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49 Paediatric traumatic cardiac arrest - the development of a treatment algorithm (2017)
Journal Article
Vassallo, J., Nutbeam, T., Rickard, A., Lyttle, M., & Smith, J. (2017). 49 Paediatric traumatic cardiac arrest - the development of a treatment algorithm. Emergency Medicine Journal, 34(12), A892-A894. https://doi.org/10.1136/emermed-2017-207308.49

© 2017, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. INTRODUCTION: Paediatric Traumatic Cardiac Arrest (TCA) is... Read More about 49 Paediatric traumatic cardiac arrest - the development of a treatment algorithm.

Practice variation in acute bronchiolitis: A pediatric emergency research networks study (2017)
Journal Article
Van De Voorde, P., Roland, D., Lyttle, M. D., Nigrovic, L., Mistry, R., Mintegi, S., …Kuppermann, N. (2017). Practice variation in acute bronchiolitis: A pediatric emergency research networks study. Pediatrics, 140(6), e20170842. https://doi.org/10.1542/peds.2017-0842

© Copyright 2017 by the American Academy of Pediatrics. BACKGROUND AND OBJECTIVES: Studies characterizing hospitalizations in bronchiolitis did not identify patients receiving evidence-based supportive therapies (EBSTs). We aimed to evaluate intersit... Read More about Practice variation in acute bronchiolitis: A pediatric emergency research networks study.

51 Paediatric emergency clinicians are rarely exposed to non-airway critical procedures: a predict/PERN study (2017)
Journal Article
Garrahan, J. P., Lyttle, M., Oakley, E., Dalziel, S., Nguyen, L., Rao, A., …Babl, F. (2017). 51 Paediatric emergency clinicians are rarely exposed to non-airway critical procedures: a predict/PERN study. Emergency Medicine Journal, 34(12), A894-A895. https://doi.org/10.1136/emermed-2017-207308.51

© 2017, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. BACKGROUND: Recent studies suggest that approximately one p... Read More about 51 Paediatric emergency clinicians are rarely exposed to non-airway critical procedures: a predict/PERN study.

A qualitative feasibility study to inform a randomised controlled trial of fluid bolus therapy in septic shock (2017)
Journal Article
Rowan, K. M., Harrison, D. A., Peters, M. J., Nadel, S., Jones, N., O'Hara, C., …Woolfall, K. (2018). A qualitative feasibility study to inform a randomised controlled trial of fluid bolus therapy in septic shock. Archives of Disease in Childhood, 103(1), 28-32. https://doi.org/10.1136/archdischild-2016-312515

© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. Objective The Fluids in Shock (FiSh) Trial proposes to evaluate whether restrictive fluid bolus therapy (10 mL/ kg) is more benef... Read More about A qualitative feasibility study to inform a randomised controlled trial of fluid bolus therapy in septic shock.

Perspectives of hospital emergency department staff on trauma-informed care for injured children: An Australian and New Zealand analysis (2017)
Journal Article
Kharbanda, A. B., Landolt, M. A., Babl, F. E., Hoysted, C., Babl, F. E., Kassam-Adams, N., …Alisic, E. (2017). Perspectives of hospital emergency department staff on trauma-informed care for injured children: An Australian and New Zealand analysis. Journal of Paediatrics and Child Health, 53(9), 862-869. https://doi.org/10.1111/jpc.13644

© 2017 Paediatrics and Child Health Division (The Royal Australasian College of Physicians) Aim: To examine Australian and New Zealand emergency department (ED) staff's training, knowledge and confidence regarding trauma-informed care for children af... Read More about Perspectives of hospital emergency department staff on trauma-informed care for injured children: An Australian and New Zealand analysis.

Diagnostic accuracy of the NEXUS II head injury clinical decision rule in children. A PREDICT prospective cohort study (2017)
Journal Article
Babl, F., Borland, M., Phillips, N., Kochar, A., Dalton, S., Cheek, J., …Lyttle, M. (2017). Diagnostic accuracy of the NEXUS II head injury clinical decision rule in children. A PREDICT prospective cohort study. Archives of Disease in Childhood, 102(S1), A115-A115. https://doi.org/10.1136/archdischild-2017-313087.286

Aims Clinical decision rules (CDRs) can be applied in Emergency Departments (EDs) to optimise the use of computed tomography (CT) in children with head trauma. The National Emergency X- Radiography Utilisation Study II (NEXUS II) CDR, as amended for... Read More about Diagnostic accuracy of the NEXUS II head injury clinical decision rule in children. A PREDICT prospective cohort study.

Defining mild traumatic brain injury: How classification differs across studies when applied to a large prospective data set. A PREDICT prospective cohort study (2017)
Journal Article
Crowe, L., Lyttle, M., Hearps, S., Anderson, V., Borland, M., Phillips, N., …Babl, F. (2017). Defining mild traumatic brain injury: How classification differs across studies when applied to a large prospective data set. A PREDICT prospective cohort study. Archives of Disease in Childhood, 102(S1), A115-A115. https://doi.org/10.1136/archdischild-2017-313087.287

Aims Mild traumatic brain injury (TBI) in children is a major public health issue, yet there is wide variation in the way ‘mild’ TBI is defined in the literature and in guidelines. To date no study has prospectively detailed the proportion of childre... Read More about Defining mild traumatic brain injury: How classification differs across studies when applied to a large prospective data set. A PREDICT prospective cohort study.

