Prof. Damian Roland
@damianroland.bsky.social
Honorary Professor of Paediatric Emergency Medicine
Urgent and Emergency Care System Clinical Director (Leicester, Leicestershire and Rutland)
@uniofleicester (https://bit.ly/3MrD1vZ)
Past Chair PERUKI; Team EM3 & @DFTBubbles
#FOAMed #PEMSky
Urgent and Emergency Care System Clinical Director (Leicester, Leicestershire and Rutland)
@uniofleicester (https://bit.ly/3MrD1vZ)
Past Chair PERUKI; Team EM3 & @DFTBubbles
#FOAMed #PEMSky
Great to (finally) see the @NHSEngland A&E Attendances and Emergency Admissions data set including a Paediatric Split!
Top 10 by attendances below.....
Will work on sharing other key findings soon
www.england.nhs.uk/statistics/s...
Top 10 by attendances below.....
Will work on sharing other key findings soon
www.england.nhs.uk/statistics/s...
November 23, 2025 at 8:36 AM
Great to (finally) see the @NHSEngland A&E Attendances and Emergency Admissions data set including a Paediatric Split!
Top 10 by attendances below.....
Will work on sharing other key findings soon
www.england.nhs.uk/statistics/s...
Top 10 by attendances below.....
Will work on sharing other key findings soon
www.england.nhs.uk/statistics/s...
Reposted by Prof. Damian Roland
Did you have a baby that had meningitis in their first 3 months of life?
We're inviting parents to join a research advisory group to help guide and design a new study about babies with bacterial meningitis.
If you're interested in taking part or have any questions, please get in touch.
We're inviting parents to join a research advisory group to help guide and design a new study about babies with bacterial meningitis.
If you're interested in taking part or have any questions, please get in touch.
July 22, 2025 at 2:54 PM
Did you have a baby that had meningitis in their first 3 months of life?
We're inviting parents to join a research advisory group to help guide and design a new study about babies with bacterial meningitis.
If you're interested in taking part or have any questions, please get in touch.
We're inviting parents to join a research advisory group to help guide and design a new study about babies with bacterial meningitis.
If you're interested in taking part or have any questions, please get in touch.
#RSV just taking its time this year.
Has the vaccine muted it's peak or just flattened the overall area under the curve....?
(note admission rates not too far away from following 2022-23 curve)
www.gov.uk/government/s...
Has the vaccine muted it's peak or just flattened the overall area under the curve....?
(note admission rates not too far away from following 2022-23 curve)
www.gov.uk/government/s...
November 20, 2025 at 8:06 PM
#RSV just taking its time this year.
Has the vaccine muted it's peak or just flattened the overall area under the curve....?
(note admission rates not too far away from following 2022-23 curve)
www.gov.uk/government/s...
Has the vaccine muted it's peak or just flattened the overall area under the curve....?
(note admission rates not too far away from following 2022-23 curve)
www.gov.uk/government/s...
So Flu following slightly unusual pattern.
We'll start early it thinks, and then perhaps just relax for a bit, while we lull everyone into a false sense of security.
www.gov.uk/government/s...
We'll start early it thinks, and then perhaps just relax for a bit, while we lull everyone into a false sense of security.
www.gov.uk/government/s...
November 20, 2025 at 8:02 PM
So Flu following slightly unusual pattern.
We'll start early it thinks, and then perhaps just relax for a bit, while we lull everyone into a false sense of security.
www.gov.uk/government/s...
We'll start early it thinks, and then perhaps just relax for a bit, while we lull everyone into a false sense of security.
www.gov.uk/government/s...
Trajectory of illness is important
An often impossible challenge in primary care as clinicians faced with a point in time decision, much easier when you have time to observe.
#RSV often plays by its own rules though...
rolobotrambles.com/the-sounds-o...
An often impossible challenge in primary care as clinicians faced with a point in time decision, much easier when you have time to observe.
#RSV often plays by its own rules though...
rolobotrambles.com/the-sounds-o...
November 20, 2025 at 7:55 PM
Trajectory of illness is important
An often impossible challenge in primary care as clinicians faced with a point in time decision, much easier when you have time to observe.
