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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.

COVID-19 emergency response assessment study: a prospective longitudinal survey of frontline doctors in the UK and Ireland: study protocol (2020)
Journal Article
Roberts, T., Daniels, J., Hulme, W., Horner, D., Lyttle, M. D., Samuel, K., …Carlton, E. (2020). COVID-19 emergency response assessment study: a prospective longitudinal survey of frontline doctors in the UK and Ireland: study protocol. BMJ Open, 10(8), Article e039851. https://doi.org/10.1136/bmjopen-2020-039851

INTRODUCTION: The COVID-19 pandemic is putting an unprecedented strain on healthcare systems globally. The psychological impact on frontline doctors of dealing with the COVID-19 pandemic is currently unknown. This longitudinal professional survey aim... Read More about COVID-19 emergency response assessment study: a prospective longitudinal survey of frontline doctors in the UK and Ireland: study protocol.

International practice patterns of antibiotic therapy and laboratory testing in bronchiolitis (2020)
Journal Article
Zipursky, A., Kuppermann, N., Finkelstein, Y., Zemek, R., Plint, A. C., Babl, F. E., …Schuh, S. (2020). International practice patterns of antibiotic therapy and laboratory testing in bronchiolitis. Pediatrics, 146(2), https://doi.org/10.1542/peds.2019-3684

BACKGROUND AND OBJECTIVES: International patterns of antibiotic use and laboratory testing in bronchiolitis in emergency departments are unknown. Our objective is to evaluate variation in the use of antibiotics and nonindicated tests in infants with... Read More about International practice patterns of antibiotic therapy and laboratory testing in bronchiolitis.

Loop-mediated isothermal amplification for the early diagnosis of invasive meningococcal disease in children (2020)
Journal Article
Waterfield, T., Lyttle, M. D., McKenna, J., Maney, J. A., Roland, D., Corr, M., …Fairley, D. (2020). Loop-mediated isothermal amplification for the early diagnosis of invasive meningococcal disease in children. Archives of Disease in Childhood, 105(12), 1151-1156. https://doi.org/10.1136/archdischild-2020-319139

Background Rapid molecular diagnostic testing has the potential to improve the early recognition of meningococcal disease (MD). The aim of this study was to report on the diagnostic test accuracy of point-of-care loop-mediated isothermal amplificatio... Read More about Loop-mediated isothermal amplification for the early diagnosis of invasive meningococcal disease in children.

Exposure and confidence with critical non-airway procedures: A global survey of paediatric emergency medicine physicians (2020)
Journal Article
Craig, S., Auerbach, M., Cheek, J. A., Babl, F. E., Oakley, E., Nguyen, L., …Dalziel, S. R. (2021). Exposure and confidence with critical non-airway procedures: A global survey of paediatric emergency medicine physicians. Pediatric Emergency Care, 37(9), e551-e559. https://doi.org/10.1097/PEC.0000000000002092

Background: Children rarely experience critical illness, resulting in low exposure of emergency physicians (EPs) to critical procedures. Our primary objective was to describe senior EP confidence, most recent performance and/or supervision of criti... Read More about Exposure and confidence with critical non-airway procedures: A global survey of paediatric emergency medicine physicians.

The effect of patient observation on cranial computed tomography rates in children with minor head trauma (2020)
Journal Article
Singh, S., Hearps, S. J., Borland, M. L., Dalziel, S. R., Neutze, J., Donath, S., …Babl, F. E. (2020). The effect of patient observation on cranial computed tomography rates in children with minor head trauma. Academic Emergency Medicine, 27(9), 832-843. https://doi.org/10.1111/acem.13942

Background Management of children with minor blunt head trauma often includes a period of observation to determine the need for cranial computed tomography (CT). Our objective was to estimate the effect of planned observation on CT use for each Pedi... Read More about The effect of patient observation on cranial computed tomography rates in children with minor head trauma.

Acute severe paediatric asthma: Study protocol for the development of a core outcome set, a Pediatric Emergency Research Networks (PERN) study (2020)
Journal Article
Craig, S., Babl, F. E., Dalziel, S. R., Gray, C., Powell, C., Al Ansari, K., …Graudins, A. (2020). Acute severe paediatric asthma: Study protocol for the development of a core outcome set, a Pediatric Emergency Research Networks (PERN) study. Trials, 21, Article 72 (2020). https://doi.org/10.1186/s13063-019-3785-6

Background Acute severe childhood asthma is an infrequent, but potentially life-threatening emergency condition. There is a wide range of different approaches to this condition, with very little supporting evidence, leading to significant variation... Read More about Acute severe paediatric asthma: Study protocol for the development of a core outcome set, a Pediatric Emergency Research Networks (PERN) study.

Neonatal head injuries: A prospective Paediatric Research in Emergency Departments International Collaborative cohort study (2019)
Journal Article
Eapen, N., Borland, M. L., Phillips, N., Kochar, A., Dalton, S., Cheek, J. A., …Babl, F. E. (2020). Neonatal head injuries: A prospective Paediatric Research in Emergency Departments International Collaborative cohort study. Journal of Paediatrics and Child Health, 56(5), 764-769. https://doi.org/10.1111/jpc.14736

Aim To characterise the causes, clinical characteristics and short‐term outcomes of neonates who presented to paediatric emergency departments with a head injury. Methods Secondary analysis of a prospective data set of paediatric head injuries a... Read More about Neonatal head injuries: A prospective Paediatric Research in Emergency Departments International Collaborative cohort study.

