Management of the febrile infant has changed quite a bit. @spiroskara.bsky.social and I cover the @jama.com paper from Drs. Burstein and Kuppermann. You may no longer need to LP infants <28 days if they meet @pecarn.bsky.social low risk criteria! buff.ly/3ngdS5R #PedSky #PedsEM #FOAMed #MedSky

The children’s flu vaccine is a quick, simple nasal spray. Book an appointment with your GP or participating pharmacy. It is also offered through some primary schools. www2.hse.ie/conditions/f...

Join us Wed 5th Nov at 10am for the launch webinar for the Irish National Audit of Stroke National Report 2024 & Organisational Audit 2025. Hear key findings from Prof Joe Harbison, a patient story “From Stroke to Strength” and updates on the National Stroke Strategy. 🔗 www.noca.ie/news-events/...

That was all the more satisfying because we beat Leinster in the exact way that they tend to lose games. Give them no defensive energy, make them attack, kick at a very high volume and then defend like you hate them.

Medical students and residents learn formulaic ways of conducting consultations. But in reality these can often develop in multiple directions, and be more like freeform jazz than line dancing. How do we teach this? My latest "Talking Point" @bmj.com www.bmj.com/content/bmj/...

"Yeah, I'm not doing that" - Me

National Audit of Hospital Mortality National Report 2022–2023. The report shows progress in reducing in-hospital deaths for heart attack, stroke, and pneumonia, while COPD rates have stabilised. For the first time, inequalities in hospital outcomes were also explored. www.noca.ie/documents/na...

Which is better? Lactated Ringer’s solution or normal saline? The latest video in our partnership with @glaucomflecken.bsky.social summarizes the FLUID trial. 👉 nej.md/DrG26 #MedSky #MedEd #Surgery

🚀📷 Thrilled to announce our latest research on chest drain complications in the ED is officially published in the @IMJ_IRL !! 📄 imj.ie/prevalence-o... huge shoutout to the incredible team that made this happen! #MedicalResearch #EmergencyMedicine

Paediatric Sepsis Priority Setting Partnership 🤝: A James Lind Alliance Priority Setting Partnership asking 👉 What sepsis research questions matter most to families, carers, and frontline professionals? Survey 1 is now live🔗 Take the survey www.passport-platform.org/research-pri...

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

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)

Join us for the launch of the Major Trauma Audit National 2022 Report at our upcoming webinar on the 24th September from 10:00-12:30pm. Hear from Irish & international experts on helimedicine, AI, rehabilitation & the first year of Major Trauma Centres. 👉 Register now: www.noca.ie/news-events/...

Cant look away Can't Look Away is a gripping documentary that exposes the dark side of social media and its devastating impact on young users. youtu.be/kSmyNHKMYB4

The evidence of harms of social media to children - what frontline doctors need to know #APEM25 @PERUKItweep #Peruki25

Great presentation slide synopsising the diagnostic challenge of investigating possible paediatric serious infectious illnesses in the emergency 🚨 setting #APEM25 #Edinburgh @PERUKItweep #PERUKI25 @damianroland.bsky.social

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

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...

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

The ‘Not’-Easy Study #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

In a rural Vermont county, spotty cellphone coverage is the norm. But a local tinkerer is using old technology to help his community stay connected free of charge.

Have your say - NOCA’s strategy survey is now live. We are currently developing NOCA’s next strategy, which will guide our work over the period 2026 to 2028. This short survey will take approximately 5 minutes to complete. 🔗 forms.office.com/e/dNsR3bHPDt

#SGEMPeds returns with 🍑y-O! Olanzapine vs diazepam for pediatric agitation. @bradsobo.bsky.social @thesgem.bsky.social @annalsofem.bsky.social #FOAMed #PedSky #MedSky #EMEdSky thesgem.com/2025/07/sgem...

Today is World Drowning Prevention Day. Every year, drowning claims hundreds of thousands of lives, most of these deaths being preventable. If you’ve taken action to prevent drowning, share it using #DrowningPrevention and tag @who.int. 👉 bit.ly/DrowningPrevention2025

In the BATURA phase 3b trial, as-needed albuterol–budesonide resulted in a lower risk of severe asthma exacerbation than as-needed albuterol among participants with disease that was uncontrolled despite treatment for mild asthma. Full trial results and Research Summary: nej.md/43uVpwK

NOCA is seeking a Clinical Lead for the Irish Dementia Registry (IDR). 1 day/week (3-year term). IDR will be a clinically led development project which will record prospective data on people with memory impairment and dementia. Apply by 25 July 2025. Further details: a.storyblok.com/f/265949/x/7...