#RSV often plays by its own rules though...
rolobotrambles.com/the-sounds-o...
An often impossible challenge in primary care as clinicians faced with a point in time decision, much easier when you have time to observe.
#RSV often plays by its own rules though...
rolobotrambles.com/the-sounds-o...
Seeing lots of children with what could be bronchiolitis or viral wheeze.
It can be a clinical conundrum
My audio-visual review of respiratory viruses from a decade ago shows how little the respiratory landscape has changed!
rolobotrambles.com/the-sounds-o...
youtu.be/KQTEu1mpRY8
It can be a clinical conundrum
My audio-visual review of respiratory viruses from a decade ago shows how little the respiratory landscape has changed!
rolobotrambles.com/the-sounds-o...
youtu.be/KQTEu1mpRY8
Grunting Child
YouTube video by Damian Roland
youtu.be
November 19, 2025 at 7:46 PM
Seeing lots of children with what could be bronchiolitis or viral wheeze.
It can be a clinical conundrum
My audio-visual review of respiratory viruses from a decade ago shows how little the respiratory landscape has changed!
rolobotrambles.com/the-sounds-o...
youtu.be/KQTEu1mpRY8
It can be a clinical conundrum
My audio-visual review of respiratory viruses from a decade ago shows how little the respiratory landscape has changed!
rolobotrambles.com/the-sounds-o...
youtu.be/KQTEu1mpRY8
November 8, 2025 at 1:33 AM
Published this from my PhD exactly 10 years ago.
I thought it would be a Medical Education breakthrough!
pubmed.ncbi.nlm.nih.gov/26537496/
It wasn't
My career then took a different direction
Just because some projects don't have impact you expect doesn't mean you won't eventually
I thought it would be a Medical Education breakthrough!
pubmed.ncbi.nlm.nih.gov/26537496/
It wasn't
My career then took a different direction
Just because some projects don't have impact you expect doesn't mean you won't eventually
A qualitative study of self-evaluation of junior doctor performance: is perceived 'safeness' a more useful metric than confidence and competence? - PubMed
A perception of 'safeness' is a concept that may aid self-evaluation and we present a matrix that might be used by supervisors and educators to examine this and its relationship with confidence and competence.
pubmed.ncbi.nlm.nih.gov
November 4, 2025 at 11:54 AM
Published this from my PhD exactly 10 years ago.
I thought it would be a Medical Education breakthrough!
pubmed.ncbi.nlm.nih.gov/26537496/
It wasn't
My career then took a different direction
Just because some projects don't have impact you expect doesn't mean you won't eventually
I thought it would be a Medical Education breakthrough!
pubmed.ncbi.nlm.nih.gov/26537496/
It wasn't
My career then took a different direction
Just because some projects don't have impact you expect doesn't mean you won't eventually
Interesting trends starting to emerge.
In Emergency Care why does winter feel like it has come early?
Because it has - Flu earlier than normal.
Get vaccinated if you are eligible.
#flu
www.gov.uk/government/s...
In Emergency Care why does winter feel like it has come early?
Because it has - Flu earlier than normal.
Get vaccinated if you are eligible.
#flu
www.gov.uk/government/s...
October 30, 2025 at 6:11 PM
Interesting trends starting to emerge.
In Emergency Care why does winter feel like it has come early?
Because it has - Flu earlier than normal.
Get vaccinated if you are eligible.
#flu
www.gov.uk/government/s...
In Emergency Care why does winter feel like it has come early?
Because it has - Flu earlier than normal.
Get vaccinated if you are eligible.
#flu
www.gov.uk/government/s...
Research Opportunities at the @rcpch.bsky.social!
Academic Trainees Day 2025 (6th November)
www.rcpch.ac.uk/news-events/...
Academic Trainees Day 2025 (6th November)
www.rcpch.ac.uk/news-events/...
October 24, 2025 at 3:45 PM
Research Opportunities at the @rcpch.bsky.social!
Academic Trainees Day 2025 (6th November)
www.rcpch.ac.uk/news-events/...
Academic Trainees Day 2025 (6th November)
www.rcpch.ac.uk/news-events/...
