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All Outputs (112)

Structures of paediatric pain management: A PERUKI service evaluation study (2021)
Journal Article
Durnin, S., Barrett, M. J., Lyttle, M. D., & Hartshorn, S. (2021). Structures of paediatric pain management: A PERUKI service evaluation study. BMJ Paediatrics Open, 5(1), Article e001159. https://doi.org/10.1136/bmjpo-2021-001159

Background Pain is very common in childhood emergency department (ED) attendances, but is under-recognised and undertreated. Sequential national paediatric analgesia audits demonstrate suboptimal outcomes in several domains. The Donabedian framework... Read More about Structures of paediatric pain management: A PERUKI service evaluation study.

Retrospective observational study of neonatal attendances to a children's emergency department (2021)
Journal Article
Blakey, S. J., Lyttle, M. D., & Magnus, D. (2021). Retrospective observational study of neonatal attendances to a children's emergency department. Acta Paediatrica, 110(11), 2968-2975. https://doi.org/10.1111/apa.16039

Aim Attendances to emergency departments (EDs) in the UK are increasing, particularly for younger children. Community services are under increasing pressure and parents may preferentially bring their babies to the ED, even for non-urgent problems. T... Read More about Retrospective observational study of neonatal attendances to a children's emergency department.

Need for recovery and physician well-being in emergency departments: National survey findings (2021)
Journal Article
Cottey, L., Roberts, T., Graham, B., Horner, D., Latour, J. M., Enki, D., …Stevens, K. N. (2021). Need for recovery and physician well-being in emergency departments: National survey findings. European Journal of Emergency Medicine, 28(5), 386-393. https://doi.org/10.1097/mej.0000000000000850

Background and importance Need for recovery (NFR) describes an individual's need to physically and psychologically recuperate following a period of work. Physicians working in emergency departments (EDs) have higher NFR scores than other occupational... Read More about Need for recovery and physician well-being in emergency departments: National survey findings.

Psychological distress and trauma during the COVID-19 pandemic: survey of doctors practising anaesthesia, intensive care medicine, and emergency medicine in the United Kingdom and Republic of Ireland (2021)
Journal Article
Kane, L., Mackenzie, L., Sharma Hajela, S., Phizacklea, J., Malik, K., Mathai, N., …Carlton, E. (2021). Psychological distress and trauma during the COVID-19 pandemic: survey of doctors practising anaesthesia, intensive care medicine, and emergency medicine in the United Kingdom and Republic of Ireland. British Journal of Anaesthesia, 127(2), e78-e80. https://doi.org/10.1016/j.bja.2021.05.017

Psychological distress during the acceleration phase of the COVID-19 pandemic: A survey of doctors practising in emergency medicine, anaesthesia and intensive care medicine in the UK and Ireland (2021)
Journal Article
Roberts, T., Daniels, J., Hulme, W., Hirst, R., Horner, D., Lyttle, M. D., …Carlton, E. (2021). Psychological distress during the acceleration phase of the COVID-19 pandemic: A survey of doctors practising in emergency medicine, anaesthesia and intensive care medicine in the UK and Ireland. Emergency Medicine Journal, 38(6), 450-459. https://doi.org/10.1136/emermed-2020-210438

Objective: To quantify psychological distress experienced by emergency, anaesthetic and intensive care doctors during the acceleration phase of COVID-19 in the UK and Ireland. Methods: Initial cross-sectional electronic survey distributed during acce... Read More about Psychological distress during the acceleration phase of the COVID-19 pandemic: A survey of doctors practising in emergency medicine, anaesthesia and intensive care medicine in the UK and Ireland.

Mortality in adolescent trauma: A comparison of children's, mixed and adult major trauma centres (2021)
Journal Article
Evans, J., Murch, H., Begley, R., Roland, D., Lyttle, M. D., Bouamra, O., & Mullen, S. (2021). Mortality in adolescent trauma: A comparison of children's, mixed and adult major trauma centres. Emergency Medicine Journal, 38(7), 488-494. https://doi.org/10.1136/emermed-2020-210384

Objective: We aimed to compare adolescent mortality rates between different types of major trauma centre (MTC or level 1; adult, children's and mixed). Methods: Data were obtained from TARN (Trauma Audit Research Network) from English sites over a 6-... Read More about Mortality in adolescent trauma: A comparison of children's, mixed and adult major trauma centres.

A survey of mHealth use from a physician perspective in paediatric emergency care in the UK and Ireland (2021)
Journal Article
Jahn, H. K., Jahn, I. H. J., Behringer, W., Lyttle, M. D., & Roland, D. (2021). A survey of mHealth use from a physician perspective in paediatric emergency care in the UK and Ireland. European Journal of Pediatrics, 180, 2409–2418. https://doi.org/10.1007/s00431-021-04023-0

Abstract: There has been a drive towards increased digitalisation in healthcare. The aim was to provide a snapshot of current apps, instant messaging, and smartphone photography use in paediatric emergency care. A web-based self-report questionnaire... Read More about A survey of mHealth use from a physician perspective in paediatric emergency care in the UK and Ireland.