Cluster RCT: Video streaming during EMS dispatch reduced the number of highest-urgency ambulance dispatches and 24-hour readmissions while maintaining patient safety. https://ja.ma/45PImaW

🩸Calling all pediatric ED clinicians! Got 10 minutes to help? DFTB is studying when to measure & replace calcium in pediatric trauma patients (practice varies wildly!). @damianroland.bsky.social @andrewjtagg.bsky.social @katpriddis.bsky.social bit.ly/DFTBCalcium #PedSky #MedSky #SurgSky #TraumaSky

📢 A brilliant session today hosted by NOCA with special thanks to Associate Professor Craig Lockwood from JBI @jbiebhc.bsky.social We are exploring how shared learning and international collaboration can drive quality improvement and evidence-based practice. @marinacronin.bsky.social

#SundayWiMIN25 Week 23: Dr Carol Blackburn, Consultant in Paediatric Emergency Medicine at CHI Crumlin, Fellow RCPI Faculty of Paediatrics. National Specialty Director for HST Paediatrics at RCPI. ➡️ www.wimin.ie/sundaywimin25

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

🚨 The Best Critical Care Trials in the World 🚨 ✅ Discussed 🔍 Dissected 📢 Disseminated 🎥 Free, full livestream #CCR25 🔗 https://criticalcarereviews.com/meetings/ccr25

The National Paediatric Mortality Register team, @peri-dublin.bsky.social, Cliona McGarvey and Maria Kehoe presented at Children's Health Ireland Grand Rounds recently. Prof Barrett & Maria Kehoe presented on the developments for the roll-out of the electronic notification system for NPMR. #CAAW25

If you’d like to explore Paediatrics further, catch up on our on-demand study day: Paediatric Pearls and Pitfalls. It’s packed with essential learning on recognising red flags, managing critical presentations, and avoiding pitfalls in paediatric emergency care. Watch now: rcem.ac.uk/events/pa...

🚨 Join our team at Children’s Health Ireland as a Consultant in Paediatric Emergency Medicine! Shape the future of paediatric emergency care in Dublin. Apply now www.bmj.com/careers/job/... 

NOCA welcomes this key paper using Office of the State Pathologist data, underlining the need for a single child mortality reporting system. We are working on an e-notification process for the National Paediatric Mortality Register. 🔗 pubmed.ncbi.nlm.nih.gov/40280729/ @peri-dublin.bsky.social

WHO faces a 21% reduction from the original proposed budget for the 2026-27 biennium. “If we think US$ 2.1 billion a year is ambitious—or $ 4.2 billion for the biennium—then either we must lower our ambitions for what WHO is and does, or we must raise the money.” - @drtedros.who.int bit.ly/3ZrwCXZ

Picard management tip: Exercise makes you smarter. Don't just sit there thinking. Get up.

💉How prepared is your ED to handle pediatric pain, anxiety & stress during procedures? Best practices and resources exist to ensure a smooth #sedation from EMSC Improvement bit.ly/4hBpjo2 #PEAKProceduralSedation #EmergencyPreparedness

Pain stinks - how do you optimize pediatric #pain management? A @PECARNteam workgroup is working helping kids in pain in the #ED ✨Step #1:Understand the issues ✨Action #1:29 experts identified 10 priority research topics Read here: onlinelibrary.wiley....#pain

🚨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/...)

Congratulations to @louisebrent28.bsky.social, Prof Conor Deasy, Pamela Hickey, Dr Rachael Doyle & @olgabr.bsky.social, whose poster "Older adults are now the face of Major Trauma in Ireland" has won the Eva Huggins Award for Best Nurses &AHP Poster at BGS Spring Conference 2025 @gerisoc.bsky.social

A 6-month-old girl was brought to the emergency department with a 3-day history of redness and swelling of a toe. A physical examination is shown. What is the most likely underlying cause of the findings? nej.md/IC05082025 #MedSky #PedSky

There are two exciting Audit Programme Manager opportunities with NOCA. Find out more ⬇️ 🔹 Audit Programme Manager (Trauma and Surgical Audits/Registers) lnkd.in/eTXUW_zH 🔹 Audit Programme Manager (Dementia and Emergency Medicine Airway Management) lnkd.in/e2dhWeT4 ⌛ Applications close 11th May

Asthma is one of the most common chronic non-communicable diseases worldwide. In a Lancet Seminar, you can learn more about asthma ✔️ epidemiology ✔️ pathophysiology ✔️ diagnosis ✔️ management in children and adults Explore ➡️ tinyurl.com/3zessej4 #WorldAsthmaDay