaker cites a great paper from 60 years ago. Learning: 1) Don't fritter away 2) Listen to doctors from 60 years ago. publications.aap.org/pediatrics/a... #PAS2025

Great keynote from Aaron Carroll on how we communicate science Some key messages Acknowledging we don’t have all the answers increases trust rather than decreases it. Fixed public health messaging frustrates the public decreasing trust in future messaging. 1/n #PAS2025

Start of #PAS2025 “Children are the most diverse population of any population Now is not time to shunt diversity aside” A powerful rejection of the current US government’s policies

Under the weather: an epidemic thunderstorm asthma event in Leicester, June 2023 bmjopenrespres.bmj.com/content/bmjr... Neat little collaboration between ED, paediatric & adult respiratory teams at Leicester Hospitals and University Thunderstorm asthma awareness an important public health measure

Coined two new terms today: Commergency Care Safely Delayed Emergency Care (SDEC) #emergencycare #neighbourhoodhealth

Now it’s past midday I can say perhaps this was just a little too meta for April Fool’s day…. #sorrynotsorry

Great new publication from Dr. Oleg Puhl Tested the hypothesis in infants with Bronchiolitis that nothing works faster than a nebuliser, a X-ray and Humidified High Flow Oxygen. ...and guess what? The hypothesis was correct; nothing was faster! www.bbc.co.uk/newsround/ar...

Recording of my talk to the institute of Health Visiting 👇

“Emergency Department (ED) attendances reflect inequalities in society and the systems response to them. Understanding, and addressing, underlying reasons for ED attendances will ultimately improve the long-term life chances of Children Young People” ihv.org.uk/news-and-vie...

Important that in the recent transformation of Healthcare the core purpose of what a National Health Service could, and should do, isn't lost. www.rcpch.ac.uk/news-events/... HT @rcpch.bsky.social

Syldagan (Skil-DA-gan) n. The feeling of walking into a difficult clinical situation & instinctively looking for someone more experienced to guide you, only to have the sobering realization that you're the most experienced one present From Old Norse Skylda, “duty” & ogn, “fear”

Analgesia/Anti-pyretic not working? Compare dose per age (from standard paracetamol 120mg/5ml bottles) to dose per weight Caregivers may think their child's illness or injury is worse than it actually is (when actually they are underdosing) Always worth weighing child...

Great to see research into POPS (Paediatric Observation Priority Score) continuing outside of UK POPS acceptable, appropriate and feasible in pre-hospital settings. (work being presented at @PASMeeting 2025) www.tandfonline.com/doi/abs/10.1... POPS Background: rolobotrambles.com/the-paediatr...

My latest publication on how poor SIRS sepsis screening criteria are in Children (modelled on the CAP-IT pneumonia study) Hopefully there is now enough for @NICEComms to re-consider its decision to not review Sepsis guidance for < 16 years journals.lww.com/pidj/fulltex... #Sepsis

In children a procalcitonin (PCT) guided algorithm didn't reduce iv antibiotic duration treatment & is non-inferior to usual care. ⚠️ Evidence doesn't support use of PCT algorithms where effective paediatric antibiotic stewardship programmes are established ⚠️ www.sciencedirect.com/science/arti...

Safety Netting in primary care: Managing the low incidence, high uncertainty of severe illness bjgp.org/content/bjgp... (follow up to "Safety netting in the consultation" www.bmj.com/content/378/...) I'm not a GP (but was written with GPs) Vomiting point applies in ED as well!

Our latest BronchSTART publication! "Maternal views on RSV vaccination during the first season of implementation in England & Scotland" Significant difference in vaccinated & unvaccinated groups in perceptions of access to the vaccine. www.thelancet.com/journals/lan...

This is a fascinating study of how patient flow gets discussed and addressed in hospital operations management meetings.

Large ⬆️in children & young people admitted to acute medical wards for mental health concerns over a 10-year period Further work needed to factors driving these trends and how to improve care for CYP with mental health concerns admitted to medical wards www.sciencedirect.com/science/arti...

How do staff work in NHS hospital operations management meetings to support resilience in everyday service delivery? A qualitative study Results perhaps not unexpected but perhaps a structure to allow feedback, assessment & improvement.... link.springer.com/article/10.1... #Qcommunity

Fantastic article by Dr. Rachel Jenner et al. I’m been guilty of the adultification of young people in whom I’ve managed as older than the child they are. Safeguarding, vulnerability and mental health issues make this a very complex area with no easy answers. adc.bmj.com/content/earl...

Great post on Likelihood Ratios by St.Emlyns www.stemlynsblog.org/podcast-like... Challenge is we don’t write guidance (local or national) with LR in mind. Cinician may entirely appropriately not treat for tonsillitis via LR but can be criticised if poor outcome as guidance only binary.

So after a winter break the @UKHSA data feed is back! Some good news: Influenza (flu) may have peaked Some pause for thought: Admission rates not falling rapidly #FLU