Epidemiology of adolescent trauma in England: A review of TARN data 2008-2017 (2019)
Journal Article
Roberts, Z., Collins, J. A., James, D., Bouamra, O., Young, M., Lyttle, M. D., …Mullen, S. (2019). Epidemiology of adolescent trauma in England: A review of TARN data 2008-2017. Emergency Medicine Journal, 37(1), 25-30. https://doi.org/10.1136/emermed-2018-208329

Objectives Trauma contributes significantly to adolescent morbidity and mortality. We aimed to ascertain the epidemiology of adolescent trauma to inform prevention strategies. Methods Data were abstracted from TARN (Trauma Audit Research Network... Read More about Epidemiology of adolescent trauma in England: A review of TARN data 2008-2017.

Performance of two head injury decision rules evaluated on an external cohort of 18,913 children (2019)
Journal Article
Shavit, I., Rimon, A., Waisman, Y., Borland, M. L., Phillips, N., Kochar, A., …Babl, F. E. (2020). Performance of two head injury decision rules evaluated on an external cohort of 18,913 children. Journal of Surgical Research, 245, 426-433. https://doi.org/10.1016/j.jss.2019.07.090

The Pediatric Emergency Care Applied Research Network (PECARN) decision rule demonstrates high sensitivity for identifying children at low risk for clinically important traumatic brain injury (ciTBI). As with the PECARN rule, the Israeli Decision Alg... Read More about Performance of two head injury decision rules evaluated on an external cohort of 18,913 children.

Clinically important sport‐related traumatic brain injuries in children (2019)
Journal Article
Eapen, N., Davis, G. A., Borland, M. L., Phillips, N., Oakley, E., Hearps, S., …Babl, F. E. (2019). Clinically important sport‐related traumatic brain injuries in children. The Medical journal of Australia, 211(8), 365-366. https://doi.org/10.5694/mja2.50311

Sports participation by children and adolescents is generally high in Australia and New Zealand,1, 2 and many children sustain head injuries of varying severity during such activities. Concussion has received increasing attention, but less is known a... Read More about Clinically important sport‐related traumatic brain injuries in children.

Inhaled methoxyflurane (Penthrox®) versus placebo for injury-associated analgesia in children - The MAGPIE trial (MEOF-002): Study protocol for a randomised controlled trial (2019)
Journal Article
Hartshorn, S., Barrett, M. J., Lyttle, M. D., Yee, S. A., & Irvine, A. T. (2019). Inhaled methoxyflurane (Penthrox®) versus placebo for injury-associated analgesia in children - The MAGPIE trial (MEOF-002): Study protocol for a randomised controlled trial. Trials, 20, Article 393 (2019). https://doi.org/10.1186/s13063-019-3511-4

Background Pain from injuries is one of the commonest symptoms in children attending emergency departments (EDs), and this is often inadequately treated in both the pre-hospital and ED settings, in part due to challenges of continual assessment and... Read More about Inhaled methoxyflurane (Penthrox®) versus placebo for injury-associated analgesia in children - The MAGPIE trial (MEOF-002): Study protocol for a randomised controlled trial.

Mobile device and app use in paediatric emergency care: A survey of departmental practice in the UK and Ireland (2019)
Journal Article
Jahn, H. K., Jahn, I. H., Roland, D., Lyttle, M. D., & Behringer, W. (2019). Mobile device and app use in paediatric emergency care: A survey of departmental practice in the UK and Ireland. Archives of Disease in Childhood, 104(12), 1203-1207. https://doi.org/10.1136/archdischild-2019-316872

Introduction Mobile devices and medical apps are used by healthcare professionals in adult and paediatric emergency departments worldwide. Recently, there has been a drive toward increased digitalisation especially in the UK. This point prevalence su... Read More about Mobile device and app use in paediatric emergency care: A survey of departmental practice in the UK and Ireland.

Parents’ prioritised outcomes for trials investigating treatments for paediatric severe infection: A qualitative synthesis (2019)
Journal Article
Woolfall, K., O'Hara, C., Deja, E., Canter, R., Khan, I., Mouncey, P., …Inwald, D. (2019). Parents’ prioritised outcomes for trials investigating treatments for paediatric severe infection: A qualitative synthesis. Archives of Disease in Childhood, 104(11), 1077-1082. https://doi.org/10.1136/archdischild-2019-316807

Objective: To identify parents' prioritised outcomes by combining qualitative findings from two trial feasibility studies of interventions for paediatric suspected severe infection. Design: Qualitative synthesis combining parent interview data from t... Read More about Parents’ prioritised outcomes for trials investigating treatments for paediatric severe infection: A qualitative synthesis.