Ingestion of metallic foreign bodies: A Paediatric Emergency Research in the United Kingdom and Ireland survey of current practice and hand-held metal detector use (2021)
Journal Article
Lafferty, M., Lyttle, M. D., Mullen, N., & PERUKI. (2021). Ingestion of metallic foreign bodies: A Paediatric Emergency Research in the United Kingdom and Ireland survey of current practice and hand-held metal detector use. Journal of Paediatrics and Child Health, 57(6), 867-871. https://doi.org/10.1111/jpc.15343

Aim: To describe variation in the initial management of children presenting to Emergency Departments (ED) with coins lodged in the oesophagus. To determine the usage of hand-held metal detectors (HHMDs) in EDs, including their role in clinical decisi... Read More about Ingestion of metallic foreign bodies: A Paediatric Emergency Research in the United Kingdom and Ireland survey of current practice and hand-held metal detector use.

Validating clinical practice guidelines for the management of children with non-blanching rashes in the UK (PiC): A prospective, multicentre cohort study (2020)
Journal Article
Waterfield, T., Maney, J., Fairley, D., Lyttle, M. D., McKenna, J. P., Roland, D., …Shields, M. D. (2021). Validating clinical practice guidelines for the management of children with non-blanching rashes in the UK (PiC): A prospective, multicentre cohort study. Lancet Infectious Diseases, 21(4), 569-577. https://doi.org/10.1016/S1473-3099%2820%2930474-6

Background: No previous studies have validated current clinical practice guidelines for the management of non-blanching rashes in children who have received meningococcal B and C vaccinations. The aim of this study was to evaluate the performance o... Read More about Validating clinical practice guidelines for the management of children with non-blanching rashes in the UK (PiC): A prospective, multicentre cohort study.

Seroprevalence of SARS-CoV-2 antibodies in children: A prospective multicentre cohort study (2020)
Journal Article
Waterfield, T., Watson, C., Moore, R., Ferris, K., Tonry, C., Watt, A., …Christie, S. (2021). Seroprevalence of SARS-CoV-2 antibodies in children: A prospective multicentre cohort study. Archives of Disease in Childhood, 106(7), 680-686. https://doi.org/10.1136/archdischild-2020-320558

Background: Studies based on molecular testing of oral/nasal swabs underestimate SARS-CoV-2 infection due to issues with test sensitivity, test timing and selection bias. The objective of this study was to report the presence of SARS-CoV-2 antibodies... Read More about Seroprevalence of SARS-CoV-2 antibodies in children: A prospective multicentre cohort study.

Need for recovery amongst emergency physicians in the UK and Ireland: A cross-sectional survey (2020)
Journal Article
Cottey, L., Roberts, T., Graham, B., Horner, D., Stevens, K. N., Enki, D., …Latour, J. (2020). Need for recovery amongst emergency physicians in the UK and Ireland: A cross-sectional survey. BMJ Open, 10(11), e041485. https://doi.org/10.1136/bmjopen-2020-041485

OBJECTIVES: To determine the need for recovery (NFR) among emergency physicians and to identify demographic and occupational characteristics associated with higher NFR scores. DESIGN: Cross-sectional electronic survey. SETTING: Emergency departments... Read More about Need for recovery amongst emergency physicians in the UK and Ireland: A cross-sectional survey.

National survey of feasibility of NIV trials for management of children with bronchiolitis (2020)
Journal Article
Rosala-Hallas, A., Jones, A. P., Bedson, E., Compton, V., Fernandes, R. M., Lacy, D., …McNamara, P. S. (2020). National survey of feasibility of NIV trials for management of children with bronchiolitis. BMJ Paediatrics Open, 4(1), e000780. https://doi.org/10.1136/bmjpo-2020-000780

Background Bronchiolitis is a major cause of admission to hospital in children. Non-invasive ventilation (NIV) support with continuous positive airway pressure (CPAP) or high-flow nasal cannula (HFNC) oxygen is routinely used for infants in the UK wi... Read More about National survey of feasibility of NIV trials for management of children with bronchiolitis.

Diagnostic test accuracy of point-of-care procalcitonin to diagnose serious bacterial infections in children (2020)
Journal Article
Waterfield, T., Maney, J. A., McKenna, J. P., Lyttle, M. D., Roland, D., Corr, M., …On behalf of Paediatric Emergency Research in the UK and Ireland (PERUKI). (2020). Diagnostic test accuracy of point-of-care procalcitonin to diagnose serious bacterial infections in children. BMC Pediatrics, 20(1), Article 487. https://doi.org/10.1186/s12887-020-02385-2

Background: The National Institute for Health and Care Excellence (NICE) have called for research into the role of biomarkers, and specifically procalcitonin (PCT), for the early diagnosis of serious bacterial infections (SBI) in children. The aim of... Read More about Diagnostic test accuracy of point-of-care procalcitonin to diagnose serious bacterial infections in children.

