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All Outputs (138)

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

G255(P) Psychological interventions for patients of all ages with mild traumatic brain injury: A systematic review (2016)
Journal Article
Creasey, N., & Lyttle, M. (2016). G255(P) Psychological interventions for patients of all ages with mild traumatic brain injury: A systematic review. Archives of Disease in Childhood, 101(S1), A138-A139. https://doi.org/10.1136/archdischild-2016-310863.246

Introduction Head injury is the commonest injury type in UK children accounting for 350,000 Emergency Department attendances every year. While many of these are trivial a significant proportion have a mild traumatic brain injury (mTBI) which is synon... Read More about G255(P) Psychological interventions for patients of all ages with mild traumatic brain injury: A systematic review.

G213 Handlebar Grip Related Injury Prevention (GRIP) feasibility study: Are exposed metal handlebar ends on children’s bikes and scooters a risk factor for serious injury? (2016)
Journal Article
Neilson, A., Hartshorn, S., & Lyttle, M. (2016). G213 Handlebar Grip Related Injury Prevention (GRIP) feasibility study: Are exposed metal handlebar ends on children’s bikes and scooters a risk factor for serious injury?. Archives of Disease in Childhood, 101(S1), A116-A117. https://doi.org/10.1136/archdischild-2016-310863.204

Aims Handlebar-end impact is a well-recognised cause of major intra-abdominal injury in childhood. Through this feasibility study and the associated main study we aim to reduce the incidence and severity these injuries. Proper understanding of risk f... Read More about G213 Handlebar Grip Related Injury Prevention (GRIP) feasibility study: Are exposed metal handlebar ends on children’s bikes and scooters a risk factor for serious injury?.

Psychosocial Care for Injured Children: Worldwide Survey among Hospital Emergency Department Staff (2015)
Journal Article
Lyttle, M. D., Alisic, E., Hoysted, C., Kassam-Adams, N., Landolt, M. A., Curtis, S., …Babl, F. E. (2016). Psychosocial Care for Injured Children: Worldwide Survey among Hospital Emergency Department Staff. Journal of Pediatrics, 170, 227-233.e6. https://doi.org/10.1016/j.jpeds.2015.10.067

© 2016 Elsevier Inc. Objective To examine emergency department (ED) staff's knowledge of traumatic stress in children, attitudes toward providing psychosocial care, and confidence in doing so, and also to examine differences in these outcomes accordi... Read More about Psychosocial Care for Injured Children: Worldwide Survey among Hospital Emergency Department Staff.

Assessing the impacts of the first year of rotavirus vaccination in the United Kingdom (2015)
Journal Article
Marlow, R., Muir, P., Vipond, B., Lyttle, M., Trotter, C., & Finn, A. (2015). Assessing the impacts of the first year of rotavirus vaccination in the United Kingdom. Eurosurveillance, 20(48), https://doi.org/10.2807/1560-7917.ES.2015.20.48.30077

© 2015, European Centre for Disease Prevention and Control (ECDC). All rights reserved. The United Kingdom (UK) added rotavirus (RV) vaccine (Rotarix GlaxoSmithKline) to the national vaccine schedule in July 2013. During the 2012–2014 rotavirus seaso... Read More about Assessing the impacts of the first year of rotavirus vaccination in the United Kingdom.

Trends in admission and death rates due to paediatric head injury in England, 2000-2011 (2015)
Journal Article
Marlow, R., Mytton, J., Maconochie, I. K., Taylor, H., & Lyttle, M. (2015). Trends in admission and death rates due to paediatric head injury in England, 2000-2011. Archives of Disease in Childhood, 100(12), 1136-1140. https://doi.org/10.1136/archdischild-2015-308615

Background The number of children admitted to hospital is increasing year on year, with very short-stay admissions doubling in the last decade. Childhood head injury accounts for half a million emergency department attendances in the UK every year. T... Read More about Trends in admission and death rates due to paediatric head injury in England, 2000-2011.