Pharmacotherapy in bronchiolitis at discharge from emergency departments within the Pediatric Emergency Research Networks: A retrospective analysis (2019)
Journal Article
Jamal, A., Finkelstein, Y., Kuppermann, N., Freedman, S. B., Florin, T. A., Babl, F. E., …Schuh, S. (2019). Pharmacotherapy in bronchiolitis at discharge from emergency departments within the Pediatric Emergency Research Networks: A retrospective analysis. Lancet Child and Adolescent Health, 3(8), 539-547. https://doi.org/10.1016/s2352-4642%2819%2930193-2

Background Clinical guidelines advise against pharmacotherapy in bronchiolitis. However, little is known about global variation in prescribing practices for bronchiolitis at discharge from emergency departments. We aimed to evaluate global variation... Read More about Pharmacotherapy in bronchiolitis at discharge from emergency departments within the Pediatric Emergency Research Networks: A retrospective analysis.

Parents' and clinicians' views on conducting paediatric diagnostic test accuracy studies without prior informed consent: Qualitative insight from the Petechiae in Children study (PiC) (2019)
Journal Article
Waterfield, T., Lyttle, M. D., Shields, M., Fairley, D., Roland, D., McKenna, J., & Woolfall, K. (2019). Parents' and clinicians' views on conducting paediatric diagnostic test accuracy studies without prior informed consent: Qualitative insight from the Petechiae in Children study (PiC). Archives of Disease in Childhood, 104(10), 979-983. https://doi.org/10.1136/archdischild-2019-317117

Objective: The Petechiae in Children (PiC) study assesses the utility of presenting features and rapid diagnostic tests in the diagnosis of serious bacterial infection in feverish children with non-blanching rashes. An embedded qualitative study expl... Read More about Parents' and clinicians' views on conducting paediatric diagnostic test accuracy studies without prior informed consent: Qualitative insight from the Petechiae in Children study (PiC).

Efficacy, safety and impact on antimicrobial resistance of duration and dose of amoxicillin treatment for young children with Community-Acquired Pneumonia: A protocol for a randomIsed controlled Trial (CAP-IT) (2019)
Journal Article
Lyttle, M. D., Bielicki, J. A., Barratt, S., Dunn, D., Finn, A., Harper, L., …Sharland, M. (2019). Efficacy, safety and impact on antimicrobial resistance of duration and dose of amoxicillin treatment for young children with Community-Acquired Pneumonia: A protocol for a randomIsed controlled Trial (CAP-IT). BMJ Open, 9(5), e029875. https://doi.org/10.1136/bmjopen-2019-029875

© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. Published by BMJ. Introduction Community-acquired pneumonia (CAP) is a common indication for antibiotic treatment in young children. Data are limited regarding the ideal dose and... Read More about Efficacy, safety and impact on antimicrobial resistance of duration and dose of amoxicillin treatment for young children with Community-Acquired Pneumonia: A protocol for a randomIsed controlled Trial (CAP-IT).

Levetiracetam versus phenytoin for second-line treatment of paediatric convulsive status epilepticus (EcLiPSE): a multicentre, open-label, randomised trial (2019)
Journal Article
Crome, L., Nyirenda, M., Sajjanhar, T., Leighton, S., McLellan, S., Bell, C., …Lyttle, M. D. (2019). Levetiracetam versus phenytoin for second-line treatment of paediatric convulsive status epilepticus (EcLiPSE): a multicentre, open-label, randomised trial. Lancet, 393(10186), 2125-2134. https://doi.org/10.1016/S0140-6736%2819%2930724-X

Background Phenytoin is the recommended second-line intravenous anticonvulsant for treatment of paediatric convulsive status epilepticus in the UK; however, some evidence suggests that levetiracetam could be an effective and safer alternative. This... Read More about Levetiracetam versus phenytoin for second-line treatment of paediatric convulsive status epilepticus (EcLiPSE): a multicentre, open-label, randomised trial.

Enhancing practitioners’ confidence in recruitment and consent in the EcLiPSE trial: A mixed-method evaluation of site training – a Paediatric Emergency Research in the United Kingdom and Ireland (PERUKI) study (2019)
Journal Article
Woolfall, K., Roper, L., Humphreys, A., Lyttle, M. D., Messahel, S., Lee, E., …Appleton, R. (2019). Enhancing practitioners’ confidence in recruitment and consent in the EcLiPSE trial: A mixed-method evaluation of site training – a Paediatric Emergency Research in the United Kingdom and Ireland (PERUKI) study. Trials, 20, Article 181. https://doi.org/10.1186/s13063-019-3273-z

Background: EcLiPSE (Emergency treatment with Levetiracetam or Phenytoin in Status Epilepticus in children) is a randomised controlled trial (RCT) in the United Kingdom. Challenges to success include the need to immediately administer an intervention... Read More about Enhancing practitioners’ confidence in recruitment and consent in the EcLiPSE trial: A mixed-method evaluation of site training – a Paediatric Emergency Research in the United Kingdom and Ireland (PERUKI) study.

Traumatic brain injury in young children with isolated scalp haematoma (2019)
Journal Article
Bressan, S., Kochar, A., Oakley, E., Borland, M., Phillips, N., Dalton, S., …Babl, F. E. (2019). Traumatic brain injury in young children with isolated scalp haematoma. Archives of Disease in Childhood, 104(7), 664-669. https://doi.org/10.1136/archdischild-2018-316066

Objective Despite high-quality paediatric head trauma clinical prediction rules, the management of otherwise asymptomatic young children with scalp haematomas (SH) can be difficult. We determined the risk of intracranial injury when SH is the only pr... Read More about Traumatic brain injury in young children with isolated scalp haematoma.