Planning for success: Overcoming challenges to recruitment and conduct of an open-label emergency department-led paediatric trial (2020)
Journal Article
Roper, L., Lyttle, M. D., Gamble, C., Humphreys, A., Messahel, S., Lee, E. D., …Woolfall, K. (2021). Planning for success: Overcoming challenges to recruitment and conduct of an open-label emergency department-led paediatric trial. Emergency Medicine Journal, 38(3), 191-197. https://doi.org/10.1136/emermed-2020-209487

Background Key challenges to the successful conduct of The Emergency treatment with Levetiracetam or Phenytoin in Status Epilepticus in children (EcLiPSE) trial were identified at the pre-trial stage. These included practitioner anxieties about condu... Read More about Planning for success: Overcoming challenges to recruitment and conduct of an open-label emergency department-led paediatric trial.

Fifteen minute consultation: When can I use a medical app? (2020)
Journal Article
Rowe-Setz, G., Behringer, W., Roland, D., Lyttle, M. D., & Jahn, H. K. (2021). Fifteen minute consultation: When can I use a medical app?. Archives of Disease in Childhood.education and Practice Edition, 106(5), 258-263. https://doi.org/10.1136/archdischild-2020-319448

Advances in mobile device technology and internet connectivity have created powerful new mobile health (mHealth) and telemedicine capabilities. The guidelines regarding mHealth use in the clinical environment can be conflicting, which has resulted in... Read More about Fifteen minute consultation: When can I use a medical app?.

Emergency care provided to refugee children in Europe: RefuNET: A cross-sectional survey study (2020)
Journal Article
Nijman, R. G., Krone, J., Mintegi, S., Bidlingmaier, C., Maconochie, I. K., Lyttle, M. D., & von Both, U. (2021). Emergency care provided to refugee children in Europe: RefuNET: A cross-sectional survey study. Emergency Medicine Journal, 38(1), 5-13. https://doi.org/10.1136/emermed-2019-208699

Background Refugee children and young people have complex healthcare needs. However, issues related to acute healthcare provision for refugee children across Europe remain unexplored. This study aimed to describe the urgent and emergency healthcare n... Read More about Emergency care provided to refugee children in Europe: RefuNET: A cross-sectional survey study.

Prescribing in a paediatric emergency: A PERUKI survey of prescribing and resuscitation aids (2020)
Journal Article
Jahn, H. K., Jahn, I. H. J., Roland, D., Behringer, W., Lyttle, M., & Paediatric Emergency Research in the United Kingdom, Ireland (PERUKI). (2021). Prescribing in a paediatric emergency: A PERUKI survey of prescribing and resuscitation aids. Acta Paediatrica, 110(3), 1038-1045. https://doi.org/10.1111/apa.15551

Aim: The aim was to investigate the use of paper-based and electronic prescribing and resuscitation aids in paediatric emergency care from a departmental and individual physician perspective. Methods: A two-stage web-based self-report questionnaire w... Read More about Prescribing in a paediatric emergency: A PERUKI survey of prescribing and resuscitation aids.

Seven-step framework to enhance practitioner explanations and parental understandings of research without prior consent in paediatric emergency and critical care trials (2020)
Journal Article
Roper, L., Lyttle, M. D., Gamble, C., Humphreys, A., Messahel, S., Lee, E. D., …Woolfall, K. (2021). Seven-step framework to enhance practitioner explanations and parental understandings of research without prior consent in paediatric emergency and critical care trials. Emergency Medicine Journal, 38, 198-204. https://doi.org/10.1136/emermed-2020-209488

Background: Alternatives to prospective informed consent enable the conduct of paediatric emergency and critical care trials. Research without prior consent (RWPC) involves practitioners approaching parents after an intervention has been given and se... Read More about Seven-step framework to enhance practitioner explanations and parental understandings of research without prior consent in paediatric emergency and critical care trials.

Risk of traumatic intracranial haemorrhage in children with bleeding disorders (2020)
Journal Article
Bressan, S., Monagle, P., Dalziel, S. R., Borland, M. L., Phillips, N., Kochar, A., …Paediatric Research in Emergency Departments International Collaborative (PREDICT). (2020). Risk of traumatic intracranial haemorrhage in children with bleeding disorders. Journal of Paediatrics and Child Health, 56(12), 1891-1897. https://doi.org/10.1111/jpc.15073

Objective: To assess computerized tomography (CT) use and the risk of intracranial haemorrhage (ICH) in children with bleeding disorders following a head trauma Design: Multicentre prospective observational study Setting: 10 paediatric emergency de... Read More about Risk of traumatic intracranial haemorrhage in children with bleeding disorders.