A 17-year-old boy was rushed to the ER by his brothers struggling to breathe... [thread]

So many poorly babies with RSV bronchiolitis this year and many seeming to stay in hospital needing respiratory support for longer than before (and lots of older children with RSV too). The evidence from studies like Harmonie was clear. This could be a game changer

People’s health is getting worse & infant and child mortality is going up in the most deprived areas - the life expectancy of the best off 10% shows us what’s possible - Sir Michael Marmot #KFTimeForAction

"We don't spend on early childhood"

📢Over 2,000 paediatricians and health professionals have called on the Government to roll out an RSV vaccination programme. It's time for the Government to act to protect children's health and the NHS ahead of next winter: rcpch.ac.uk/news-events/ne… Asthma + Lung UK

#RCPCH24

In this study of critically ill adults in ED, the physicians gut impression within 15 minutes performed better than any other existing tool in identifying sepsis So why do we feel forced to use screening tools which we know cause their own problems? annemergmed.com/article/S0196-…

If your ward accepts & manages NIV patients, it is unforgivable that they won’t manage & use an art line

#NHS Why are we still using these ‘BabyDrinkers’ this was given to a 36yr old woman who asked for mug not a cup/saucer! - it’s degrading and undignified! We have better suitable ranges which have #Dignity at the core. Developed by Patients for Patients with caterer & clinical

How to use corticosteroids for croup in children Dani Hall (she/her) Team DFTB ep.bmj.com/content/early/…

Spotting the Sick Child in a Paediatric Emergency Department waiting room.

"It's just a job, you're paid to care" Take it from me, not everyone can be a nurse. To be with a family in their darkest days, when you may well be by their side for every minute of their child's most critical care, needs a special sort of person #InternationalNurseDay

Reducing the use of proton pump inhibitors in infants with reflux symptoms bmj.com/content/385/bm…

Think whooping cough! Alongside RoyalCollegeObsGyn Royal College of General Practitioners and Royal College of Midwives 💙 we’ve issued advice for parents and carers and healthcare professionals on whooping cough. Read the statement & share the poster⬇️ rcpch.ac.uk/resources/whoo…

Another informative PAPn network meeting underway with thanks to Sam Danaher for his amazing presentation on Adolescents and Dr Ketecha with an insightful presentation of bleeding disorders. Next meeting September 11th. Ambra Righetti PartnersinPaediatrics

🧵 Managing Challenging Behaviours in Resuscitation Teams: A Thread for Team Leaders (1/13) Every resuscitation team leader can face difficult team dynamics Here are 6 key challenging behaviours you'll encounter and how to manage them effectively in real-time 🚨

(10/10): Expert clinicians focus on the process more than the outcome. Unfortunately, bad outcomes happen in medicine, even when everything is done well. The best clinicians focus on how we can improve the process to improve outcomes, rather than fixating on the outcomes

Anyone got any good POCUS resources to assess volume status?

My biggest reflection from being on in the ICU this week is that people over complicate sepsis. Find the source. Control the source. Start antibiotics. Avoid the intellectually stimulating but probably less impactful noise: Fluids vs. Pressors Which steroid Fluid

Everyone, regardless of grade or level experience has a responsibility for patient safety. The Elaine Bromiley case is a prime example. #humanfactorsinhealthcare