And so it begins...
Flu and RSV seasons have begun.
The impact of winter often determined but how incidence plays out.
Both now have vaccination programmes. Have we done enough to reduce predictable surges?
www.gov.uk/government/s...
Flu and RSV seasons have begun.
The impact of winter often determined but how incidence plays out.
Both now have vaccination programmes. Have we done enough to reduce predictable surges?
www.gov.uk/government/s...
October 21, 2025 at 11:42 AM
And so it begins...
Flu and RSV seasons have begun.
The impact of winter often determined but how incidence plays out.
Both now have vaccination programmes. Have we done enough to reduce predictable surges?
www.gov.uk/government/s...
Flu and RSV seasons have begun.
The impact of winter often determined but how incidence plays out.
Both now have vaccination programmes. Have we done enough to reduce predictable surges?
www.gov.uk/government/s...
Must say I never thought I would get a citation in a paper with a title like this...
"The Dark Matter in Water and Land: from Microplastic to invisible nanoplastics"
chemrxiv.org/engage/api-g...
"The Dark Matter in Water and Land: from Microplastic to invisible nanoplastics"
chemrxiv.org/engage/api-g...
October 12, 2025 at 1:50 PM
Must say I never thought I would get a citation in a paper with a title like this...
"The Dark Matter in Water and Land: from Microplastic to invisible nanoplastics"
chemrxiv.org/engage/api-g...
"The Dark Matter in Water and Land: from Microplastic to invisible nanoplastics"
chemrxiv.org/engage/api-g...
Great listen from @drguddisingh.bsky.social
Lots of learning & eye-opening statistics for both the public and professionals.
What is being described is the need to centre care around children, not bring children to care.
The Foundation of Neighbourhood health
www.bbc.co.uk/programmes/m...
Lots of learning & eye-opening statistics for both the public and professionals.
What is being described is the need to centre care around children, not bring children to care.
The Foundation of Neighbourhood health
www.bbc.co.uk/programmes/m...
BBC Radio 4 - Three Ages of Child, Episode 1: The Early Years
A journey through the landscape that shapes the health of our children.
www.bbc.co.uk
October 11, 2025 at 8:37 AM
Great listen from @drguddisingh.bsky.social
Lots of learning & eye-opening statistics for both the public and professionals.
What is being described is the need to centre care around children, not bring children to care.
The Foundation of Neighbourhood health
www.bbc.co.uk/programmes/m...
Lots of learning & eye-opening statistics for both the public and professionals.
What is being described is the need to centre care around children, not bring children to care.
The Foundation of Neighbourhood health
www.bbc.co.uk/programmes/m...
Thanks to @ukhsa.bsky.social we can monitor impact of RSV (the virus which causes bronchiolitis)
We started vaccinating pregnant mothers last year but didn't see much of an impact.
Let's hope with⬆️immunisation rates things are different this year...
www.gov.uk/government/s...
We started vaccinating pregnant mothers last year but didn't see much of an impact.
Let's hope with⬆️immunisation rates things are different this year...
www.gov.uk/government/s...
October 9, 2025 at 6:43 PM
Thanks to @ukhsa.bsky.social we can monitor impact of RSV (the virus which causes bronchiolitis)
We started vaccinating pregnant mothers last year but didn't see much of an impact.
Let's hope with⬆️immunisation rates things are different this year...
www.gov.uk/government/s...
We started vaccinating pregnant mothers last year but didn't see much of an impact.
Let's hope with⬆️immunisation rates things are different this year...
www.gov.uk/government/s...
Great resource from @Radiopaedia
A Paediatric x-ray atlas of normal x-rays in children
radiopaedia.org/normal-paedi...
#FOAMed
A Paediatric x-ray atlas of normal x-rays in children
radiopaedia.org/normal-paedi...