Incidence of medically attended paediatric burns across the UK (2019)
Journal Article
Davies, K., Johnson, E. L., Hollén, L., Jones, H. M., Lyttle, M. D., Maguire, S., & Kemp, A. M. (2020). Incidence of medically attended paediatric burns across the UK. Injury Prevention, 26(1), 24-30. https://doi.org/10.1136/injuryprev-2018-042881

Objective: Childhood burns represent a burden on health services, yet the full extent of the problem is difficult to quantify. We estimated the annual UK incidence from primary care (PC), emergency attendances (EA), hospital admissions (HA) and death... Read More about Incidence of medically attended paediatric burns across the UK.

Canadian and UK/Ireland practice patterns in lumbar puncture performance in febrile neonates with bronchiolitis (2019)
Journal Article
Simone, L., Lyttle, M. D., Roland, D., Stephens, D., & Schuh, S. (2019). Canadian and UK/Ireland practice patterns in lumbar puncture performance in febrile neonates with bronchiolitis. Emergency Medicine Journal, 36(3), 148-153. https://doi.org/10.1136/emermed-2018-208000

Background Serious bacterial infections in young infants with bronchiolitis are rare. Febrile infants

Delayed presentations to emergency departments of children with head injury: A PREDICT study (2019)
Journal Article
Borland, M. L., Dalziel, S. R., Phillips, N., Lyttle, M. D., Bressan, S., Oakley, E., …Babl, F. E. (2019). Delayed presentations to emergency departments of children with head injury: A PREDICT study. Annals of Emergency Medicine, 74(1), 1-10. https://doi.org/10.1016/j.annemergmed.2018.11.035

© 2018 American College of Emergency Physicians Study objective: Existing clinical decision rules guide management for head-injured children presenting 24 hours or sooner after injury, even though some may present greater than 24 hours afterward. We... Read More about Delayed presentations to emergency departments of children with head injury: A PREDICT study.

Paediatric intentional head injuries in the emergency department: A multicentre prospective cohort study (2018)
Journal Article
Lyttle, M. D., Babl, F. E., Pfeiffer, H., Dalziel, S. R., Oakley, E., Anderson, V., …Crowe, L. (2019). Paediatric intentional head injuries in the emergency department: A multicentre prospective cohort study. Emergency Medicine Australasia, 31(4), 546-554. https://doi.org/10.1111/1742-6723.13202

© 2018 Australasian College for Emergency Medicine Objective: Although there is a large body of research on head injury (HI) inflicted by caregivers in young children, little is known about intentional HI in older children and inflicted HI by perpetr... Read More about Paediatric intentional head injuries in the emergency department: A multicentre prospective cohort study.

A cost-effectiveness analysis comparing clinical decision rules PECARN, CATCH, and CHALICE with usual care for the management of pediatric head injury (2018)
Journal Article
Dalziel, K., Cheek, J. A., Fanning, L., Borland, M. L., Phillips, N., Kochar, A., …Babl, F. E. (2019). A cost-effectiveness analysis comparing clinical decision rules PECARN, CATCH, and CHALICE with usual care for the management of pediatric head injury. Annals of Emergency Medicine, 73(5), 429-439. https://doi.org/10.1016/j.annemergmed.2018.09.030

© 2018 American College of Emergency Physicians Study objective: To determine the cost-effectiveness of 3 clinical decision rules in comparison to Australian and New Zealand usual care: the Children's Head Injury Algorithm for the Prediction of Impor... Read More about A cost-effectiveness analysis comparing clinical decision rules PECARN, CATCH, and CHALICE with usual care for the management of pediatric head injury.

Defining significant childhood illness and injury in the Emergency Department: A consensus of UK and Ireland expert opinion (2018)
Journal Article
Lillitos, P. J., Lyttle, M. D., Roland, D., Powell, C. V., Sandell, J., Rowland, A. G., …Maconochie, I. K. (2018). Defining significant childhood illness and injury in the Emergency Department: A consensus of UK and Ireland expert opinion. Emergency Medicine Journal, 35(11), 685-690. https://doi.org/10.1136/emermed-2018-207802

© Author(s) (or their employer(s)) 2018. No commercial re-use. See rights and permissions. Published by BMJ. Background Clarifying whether paediatric early warning scores (PEWS) accurately predict significant illness is a research priority for UK and... Read More about Defining significant childhood illness and injury in the Emergency Department: A consensus of UK and Ireland expert opinion.

Preferred learning modalities and practice for critical skills: A global survey of paediatric emergency medicine clinicians (2018)
Journal Article
Craig, S. S., Auerbach, M., Cheek, J. A., Babl, F. E., Oakley, E., Nguyen, L., …Dalziel, S. R. (2019). Preferred learning modalities and practice for critical skills: A global survey of paediatric emergency medicine clinicians. Emergency Medicine Journal, 36(5), 273-280. https://doi.org/10.1136/emermed-2017-207384

© Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ. Objective To describe senior paediatric emergency clinician perspectives on the optimal frequency of and preferred modalities for practising... Read More about Preferred learning modalities and practice for critical skills: A global survey of paediatric emergency medicine clinicians.

