Anandi retweeted
JC review of a public health paper on e-scooter injuries and they risk they pose to patients, especially children and the implications for EM. #FOAMed stemlynsblog.org/e-scooter-i…
Anandi retweeted
My latest paper on Paediatric Early Warning Systems
Paediatric Early Warning Systems: prediction without proof?
My central argument is PEWS have been evaluated as scores but implemented as systems.
#PEWS #earlywarning
authors.elsevier.com/a/1nk90… (open access for 60 days)
Anandi retweeted
NHS England has said it is not unlawful to access patients’ data for “legitimate and appropriate work purposes” in updated guidance to staff, a move welcomed by the BMA
bmj.com/content/394/bmj-2026…
Anandi retweeted
If you have a baby who struggles with a completely normal physiological consequence of growing please don’t stick a plastic tube up their bum…
MHRA formally advise to stop using these over the counter treatments
gov.uk/drug-device-alerts/al…
HT @NCMD_England
Anandi retweeted
My fantastic colleague Dr Charlotte Durand has worked collaboratively with @RCollEM to produce a position statement on e-scooter use in children. Please have a read and share widely.
rcem.ac.uk/wp-content/upload…
Anandi retweeted
🚨 Hot off the press! 🚨
Introducing the PRoMPT BOLUS study results — a landmark trial evaluating the safety & efficacy of normal saline vs. balanced fluids in suspected pediatric septic shock
🌍 9,000+ children
🏥 47 sites
🌎 5 countries
And the winner is… 👇
nejm.org/doi/full/10.1056/NE…
@nkuppermann @franbalamuth
Anandi retweeted
…both!
PRoMPT BOLUS found:
• 0.9% saline AND balanced fluids are safe & effective in suspected pediatric septic shock
• Fluid type does NOT impact major outcomes (mortality, kidney injury)
• Biochemical differences ≠ differences in patient-centered outcomes
@PERC_network @PREDICT_network
nejm.org/doi/full/10.1056/NE…
Anandi retweeted
🚨Great news for children! 🚨
In 2012 we knew we could treat significant forearm fractures in children without surgery
ovid.com/jnls/jbjsjournal/ab…
It's only taken another 14 years to demonstrate this in a RCT...
crafft.digitrial.com/results
Well done @MrDanPerry and team!
Anandi retweeted
🚨New #PECARN Blog Post 🚨
Check out the latest blog, "The End of Routine Lumbar Punctures for the Febrile Infant 28 Days and Younger"
@M_Lin walks through a recent #PECARN study to share the changing landscape of lumbar punctures for young infants
Read it here 👉🏼 pecarn.org/pecarn_news/the-e…
#PRIME #EmergencyMedicine #Pediatrics #FebrileInfant
@JAMA_current
Anandi retweeted
Medicines update - Use of tranexamic acid in children with major haemorrhage
Good trial evidence of effectiveness in adults, but lacking in children. Good safety profile, so may be useful to use ep.bmj.com/content/early/202…
Anandi retweeted
"Your roots are your strength, giving you a unique lens through which to care, lead and innovate" - Dr Shivan Pancham, NHS consultant haematologist.
Celebrating all our South Asian NHS staff - past & present 💙
#RootstoRoutes #SouthAsianHeritageMonth
Anandi retweeted
🚨Adverse events from procedural #sedation are rare - occurring <1% of the time
High-quality care can mitigate the risk of adverse outcomes
Review these resources from @EMSCImprovement
Pediatric Education and Advocacy Kit (PEAK): Procedural Sedation
bit.ly/4hBpjo2
Anandi retweeted
Hello my name is….
Time to include full name, title & role
Patients need to know who is treating them. Colleagues need to know who they’re talking to.
This is increasingly so as workforce changes mean roles may be opaque!
Equally important in ‘flash teams’ in acute care situations.
bmj.com/content/388/bmj.r607
Anandi retweeted
QI report - Improving communication with social work after child protection medical assessment with a new template
ep.bmj.com/content/early/202…
Anandi retweeted
Post Immunisation with MenB and febrile. What is the risk of IBI in this cohort of febrile infants? Another @fido_study publicaton. @timburgD @PERUKItweep @Damian_Roland @DrMBarrett @IPEM2025 @AssocPEM @danihalltweets
mdpi.com/2036-7503/17/1/20
Anandi retweeted
Severe accidental poisonings in children: a British Paediatric Surveillance Unit study. 116 cases in one year. Prescription meds left unattended most common.
adc.bmj.com/content/early/20…
Anandi retweeted
Seven elements in tackling complex problems in a work context (not necessarily in a linear order: all these elements are interconnected):
1. Step back to see the wider picture: we need to pull ourselves out of the details/specifics because of the interdependencies in big, complex problems: systems thinking, system mapping, soft systems &/or network analysis can help.
2. Get input from people with a wide range of experiences & expertise.
3. invest time & energy in external research: lessons learned in other organisations & the expertise of researchers, thought leaders & regulators.
4. Revisit our principles & values to help guide our approach as to how we are going to implement change.
5. Build our tolerance for uncertainty & risk: how can we learn, grow & more effectively navigate the increasing complexity of our world?
6. Create small scale tests of change to understand what might work.
7. Continuously learn, adapt & improve.
plan.io/blog/solving-complex…. By @planio.
Anandi retweeted
#SGEMPeds covers the @PECARNteam C-spine decision rule with guest skeptic @TabithaCheng and authors @JCLeonardMDMPH and Caleb Ward. @ChildrensNatl @nationwidekids @TheSGEM #FOAMed #MedX #MedTwitter #PedsEM thesgem.com/2025/02/sgem-467…
Anandi retweeted
New paper out today in @ArchivesEandP
15 minute consultation: Intubation of the critically ill child presenting to the ED
👀👇
bit.ly/2Uymv5p
🔸Drug Doses
🔸Minimising Risk
🔸Checklists
🔸Human Factors
Special thanks to @NicholasChrimes & @kjpNWTS
#PedsICU
#PedsAnes



