#FOAMed
Normal Pediatric X-ray Atlas | Radiopaedia Cases | Radiopaedia.org
/* Single-column layout everywhere */
#peds-controls .peds-grid {
display: grid;
grid-template-columns: 1fr;
grid-template-areas:
"region"
"gender"
"slider";
gap: 14px;
align-items: end;
}
.peds-region { grid-area: region; }
.peds-gender { grid-area: gender; }
.peds-slider { grid-area: slider; }
/* Slider: large grab area */
#peds-age-slider {
-webkit-appearance: none;
width: 100%;
height: 28px;
background: transparent;
}
#peds-age-slider:focus { outline: none; }
#peds-age-slider::-webkit-slider-runnable-track {
height: 10px; background: #e6eaf2; border-radius: 999px; border: 1px solid #d6d9e0;
}
#peds-age-slider::-moz-range-track {
height: 10px; background: #e6eaf2; border-radius: 999px; border: 1px solid #d6d9e0;
}
#peds-age-slider::-webkit-slider-thumb {
-webkit-appearance: none; width: 22px; height: 22px; border-radius: 50%;
background: #fff; border: 2px solid #8C52FF; margin-top: -7px; cursor: pointer;
}
#peds-age-slider::-moz-range-thumb {
width: 22px; height: 22px; border-radius: 50%; background: #fff; border: 2px solid #8C52FF; cursor: pointer;
}
/* Age label + readout: prominent */
.peds-age-label {
display:flex; align-items:center; justify-content:space-between; gap:10px;
font-weight:800; margin-bottom:4px; font-size:1.5rem;
}
.peds-age-readout {
font-weight:900; color:#111827; font-size:1.6rem; line-height:1;
}
/* Gender radios */
.peds-gender-group { display:flex; gap:12px; align-items:center; flex-wrap:wrap; }
.peds-gender-group label { display:inline-flex; align-items:center; gap:6px; cursor:pointer; line-height:1.2; }
.peds-gender-group input[type="radio"] { margin:0; vertical-align:middle; accent-color:#8C52FF; }
/* Output + sections */
.peds-section { scroll-margin-top:80px; }
#peds-output { opacity:0; transition:opacity .35s ease; }
#peds-output.is-visible { opacity:1; }
/* Heading row wraps H4 and (optional) pill; spacing below image */
.peds-heading-row {
display:inline-flex; align-items:baseline; gap:10px;
width:100%; margin:0 0 14px 0;
}
.peds-heading-row > h4 { margin:0; }
/* Gender pills */
.pill {
display:inline-block; padding:3px 10px; border-radius:999px;
font-size:.93em; font-weight:400; line-height:1; white-space:nowrap;
border:1px solid transparent; position:relative; top:-1px;
}
.pill-male { background:#eaf3ff; border-color:#cfe4ff; color:#0f3b82; }
.pill-female { background:#fff7cc; border-color:#ffe59e; color:#7a5a00; }
/* Case credit */
.peds-credit { font-size:0.9em; }
/* Consistent gap before credit whether image is in or not */
p.peds-imgblock { margin-bottom: 8px !important; }
img.peds-imgblock { display:block; margin-bottom: 8px !important; }
/* Optional: style the disabled separator text a bit lighter where supported */
#peds-region option[disabled] { color:#9aa3af; font-style:italic; }
radiopaedia.org
October 9, 2025 at 6:29 PM
Great resource from @Radiopaedia
A Paediatric x-ray atlas of normal x-rays in children
radiopaedia.org/normal-paedi...
#FOAMed
A Paediatric x-ray atlas of normal x-rays in children
radiopaedia.org/normal-paedi...
#FOAMed
Brilliant example of how data can, and should, be available.
Variation in children (0-9) prescribed antibiotics in the last year in primary care
www.prescqipp.info/our-resource...
Difficult to explain this degree of variation away...
Variation in children (0-9) prescribed antibiotics in the last year in primary care
www.prescqipp.info/our-resource...
Difficult to explain this degree of variation away...
October 9, 2025 at 6:26 PM
Brilliant example of how data can, and should, be available.
Variation in children (0-9) prescribed antibiotics in the last year in primary care
www.prescqipp.info/our-resource...
Difficult to explain this degree of variation away...
Variation in children (0-9) prescribed antibiotics in the last year in primary care
www.prescqipp.info/our-resource...
Difficult to explain this degree of variation away...
October 7, 2025 at 9:41 AM
I think we already know that just putting National PEWS into the back of ambulance won't be effective...