External validation of the Scandinavian guidelines for management of minimal, mild and moderate head injuries in children (2018)
Journal Article
Undén, J., Dalziel, S. R., Borland, M. L., Phillips, N., Kochar, A., Lyttle, M. D., …Babl, F. E. (2018). External validation of the Scandinavian guidelines for management of minimal, mild and moderate head injuries in children. BMC Medicine, 16(1), https://doi.org/10.1186/s12916-018-1166-8

© 2018 The Author(s). Background: Clinical decision rules (CDRs) aid in the management of children with traumatic brain injury (TBI). Recently, the Scandinavian Neurotrauma Committee (SNC) has published practical, evidence-based guidelines for childr... Read More about External validation of the Scandinavian guidelines for management of minimal, mild and moderate head injuries in children.

A Longitudinal Examination of the Relationship between Trauma-Related Cognitive Factors and Internalising and Externalising Psychopathology in Physically Injured Children (2018)
Journal Article
Hiller, R. M., Creswell, C., Meiser-Stedman, R., Lobo, S., Cowdrey, F., Lyttle, M. D., …Halligan, S. L. (2019). A Longitudinal Examination of the Relationship between Trauma-Related Cognitive Factors and Internalising and Externalising Psychopathology in Physically Injured Children. Journal of Abnormal Child Psychology, 47(4), 683-693. https://doi.org/10.1007/s10802-018-0477-8

© 2018, The Author(s). Cognitive models of posttraumatic stress disorder (PTSD) highlight maladaptive posttrauma appraisals, trauma memory qualities, and coping strategies, such as rumination or thought suppression, as key processes that maintain PTS... Read More about A Longitudinal Examination of the Relationship between Trauma-Related Cognitive Factors and Internalising and Externalising Psychopathology in Physically Injured Children.

Epidemiology and aetiology of paediatric traumatic cardiac arrest in England and Wales (2018)
Journal Article
Vassallo, J., Webster, M., Barnard, E. B. G., Lyttle, M. D., & Smith, J. E. (2019). Epidemiology and aetiology of paediatric traumatic cardiac arrest in England and Wales. Archives of Disease in Childhood, 104(5), 437-443. https://doi.org/10.1136/archdischild-2018-314985

© Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ. Objective To describe the epidemiology and aetiology of paediatric traumatic cardiac arrest (TCA) in England and Wales. Design Population-bas... Read More about Epidemiology and aetiology of paediatric traumatic cardiac arrest in England and Wales.

Paediatric traumatic cardiac arrest: The development of an algorithm to guide recognition, management and decisions to terminate resuscitation (2018)
Journal Article
Vassallo, J., Nutbeam, T., Rickard, A. C., Lyttle, M. D., Scholefield, B., Maconochie, I. K., & Smith, J. E. (2018). Paediatric traumatic cardiac arrest: The development of an algorithm to guide recognition, management and decisions to terminate resuscitation. Emergency Medicine Journal, 35(11), 669-674. https://doi.org/10.1136/emermed-2018-207739

© Author(s) (or their employer(s)) 2018. No commercial re-use. See rights and permissions. Published by BMJ. Introduction Paediatric traumatic cardiac arrest (TCA) is a high acuity, low frequency event. Traditionally, survival from TCA has been repor... Read More about Paediatric traumatic cardiac arrest: The development of an algorithm to guide recognition, management and decisions to terminate resuscitation.

Accuracy of NEXUS II head injury decision rule in children: A prospective PREDICT cohort study (2018)
Journal Article
Babl, F. E., Oakley, E., Dalziel, S. R., Borland, M. L., Phillips, N., Kochar, A., …Lyttle, M. D. (2019). Accuracy of NEXUS II head injury decision rule in children: A prospective PREDICT cohort study. Emergency Medicine Journal, 36(1), 4-11. https://doi.org/10.1136/emermed-2017-207435

© 2019 Author(s). Objective The National Emergency X-Radiography Utilisation Study II (NEXUS II) clinical decision rule (CDR) can be used to optimise the use of CT in children with head trauma. We set out to externally validate this CDR in a large co... Read More about Accuracy of NEXUS II head injury decision rule in children: A prospective PREDICT cohort study.

Restricted fluid bolus volume in early septic shock: Results of the Fluids in Shock pilot trial (2018)
Journal Article
Inwald, D., Canter, R., Woolfall, K., Mouncey, P., Zenasni, Z., O'Hara, C., …Rowan, K. (2019). Restricted fluid bolus volume in early septic shock: Results of the Fluids in Shock pilot trial. Archives of Disease in Childhood, 104(5), 426-431. https://doi.org/10.1136/archdischild-2018-314924

© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. Published by BMJ. Objective To determine the feasibility of Fluids in Shock, a randomised controlled trial (RCT) of restricted fluid bolus volume (10 mL/kg) versus recommended pra... Read More about Restricted fluid bolus volume in early septic shock: Results of the Fluids in Shock pilot trial.

