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Damian Roland
Consultant & Honorary Associate Professor in Paediatric Emergency Medicine Chair , Team member &
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Damian Roland retweeted
Leicester's Research 14h
If you missed the lunchtime news, fear not, coverage of our celebrations with pupils from a local school will be on at 6:30pm tonight!
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Damian Roland 14h
Replying to @grade1view
What’s PLR!
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Damian Roland 18h
Well () think we know why - watch this space for a study lead by ...
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Damian Roland May 19
This sparked an unexpected debate and proves even with the most simple of paediatric conditions our practices differ quite considerably in terminology, practice or both!
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Damian Roland May 19
Conclusions from review quite challenging though!
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Damian Roland May 19
Definitely heard this call - will be to the rescue! (or more like study hypothesis generation, peer review and potential study execution but that’s not as flashy)
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Damian Roland May 19
‘Breaking the cycle’ is the wrong word but the vast majority of child with croup only need one dose of dexamethasone (likely because half life of worst symptomology is the same as the drug). No reason why ondansetron in gastro isnt the same...
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Damian Roland May 19
From a pathophysiological basis ‘breaking the cycle’ shouldn’t really work but for both croup (dexamethasone) and gastroenteritis (ondansetron) this effect appears to be real!
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Damian Roland May 19
Just caught up with final episode of Our kids (9 & 7) I think enjoyed it as much as Well done and for mythbusting and sharing some surprising facts about gender identify!
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Damian Roland May 19
That’s not controversial - that’s culture. We don’t use PR paracetamol half as much as we should do in the UK (it’s the standard of care in Germany) - I’m interested in impact on healthcare attendance but that data is difficult to find!
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Damian Roland retweeted
Edward Snelson May 19
You see a 2yr old present with a burst ear drum from what in retrospect was an otitis media. The patient is well and the otalgia has improved significantly after the discharge appeared. The discharge is profuse and green. What do you do?
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Damian Roland May 19
There is a challenge here of an effective drug having unintended consequences I spoke about the ondansetron effect at () where I highlighted Prof. Alastair Hay’s observation ()
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Damian Roland May 18
Why isn’t there a blog to go along with this result. It’s difficult to see how this can be perceived well but there may be reasons. Why not summarise the arguments quickly and share? Not sure people will spend time watching the whole video of the session. Think would help!
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Damian Roland May 18
But before I get shot down - I agree with everyone else in the fact that you need to make a decision at the outset. Be clear about what you are going to do if ‘x’ happens. If you can send home immediately then do so.
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Damian Roland May 18
Interesting - I wonder if that represents different populations Tom. I’m often amazed by how often a fluid trial reveals a misunderstanding on behalf of the parents about how to give regular fluids to their child. Like Liz I think trials are for parents benefit not the childs!
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Damian Roland retweeted
⚕️Sarah E ⚕️ May 18
Thanks it’s been a great set of Simulations to develop. The team with me and Karen. They have been the most rewarding sims to deliver and some of the best feedback we’ve ever had! 🥰🥰🥰
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Damian Roland May 18
Replying to @DrVikasShah
Quiet on call Vikas? 😆
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Damian Roland May 18
There is school of thought that genetic factors have a big influence in acquisition of invasive bacterial disease () It may well be that the genetic disposition to catching RSV happens to protective against sepsis... Unlikely but not impossible!
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Damian Roland May 18
But this is specifically in the very young high risk group; perhaps that nuance/reference was left of the original tweet!
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Damian Roland retweeted
Paedtensivist May 17
All welcome here , I’d say 40% of people playing along are not paediatricians And spot on! You and me both , horrible scans !
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