Confirmation of traumatic cardiac arrest in children: A literature review to inform the peruki ptca consensus study (2017)
Journal Article
Ledger, E., & Lyttle, M. (2017). Confirmation of traumatic cardiac arrest in children: A literature review to inform the peruki ptca consensus study. Archives of Disease in Childhood, 102(S1), A118-A118. https://doi.org/10.1136/archdischild-2017-313087.293

Aims Traumatic cardiac arrest (TCA) is associated with high mortality and poor neurological outcomes. Several methods of confirming cardiac arrest are utilised including auscultation of heart sounds, palpation of pulses and echocardiography. We did a... Read More about Confirmation of traumatic cardiac arrest in children: A literature review to inform the peruki ptca consensus study.

Accuracy of physician practice as compared with PECARN, CATCH and CHALICE head injury clinical decision rules in children. A PREDICT prospective cohort study (2017)
Journal Article
Lyttle, M., Borland, M., Phillips, N., Kochar, A., Cheek, J., Gilhotra, Y., …Babl, F. (2017). Accuracy of physician practice as compared with PECARN, CATCH and CHALICE head injury clinical decision rules in children. A PREDICT prospective cohort study. Archives of Disease in Childhood, 102(S1), A107-A108. https://doi.org/10.1136/archdischild-2017-313087.267

Aims Clinical decision rules (CDRs) can assist in determining the need for computed tomography (CT) in children with head injuries (HIs). We assessed the accuracy of 3 high quality CDRs (PECARN, CATCH and CHALICE) in a large prospective cohort of hea... Read More about Accuracy of physician practice as compared with PECARN, CATCH and CHALICE head injury clinical decision rules in children. A PREDICT prospective cohort study.

Paediatric intentional head injuriesin the emergency department. A PREDICT multicentre prospective cohort study (2017)
Journal Article
Pfeiffer, H., Borland, M., Phillips, N., Kochar, A., Dalton, S., Cheek, J., …Babl, F. (2017). Paediatric intentional head injuriesin the emergency department. A PREDICT multicentre prospective cohort study. Archives of Disease in Childhood, 102(S1), A117-A117. https://doi.org/10.1136/archdischild-2017-313087.291

Aims While the majority of head injuries (HIs) in children are non-intentional, there is limited information on intentional HIs outside abusive head trauma. The objective of this study was to describe epidemiology, demographics and severity of intent... Read More about Paediatric intentional head injuriesin the emergency department. A PREDICT multicentre prospective cohort study.

Paediatric traumatic cardiac arrest– A Delphi study to establish consensus on management. A PERUKI study (2017)
Journal Article
Rickard, A., Vassallo, J., Nutbeam, T., Maconochie, I., Lyttle, M., & Smith, J. (2017). Paediatric traumatic cardiac arrest– A Delphi study to establish consensus on management. A PERUKI study. Archives of Disease in Childhood, 102(S1), A108-A108. https://doi.org/10.1136/archdischild-2017-313087.268

Background Paediatric traumatic cardiac arrest (TCA) is associated with low survival and poor outcomes. The mechanisms that underlie TCA are different from medical cardiac arrest; the approach to treatment of TCA may therefore also need to differ to... Read More about Paediatric traumatic cardiac arrest– A Delphi study to establish consensus on management. A PERUKI study.

Epidemiology and aetiology of paediatric traumatic cardiac arrest in england and wales, a peruki study (2017)
Journal Article
Vassallo, J., Webster, M., Barnard, E., Fragoso-Iñiguez, M., Lyttle, M., & Smith, J. (2017). Epidemiology and aetiology of paediatric traumatic cardiac arrest in england and wales, a peruki study. Archives of Disease in Childhood, 102(S1), A116-A116. https://doi.org/10.1136/archdischild-2017-313087.289

Background Traumatic cardiac arrest (TCA) in children has traditionally been described as having a poor outcome. Survival rates vary widely between studies with higher rates observed from mechanisms leading to a respiratory cause of TCA (e.g. drownin... Read More about Epidemiology and aetiology of paediatric traumatic cardiac arrest in england and wales, a peruki study.

Emergency treatment with levetiracetam or phenytoin in status epilepticus in children-the EcLiPSE study: Study protocol for a randomised controlled trial (2017)
Journal Article
Bacon, N. E., Lyttle, M., Gamble, C., Messahel, S., Hickey, H., Iyer, A., …Appleton, R. E. (2017). Emergency treatment with levetiracetam or phenytoin in status epilepticus in children-the EcLiPSE study: Study protocol for a randomised controlled trial. Trials, 18(1), https://doi.org/10.1186/s13063-017-2010-8

© The Author(s). 2017. Background: Convulsive status epilepticus (CSE) is the most common life-threatening neurological emergency in childhood. These children are also at risk of significant morbidity, with acute and chronic impact on the family and... Read More about Emergency treatment with levetiracetam or phenytoin in status epilepticus in children-the EcLiPSE study: Study protocol for a randomised controlled trial.