The "Petechiae in children" (PiC) study: Evaluating potential clinical decision rules for the management of feverish children with non-blanching rashes, including the role of point of care testing for Procalcitonin & Neisseria meningitidis DNA - a study protocol (2018)
Journal Article
Waterfield, T., Lyttle, M., Fairley, D., Mckenna, J., Woolfall, K., Lynn, F., …Shields, M. D. (2018). The "Petechiae in children" (PiC) study: Evaluating potential clinical decision rules for the management of feverish children with non-blanching rashes, including the role of point of care testing for Procalcitonin & Neisseria meningitidis DNA - a study protocol. BMC Pediatrics, 18(1), https://doi.org/10.1186/s12887-018-1220-x

© 2018 The Author(s). Background: Children commonly present to Emergency Departments (ED) with a non-blanching rash in the context of a feverish illness. While most have a self-limiting viral illness, this combination of features potentially represen... Read More about The "Petechiae in children" (PiC) study: Evaluating potential clinical decision rules for the management of feverish children with non-blanching rashes, including the role of point of care testing for Procalcitonin & Neisseria meningitidis DNA - a study protocol.

Comparing the usability of paediatric weight estimation methods: A simulation study (2018)
Journal Article
Marlow, R. D., Wood, D. L., & Lyttle, M. D. (2019). Comparing the usability of paediatric weight estimation methods: A simulation study. Archives of Disease in Childhood, 104(2), 121-123. https://doi.org/10.1136/archdischild-2018-314873

© Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ. Objective Estimating weight is essential in order to prepare appropriate sized equipment and doses of resuscitation drugs in cases where chil... Read More about Comparing the usability of paediatric weight estimation methods: A simulation study.

External validation of the PediBIRN clinical prediction rule for abusive head trauma (2018)
Journal Article
Pfeiffer, H., Smith, A., Kemp, A. M., Cowley, L. E., Cheek, J. A., Dalziel, S. R., …Babl, F. E. (2018). External validation of the PediBIRN clinical prediction rule for abusive head trauma. Pediatrics, 141(5), e20173674. https://doi.org/10.1542/peds.2017-3674

© Copyright 2018 by the American Academy of Pediatrics. BACKGROUND AND OBJECTIVES: A 4-variable abusive head trauma (AHT) clinical prediction rule (CPR) for use in the PICU was derived and validated for children

Paediatric traumatic cardiac arrest: A Delphi study to establish consensus on definition and management (2018)
Journal Article
Rickard, A. C., Vassallo, J., Nutbeam, T., Lyttle, M., Maconochie, I. K., Enki, D. G., & Smith, J. E. (2018). Paediatric traumatic cardiac arrest: A Delphi study to establish consensus on definition and management. Emergency Medicine Journal, 35(7), 434-439. https://doi.org/10.1136/emermed-2017-207226

Aims 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 optimi... Read More about Paediatric traumatic cardiac arrest: A Delphi study to establish consensus on definition and management.

Vomiting with head trauma and risk of traumatic brain injury (2018)
Journal Article
Furyk, J., Kochar, A., Hearps, S. J., Oakley, E., Bressan, S., Lyttle, M. D., …Babl, F. (2018). Vomiting with head trauma and risk of traumatic brain injury. Pediatrics, 141(4), e20173123. https://doi.org/10.1542/peds.2017-3123

© 2018 by the American Academy of Pediatrics. OBJECTIVES: To determine the prevalence of traumatic brain injuries in children who vomit after head injury and identify variables from published clinical decision rules (CDRs) that predict increased risk... Read More about Vomiting with head trauma and risk of traumatic brain injury.

Penetrating head injuries in children presenting to the emergency department in Australia and New Zealand: A PREDICT prospective study (2018)
Journal Article
Babl, F., Lyttle, M., Bressan, S., Borland, M., Phillips, N., Kochar, A., …Oakley, E. (2018). Penetrating head injuries in children presenting to the emergency department in Australia and New Zealand: A PREDICT prospective study. Journal of Paediatrics and Child Health, 54(8), 861-865. https://doi.org/10.1111/jpc.13903

© 2018 Paediatrics and Child Health Division (The Royal Australasian College of Physicians) Aim: Penetrating head injuries (pHIs) are associated with high morbidity and mortality. Data on pHIs in children outside North America are limited. We describ... Read More about Penetrating head injuries in children presenting to the emergency department in Australia and New Zealand: A PREDICT prospective study.

Fifteen-minute consultation: The child with a non-blanching rash (2018)
Journal Article
Waterfield, T., Dyer, E. M., & Lyttle, M. (2018). Fifteen-minute consultation: The child with a non-blanching rash. Archives of Disease in Childhood.education and Practice Edition, 103(5), 236-240. https://doi.org/10.1136/archdischild-2017-313998

Its 2am and you are called to review a “well looking child” in the emergency department who has presented with a new non-blanching rash. He has been hot at home with some coryzal symptoms. Mum is worried, she thinks the rash has spread in the last... Read More about Fifteen-minute consultation: The child with a non-blanching rash.

Accuracy of Clinician Practice Compared With Three Head Injury Decision Rules in Children: A Prospective Cohort Study (2018)
Journal Article
Babl, F. E., Oakley, E., Dalziel, S. R., Borland, M. L., Phillips, N., Kochar, A., …Lyttle, M. (2018). Accuracy of Clinician Practice Compared With Three Head Injury Decision Rules in Children: A Prospective Cohort Study. Annals of Emergency Medicine, 71(6), 703-710. https://doi.org/10.1016/j.annemergmed.2018.01.015

© 2018 American College of Emergency Physicians Study objective: Three clinical decision rules for head injuries in children (Pediatric Emergency Care Applied Research Network [PECARN], Canadian Assessment of Tomography for Childhood Head Injury [CAT... Read More about Accuracy of Clinician Practice Compared With Three Head Injury Decision Rules in Children: A Prospective Cohort Study.