Establishing the research priorities of paediatric emergency medicine clinicians in the UK and Ireland (2015)
Journal Article
Hartshorn, S., O'Sullivan, R., Maconochie, I. K., Bevan, C., Cleugh, F., & Lyttle, M. (2015). Establishing the research priorities of paediatric emergency medicine clinicians in the UK and Ireland. Emergency Medicine Journal, 32(11), 864-868. https://doi.org/10.1136/emermed-2014-204484

Objective: Paediatric Emergency Research in the UK and Ireland (PERUKI) is a collaborative clinical studies group established in August 2012. It consists of a network of 43 centres from England, Ireland, Northern Ireland, Scotland and Wales, and aims... Read More about Establishing the research priorities of paediatric emergency medicine clinicians in the UK and Ireland.

Are you a SCEPTIC? SoCial mEdia Precision and uTility in Conferences (2015)
Journal Article
Lyttle, M. D., Roland, D., May, N., Body, R., Carley, S., & Lyttle, M. (2015). Are you a SCEPTIC? SoCial mEdia Precision and uTility in Conferences. Emergency Medicine Journal, 32(5), 412-413. https://doi.org/10.1136/emermed-2014-204216

We analysed Twitter feeds at an emergency medicine scientific conference to determine the (1) accuracy of disseminated educational messages and the (2) use in providing rapid feedback to speakers. Most speakers were happy for key messages to be tweet... Read More about Are you a SCEPTIC? SoCial mEdia Precision and uTility in Conferences.

Paediatric ED reattendance rates: Comparing nurse practitioners and other clinicians (2015)
Journal Article
Lyttle, M. D., Benger, J. R., Feetham, J. E., Christian, W., Benger, J., Hoskins, R., …Lyttle, M. (2015). Paediatric ED reattendance rates: Comparing nurse practitioners and other clinicians. Emergency Medicine Journal, 32(5), 379-382. https://doi.org/10.1136/emermed-2013-203514

Objective The aim of this project is to establish the unplanned reattendance rate for paediatric emergency nurse practitioners (PENPs) working in a designated paediatric emergency department (PED) while identifying the case mix of patients seen by PE... Read More about Paediatric ED reattendance rates: Comparing nurse practitioners and other clinicians.

The accuracy of existing prehospital triage tools for injured children in England: An analysis using emergency department data (2015)
Journal Article
Ardolino, A., Cheung, C. R., Lawrence, T., Bouamra, O., Lecky, F., Berry, K., …Maconochie, I. (2015). The accuracy of existing prehospital triage tools for injured children in England: An analysis using emergency department data. Emergency Medicine Journal, 32(5), 397-400. https://doi.org/10.1136/emermed-2013-203251

Objective To investigate the performance characteristics in children with moderate and minor injuries of prehospital paediatric triage tools currently in use in England for identifying seriously injured children. Methods Eight prehospital paediatric... Read More about The accuracy of existing prehospital triage tools for injured children in England: An analysis using emergency department data.

Variation in treatment of acute childhood wheeze in emergency departments of the United Kingdom and Ireland: An international survey of clinician practice (2015)
Journal Article
Lyttle, M. D., Lyttle, M., O'Sullivan, R., Doull, I., Hartshorn, S., Morris, I., …Bolger, T. (2015). Variation in treatment of acute childhood wheeze in emergency departments of the United Kingdom and Ireland: An international survey of clinician practice. Archives of Disease in Childhood, 100(2), 121-125. https://doi.org/10.1136/archdischild-2014-306591

© 2015, BMJ Publishing Group. All rights reserved. Objective: National clinical guidelines for childhood wheeze exist, yet despite being one of the most common reasons for childhood emergency department (ED) attendance, signi ficant variation in prac... Read More about Variation in treatment of acute childhood wheeze in emergency departments of the United Kingdom and Ireland: An international survey of clinician practice.