Ten concerns about blood pressure measurement and targets in paediatric sepsis (2016)
Journal Article
Lyttle, M. D., Marlais, M., Lyttle, M., & Inwald, D. (2017). Ten concerns about blood pressure measurement and targets in paediatric sepsis. Intensive Care Medicine, 43(3), 433-435. https://doi.org/10.1007/s00134-016-4642-7

Current paediatric sepsis guidelines suggest that resuscitation is titrated against clinical markers of hypovolaemia and end organ perfusion [1], including blood pressure (BP), heart rate and capillary refill time (CRT). BP is used both as a defining... Read More about Ten concerns about blood pressure measurement and targets in paediatric sepsis.

A qualitative feasibility study to inform Fluids in Shock (FISH) - a pilot randomised controlled trial of fluid bolus therapy in septic shock (2016)
Journal Article
O'Hara, C., Woolfall, K., Canter, R., Mouncey, P., Rowan, K., Lyttle, M., …Nadel, S. (2016). A qualitative feasibility study to inform Fluids in Shock (FISH) - a pilot randomised controlled trial of fluid bolus therapy in septic shock. Emergency Medicine Journal, 33(12), 902.1-902. https://doi.org/10.1136/emermed-2016-206402.7

Objectives & Background There is increasing evidence that fluid overload may be associated with harm in paediatric critical illness. Fluids in Shock (FiSH) is a combined feasibility and pilot randomised controlled trial (RCT) to determine if restric... Read More about A qualitative feasibility study to inform Fluids in Shock (FISH) - a pilot randomised controlled trial of fluid bolus therapy in septic shock.

Emergency department re-attendances and treatment modifications in young children with uncomplicated community-acquired pneumonia: A PERUKI study (2016)
Journal Article
Bielicki, J., Sharland, M., Lyttle, M., Hartshorn, S., & Petrie, J. (2016). Emergency department re-attendances and treatment modifications in young children with uncomplicated community-acquired pneumonia: A PERUKI study. Emergency Medicine Journal, 33(12), 933.3-934. https://doi.org/10.1136/emermed-2016-206402.62

Objectives & Background Data on the rate of antibiotic retreatment in children with uncomplicated community-acquired pneumonia (CAP) are lacking. We conducted a service evaluation of CAP management to review assumptions for a large UK-based trial p... Read More about Emergency department re-attendances and treatment modifications in young children with uncomplicated community-acquired pneumonia: A PERUKI study.

The transition to clinical expert: Enhanced decision making for children aged less than 5years attending the paediatric ED with acute respiratory conditions (2016)
Journal Article
Lyttle, M. D., Bowen, L., Shaw, A., Lyttle, M., & Purdy, S. (2017). The transition to clinical expert: Enhanced decision making for children aged less than 5years attending the paediatric ED with acute respiratory conditions. Emergency Medicine Journal, 34(2), 76-81. https://doi.org/10.1136/emermed-2015-205211

© Published by the BMJ Publishing Group Limited. Background Rates of unplanned paediatric admissions are persistently high. Many admissions are short-stay events, lasting less than 48 hours. Objective This qualitative research explores factors that i... Read More about The transition to clinical expert: Enhanced decision making for children aged less than 5years attending the paediatric ED with acute respiratory conditions.

A qualitative study of the barriers to procedural sedation practices in paediatric emergency medicine in the UK and Ireland (2016)
Journal Article
Lyttle, M. D., McCoy, S., McCoy, S., Lyttle, M., Hartshorn, S., Larkin, P., …O'Sullivan, R. (2016). A qualitative study of the barriers to procedural sedation practices in paediatric emergency medicine in the UK and Ireland. Emergency Medicine Journal, 33(8), 527-532. https://doi.org/10.1136/emermed-2015-205418

© Published by the BMJ Publishing Group Limited. Introduction There is extensive literature on paediatric procedural sedation (PPS) and its clinical applications in emergency departments (EDs). While numerous guidance and policy documents exist from... Read More about A qualitative study of the barriers to procedural sedation practices in paediatric emergency medicine in the UK and Ireland.

Fifteen-minute consultation: An evidence-based approach to research without prior consent (deferred consent) in neonatal and paediatric critical care trials (2016)
Journal Article
Lyttle, M. D., Woolfall, K., Frith, L., Dawson, A., Gamble, C., Lyttle, M., & Young, B. (2016). Fifteen-minute consultation: An evidence-based approach to research without prior consent (deferred consent) in neonatal and paediatric critical care trials. Archives of Disease in Childhood.education and Practice Edition, 101(1), 49-53. https://doi.org/10.1136/archdischild-2015-309245