Investigating the Variability in Mild Traumatic Brain Injury Definitions: A Prospective Cohort Study (2018)
Journal Article
Crowe, L. M., Hearps, S., Anderson, V., Borland, M., Phillips, N., Kochar, A., …Babl, F. E. (2018). Investigating the Variability in Mild Traumatic Brain Injury Definitions: A Prospective Cohort Study. Archives of Physical Medicine and Rehabilitation, 99(7), 1360-1369. https://doi.org/10.1016/j.apmr.2017.12.026

© 2018 American Congress of Rehabilitation Medicine Objective: To prospectively compare the proportion of traumatic brain injuries (TBIs) that would be classified as mild by applying different published definitions of mild TBI to a large prospectivel... Read More about Investigating the Variability in Mild Traumatic Brain Injury Definitions: A Prospective Cohort Study.

Knowledge and training in paediatric medical traumatic stress and trauma-informed care among emergency medical professionals in low- and middle-income countries (2018)
Journal Article
Hoysted, C., Parri, N., Babl, F., Lyttle, M., & Alisic, E. (2018). Knowledge and training in paediatric medical traumatic stress and trauma-informed care among emergency medical professionals in low- and middle-income countries. European Journal of Psychotraumatology, 9(1), https://doi.org/10.1080/20008198.2018.1468703

© 2018, © 2018 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. Background: Provision of psychosocial care, in particular trauma-informed care, in the immediate aftermath of paediatric injury is a recommended strat... Read More about Knowledge and training in paediatric medical traumatic stress and trauma-informed care among emergency medical professionals in low- and middle-income countries.

54 Paediatric traumatic cardiac arrest in England and Wales a 10 year epidemiological study (2017)
Journal Article
Vassallo, J., Webster, M., Barnard, E., Iniguez, M. F., Lyttle, M., & Smith, J. (2017). 54 Paediatric traumatic cardiac arrest in England and Wales a 10 year epidemiological study. Emergency Medicine Journal, 34(12), A897-A899. https://doi.org/10.1136/emermed-2017-207308.54

© 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: Traumatic cardiac arrest (TCA) has traditiona... Read More about 54 Paediatric traumatic cardiac arrest in England and Wales a 10 year epidemiological study.

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.

Guidelines for the use of chest radiographs in community-acquired pneumonia in children and adolescents (2017)
Journal Article
Andronikou, S., Lambert, E., Halton, J., Hilder, L., Crumley, I., Lyttle, M., & Kosack, C. (2017). Guidelines for the use of chest radiographs in community-acquired pneumonia in children and adolescents. Pediatric Radiology, 47(11), 1405-1411. https://doi.org/10.1007/s00247-017-3944-4

© 2017, The Author(s). National guidance from the United Kingdom and the United States on community-acquired pneumonia in children states that chest radiographs are not recommended routinely in uncomplicated cases. The main reason in the ambulatory s... Read More about Guidelines for the use of chest radiographs in community-acquired pneumonia in children and adolescents.

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

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.

Which intravenous bronchodilators are being administered to children presenting with acute severe wheeze in the UK and Ireland? (2015)
Journal Article
Powell, C. V., Lyttle, M. D., Morris, I., Lyttle, M., O'Sullivan, R., Sargant, N., …Powell, C. (2015). Which intravenous bronchodilators are being administered to children presenting with acute severe wheeze in the UK and Ireland?. Thorax, 70(1), 88-91. https://doi.org/10.1136/thoraxjnl-2014-206041

During a prospective 10-week assessment period, 3238 children aged 1-16 years presented with acute wheeze to Paediatric Emergency Research in the UK and Ireland centres. 110 (3.3%) received intravenous bronchodilators. Intravenous magnesium sulfate (... Read More about Which intravenous bronchodilators are being administered to children presenting with acute severe wheeze in the UK and Ireland?.

A prospective observational study to assess the diagnostic accuracy of clinical decision rules for children presenting to emergency departments after head injuries (protocol): The Australasian Paediatric Head Injury Rules Study (APHIRST) (2014)
Journal Article
Oakley, E., Williams, A., Crowe, L., Jachno, K., Donath, S., Neutze, J., …Furyk, J. (2014). A prospective observational study to assess the diagnostic accuracy of clinical decision rules for children presenting to emergency departments after head injuries (protocol): The Australasian Paediatric Head Injury Rules Study (APHIRST). BMC Pediatrics, 14(1), 148. https://doi.org/10.1186/1471-2431-14-148

Background: Head injuries in children are responsible for a large number of emergency department visits. Failure to identify a clinically significant intracranial injury in a timely fashion may result in long term neurodisability and death. Whilst cr... Read More about A prospective observational study to assess the diagnostic accuracy of clinical decision rules for children presenting to emergency departments after head injuries (protocol): The Australasian Paediatric Head Injury Rules Study (APHIRST).

