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Damian Roland
Paediatric Emergency Medicine Consultant & Honorary Assoc. Prof. Chair , Team &
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Damian Roland retweeted
EastMidsFOAMed 6h
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Damian Roland 6h
Unfortunately we’ve stopped standard respiratory panels to concentrate on testing. So it’s all on you now ! (But I’ve an idea for next autumn I’ll ping you about...)
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Damian Roland 6h
Replying to @MintegiSanti
Thanks Santi! We didn’t test for rhinovirus routinely but I’m sure that’s what drives our autumn wheeze surges 🦏-virus is a pretty resistant bug isn’t it!
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Damian Roland retweeted
Santi Mintegi 6h
Congrats for the paper, This morning, I have reviewed our ED asthma data of the last three years and are similar to yours. Globally, ED visits have decreased but not those for asthma. Not more serious but many children this autumn.
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Damian Roland Oct 18
I do the least possible, to as many as possible, with the aim of safely seeing as few as possible again.
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Damian Roland Oct 18
Agree, I just hope this is just the start of a wider debate on the balance of risk in emergency (and primary) care for children who are brought with acute illness.
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Damian Roland Oct 18
The dates used in the study were first 4 weeks of school term (so mixing children). Rhinovirus appears relatively immune to social distancing/hand washing etc. which is why we have wheeze spike (I think!). Personally I think wheeze alone can be in non-suspected cohort.
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Damian Roland Oct 18
Sorry to hear about your experience. This study is specific to children; the dynamics of in adults are very different and certainly aren’t transferable to kids!
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Damian Roland Oct 18
Agree - I think not unreasonable to presume positive if planning to use AGP - but this is a minuscule proportion of total attendees and can (relatively) easily be planned for.
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Damian Roland Oct 18
Changing national policy akin to trying turning an oil tanker. I hope though this is first stage of process to de-escalate our suspected/non-suspected boundaries. Response suggests Leicester experience replicated nationally and perhaps can take up challenge…
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Damian Roland Oct 18
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Damian Roland retweeted
Moya Dawson Oct 17
Interesting and relevant. We also have no covid positive kids at OUH, even though plenty of respiratory cases and wheezers on the ward and in critical care.
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Damian Roland Oct 17
Replying to @LfEcommunity
At a population level very easily - health outcomes are a composite of many dependencies (with social-economic status often the primary factor) At department level you can still demonstrate improvements even when risk of isolated harm is high due to patient safety weaknesses.
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Damian Roland Oct 17
Early paediatric data suggests that rhinovirus still present as driver of wheeze (but doesn’t ). My shop floor experience suggests RSV & Influenza not as prevalent as previous years but will be able to provide better data in a month or two...
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Damian Roland Oct 17
"Time to improve the diversity of paediatric skin images" via To improve diversity of images researchers, led by the in collaboration with the , developed a new independent project called
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Damian Roland Oct 17
Well played "Young people with Cystic Fibrosis have helped us create resources about taking part in clinical trials, specifically for children and teenagers" ?
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Damian Roland Oct 17
Thanks for review Should clarify I don’t believe nebulisers have role in bronchiolitis & apologise for giving that impression. I think short term placebo improvement explain anecdotal perceptions of benefit
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Damian Roland retweeted
wheezylikesundaymorning Oct 17
Lovely piece of work , this will be really useful when counselling parents
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Damian Roland Oct 17
2) In Leicester we are low steroid users so that we should always prompt ourselves to think “might it actually be necessary?" Other high steroid using departments should think the opposite! (but I entirely support general approach of "why would I prescribe?” in PEM) 2/2
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Damian Roland Oct 17
To provide some context 1) the comment found here () was in the context of why wasn’t atopy a factor in PREVIEW? I highlight again the challenge of defining wheeze phenotypes. 1/2
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