Prof. Damian Roland
@damianroland.bsky.social
560 followers 14 following 110 posts
Honorary Professor of Paediatric Emergency Medicine Urgent and Emergency Care System Clinical Director (Leicester, Leicestershire and Rutland) @uniofleicester (https://bit.ly/3MrD1vZ) Past Chair PERUKI; Team EM3 & @DFTBubbles #FOAMed #PEMSky
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damianroland.bsky.social
Thanks to @ukhsa.bsky.social we can monitor impact of RSV (the virus which causes bronchiolitis)

We started vaccinating pregnant mothers last year but didn't see much of an impact.

Let's hope with⬆️immunisation rates things are different this year...

www.gov.uk/government/s...
damianroland.bsky.social
Great resource from @Radiopaedia

A Paediatric x-ray atlas of normal x-rays in children

radiopaedia.org/normal-paedi...

#FOAMed
Normal Pediatric X-ray Atlas | Radiopaedia Cases | Radiopaedia.org
/* Single-column layout everywhere */ #peds-controls .peds-grid { display: grid; grid-template-columns: 1fr; grid-template-areas: "region" "gender" "slider"; gap: 14px; align-items: end; } .peds-region { grid-area: region; } .peds-gender { grid-area: gender; } .peds-slider { grid-area: slider; } /* Slider: large grab area */ #peds-age-slider { -webkit-appearance: none; width: 100%; height: 28px; background: transparent; } #peds-age-slider:focus { outline: none; } #peds-age-slider::-webkit-slider-runnable-track { height: 10px; background: #e6eaf2; border-radius: 999px; border: 1px solid #d6d9e0; } #peds-age-slider::-moz-range-track { height: 10px; background: #e6eaf2; border-radius: 999px; border: 1px solid #d6d9e0; } #peds-age-slider::-webkit-slider-thumb { -webkit-appearance: none; width: 22px; height: 22px; border-radius: 50%; background: #fff; border: 2px solid #8C52FF; margin-top: -7px; cursor: pointer; } #peds-age-slider::-moz-range-thumb { width: 22px; height: 22px; border-radius: 50%; background: #fff; border: 2px solid #8C52FF; cursor: pointer; } /* Age label + readout: prominent */ .peds-age-label { display:flex; align-items:center; justify-content:space-between; gap:10px; font-weight:800; margin-bottom:4px; font-size:1.5rem; } .peds-age-readout { font-weight:900; color:#111827; font-size:1.6rem; line-height:1; } /* Gender radios */ .peds-gender-group { display:flex; gap:12px; align-items:center; flex-wrap:wrap; } .peds-gender-group label { display:inline-flex; align-items:center; gap:6px; cursor:pointer; line-height:1.2; } .peds-gender-group input[type="radio"] { margin:0; vertical-align:middle; accent-color:#8C52FF; } /* Output + sections */ .peds-section { scroll-margin-top:80px; } #peds-output { opacity:0; transition:opacity .35s ease; } #peds-output.is-visible { opacity:1; } /* Heading row wraps H4 and (optional) pill; spacing below image */ .peds-heading-row { display:inline-flex; align-items:baseline; gap:10px; width:100%; margin:0 0 14px 0; } .peds-heading-row > h4 { margin:0; } /* Gender pills */ .pill { display:inline-block; padding:3px 10px; border-radius:999px; font-size:.93em; font-weight:400; line-height:1; white-space:nowrap; border:1px solid transparent; position:relative; top:-1px; } .pill-male { background:#eaf3ff; border-color:#cfe4ff; color:#0f3b82; } .pill-female { background:#fff7cc; border-color:#ffe59e; color:#7a5a00; } /* Case credit */ .peds-credit { font-size:0.9em; } /* Consistent gap before credit whether image is in or not */ p.peds-imgblock { margin-bottom: 8px !important; } img.peds-imgblock { display:block; margin-bottom: 8px !important; } /* Optional: style the disabled separator text a bit lighter where supported */ #peds-region option[disabled] { color:#9aa3af; font-style:italic; }
radiopaedia.org
damianroland.bsky.social
Brilliant example of how data can, and should, be available.

Variation in children (0-9) prescribed antibiotics in the last year in primary care

www.prescqipp.info/our-resource...

Difficult to explain this degree of variation away...
damianroland.bsky.social
I think we already know that just putting National PEWS into the back of ambulance won't be effective...

...so what are the key tenants of recognising deterioration and what is "deterioration" in an pre-hospital context?

Help my #PhD student answer these questions!
damianroland.bsky.social
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
Reposted by Prof. Damian Roland
inditrehan.bsky.social
Excellent article with many important points.
damianroland.bsky.social
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)
Time for paediatrics to screen out sepsis “screening”
It is time to remove the term, “sepsis screen,” from the paediatric lexicon, argue these authors Despite the success of vaccinations against organisms such as Haemophilus influenza type B and Neisser...
www.bmj.com
damianroland.bsky.social
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)
Time for paediatrics to screen out sepsis “screening”
It is time to remove the term, “sepsis screen,” from the paediatric lexicon, argue these authors Despite the success of vaccinations against organisms such as Haemophilus influenza type B and Neisser...
www.bmj.com
damianroland.bsky.social
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
damianroland.bsky.social
Also a novel methodology of trial design for antibiotic treatment.

A 'Durations' approach

pmc.ncbi.nlm.nih.gov/articles/PMC...

Multiple durations some knowingly much shorter and much longer that thought needed to determine the optimum duration.

#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
The CURLY Study
The CURLY Study
curly.digitrial.com
damianroland.bsky.social
The department of at least one delegate....

#PERUKI25
damianroland.bsky.social
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
damianroland.bsky.social
2. The challenge of allowing research network sites to deliver care that goes against the research findings the network are promoting

Number 2 is a real implementation and knowledge translation issue we are still grappling with.

#PERUKI25
damianroland.bsky.social
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
damianroland.bsky.social
Tom talks through EASY study (utility of oral antibiotics in febrile infants with UTIs)

Lots of learning (study finished early due to challenging recruitment) but a key message was too many children are treated for UTIs when a urine hasn't actually been sent!

#PERUKI25
damianroland.bsky.social
Tom shows this slide.

And then says - "don't believe this - it's a lie"

UTI is probably 3-4% in febrile infants

Concern about UTI is common but actual UTI isn't

#PERUKI25
damianroland.bsky.social
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
Reposted by Prof. Damian Roland
damianroland.bsky.social
Short excerpt on impact of #measles and importance of #vaccination
damianroland.bsky.social
Short excerpt on impact of #measles and importance of #vaccination