G12 what are the research priorities of paediatric emergency medicine clinicians in the United Kingdom and Ireland? An international survey (2014)
Journal Article
Hartshorn, S., Bevan, C., Cleugh, F., Lyttle, M., Maconochie, I. K., & O'Sullivan, R. (2014). G12 what are the research priorities of paediatric emergency medicine clinicians in the United Kingdom and Ireland? An international survey. Archives of Disease in Childhood, 99(Supp1), A5-A6. https://doi.org/10.1136/archdischild-2014-306237.12

Early management of head injury: Summary of updated NICE guidance (2014)
Journal Article
Lecky, F., Pollit, V., Hodgkinson, S., Pollitt, V., & Sharpin, C. (2014). Early management of head injury: Summary of updated NICE guidance. BMJ, 348, 1-7. https://doi.org/10.1136/bmj.g104

Head injury is the commonest cause of death and disability in people aged 1-40 years in the UK. Each year, 1.4 million people attend emergency departments in England and Wales with a recent head injury. The National Institute for Health and Care Exce... Read More about Early management of head injury: Summary of updated NICE guidance.

From cradle to adolescence: The development of Research in European Pediatric Emergency Medicine (2014)
Journal Article
Lyttle, M. D., Mintegi, S., Lyttle, M., MacOnochie, I. K., Benito, J., Gervaix, A., …Waisman, Y. (2014). From cradle to adolescence: The development of Research in European Pediatric Emergency Medicine. European Journal of Emergency Medicine, 21(1), 24-29. https://doi.org/10.1097/MEJ.0b013e328364d807

Pediatric emergency medicine (PEM) has been developing rapidly but heterogeneously in many European countries in recent years, and many national PEM societies have been founded to improve the quality of care of ill and injured children and adolescent... Read More about From cradle to adolescence: The development of Research in European Pediatric Emergency Medicine.

When do children get burnt? (2014)
Journal Article
Lyttle, M. D., Verey, F., Lyttle, M., Lawson, Z., Greenwood, R., & Young, A. (2014). When do children get burnt?. Burns, 40(7), 1322-1328. https://doi.org/10.1016/j.burns.2014.01.010

© 2014 Elsevier Ltd and ISBI. All rights reserved. Burns are a cause of more than 5000 paediatric hospital admissions per year in England and Wales. Injury prevention and service provision may be better planned with knowledge of burn timing. Prospect... Read More about When do children get burnt?.

The transition to expert: A qualitative study exploring clinical decision making for children under five attending the emergency department with minor respiratory conditions (2014)
Journal Article
Bowen, L., Purdy, S., Lyttle, M., & Heawood, A. (2014). The transition to expert: A qualitative study exploring clinical decision making for children under five attending the emergency department with minor respiratory conditions. Emergency Medicine Journal, 31(9), 791-791. https://doi.org/10.1136/emermed-2014-204221.31

Predictors of severe H1N1 infection in children presenting within Pediatric Emergency Research Networks (PERN): Retrospective case-control study (2013)
Journal Article
Klassen, T. P., Kuppermann, N., Newton, A. S., Fitzpatrick, E., Black, K. J., Valerio, P., …Macias, C. G. (2013). Predictors of severe H1N1 infection in children presenting within Pediatric Emergency Research Networks (PERN): Retrospective case-control study. BMJ, 347(7921), https://doi.org/10.1136/bmj.f4836

Objective To identify historical and clinical findings at emergency department presentation associated with severe H1N1 outcome in children presenting with influenza-like illness. Design Multicentre retrospective case-control study. Setting 79 emerge... Read More about Predictors of severe H1N1 infection in children presenting within Pediatric Emergency Research Networks (PERN): Retrospective case-control study.

The child with decreased consciousness (2013)
Book Chapter
Lyttle, M. (2013). The child with decreased consciousness. In R. Skone (Ed.), Managing the Critically Ill Child: A Guide for Anaesthetists and Emergency Physicians. Cambridge University Press

Using existing paediatric pre-hospital trauma triage tools to identify children with severe traumatic brain injury: An analysis of national trauma registry data (2013)
Journal Article
Lyttle, M., Ardolino, A., Berry, K., Bouamra, O., Cheung, R., Lawrence, T., …Maconochie, I. K. (2013). Using existing paediatric pre-hospital trauma triage tools to identify children with severe traumatic brain injury: An analysis of national trauma registry data. Emergency Medicine Journal, 30(10), 879-879. https://doi.org/10.1136/emermed-2013-203113.33

A Comprehensive Framework for Determining the Cost of an Emergency Medical Services System (2006)
Journal Article
Lerner, E. B., Nichol, G., Spaite, D. W., Garrison, H. G., Maio, R. F., Lyttle, M. D., & Cheek, J. A. (2007). A Comprehensive Framework for Determining the Cost of an Emergency Medical Services System. Annals of Emergency Medicine, 49(3), 304-313. https://doi.org/10.1016/j.annemergmed.2006.09.019

To determine the cost of an emergency medical services (EMS) system, researchers, policymakers, and EMS providers need a framework with which to identify the components of the system that must be included in any cost calculations. Such a framework wi... Read More about A Comprehensive Framework for Determining the Cost of an Emergency Medical Services System.