...so what are the key tenants of recognising deterioration and what is "deterioration" in an pre-hospital context?
Help my #PhD student answer these questions!
...so what are the key tenants of recognising deterioration and what is "deterioration" in an pre-hospital context?
Help my #PhD student answer these questions!
October 1, 2025 at 10:37 AM
I think we already know that just putting National PEWS into the back of ambulance won't be effective...
...so what are the key tenants of recognising deterioration and what is "deterioration" in an pre-hospital context?
Help my #PhD student answer these questions!
...so what are the key tenants of recognising deterioration and what is "deterioration" in an pre-hospital context?
Help my #PhD student answer these questions!
Transforming academic medicine through social media: why isn’t it working for me?
rdcu.be/eIbdb
"For physicians in all specialties, social media literacy is becoming an essential skill for modern healthcare communication"
Huge thanks to Kikelomo Babata and Daniel O'Reilly
rdcu.be/eIbdb
"For physicians in all specialties, social media literacy is becoming an essential skill for modern healthcare communication"
Huge thanks to Kikelomo Babata and Daniel O'Reilly
September 25, 2025 at 7:28 PM
Transforming academic medicine through social media: why isn’t it working for me?
rdcu.be/eIbdb
"For physicians in all specialties, social media literacy is becoming an essential skill for modern healthcare communication"
Huge thanks to Kikelomo Babata and Daniel O'Reilly
rdcu.be/eIbdb
"For physicians in all specialties, social media literacy is becoming an essential skill for modern healthcare communication"
Huge thanks to Kikelomo Babata and Daniel O'Reilly
Reposted by Prof. Damian Roland
Excellent article with many important points.
On #WorldSepsisDay highlighting editorial (with @apsmunro.bsky.social )
"Time for paediatrics to screen out sepsis “screening”
www.bmj.com/content/381/...
(For example screening, by definition, requires patient to be asymptomatic. But many patients receiving a “sepsis screen” are symptomatic)
"Time for paediatrics to screen out sepsis “screening”
www.bmj.com/content/381/...
(For example screening, by definition, requires patient to be asymptomatic. But many patients receiving a “sepsis screen” are symptomatic)
Time for paediatrics to screen out sepsis “screening”
It is time to remove the term, “sepsis screen,” from the paediatric lexicon, argue these authors
Despite the success of vaccinations against organisms such as Haemophilus influenza type B and Neisser...
www.bmj.com
September 13, 2025 at 5:39 PM
Excellent article with many important points.
On #WorldSepsisDay highlighting editorial (with @apsmunro.bsky.social )
"Time for paediatrics to screen out sepsis “screening”
www.bmj.com/content/381/...
(For example screening, by definition, requires patient to be asymptomatic. But many patients receiving a “sepsis screen” are symptomatic)
"Time for paediatrics to screen out sepsis “screening”
www.bmj.com/content/381/...
(For example screening, by definition, requires patient to be asymptomatic. But many patients receiving a “sepsis screen” are symptomatic)
Time for paediatrics to screen out sepsis “screening”
It is time to remove the term, “sepsis screen,” from the paediatric lexicon, argue these authors
Despite the success of vaccinations against organisms such as Haemophilus influenza type B and Neisser...
www.bmj.com
September 13, 2025 at 5:07 PM
On #WorldSepsisDay highlighting editorial (with @apsmunro.bsky.social )
"Time for paediatrics to screen out sepsis “screening”
www.bmj.com/content/381/...
(For example screening, by definition, requires patient to be asymptomatic. But many patients receiving a “sepsis screen” are symptomatic)
"Time for paediatrics to screen out sepsis “screening”
www.bmj.com/content/381/...
(For example screening, by definition, requires patient to be asymptomatic. But many patients receiving a “sepsis screen” are symptomatic)
It's #worldsepsisday
Please consider this Sepsis Research Priority Survey with the @LindAlliance
Led by the sepsis expert @Dr_Elliot_Long as part of the PASSPORT study.
www.passport-platform.org
Please consider this Sepsis Research Priority Survey with the @LindAlliance
Led by the sepsis expert @Dr_Elliot_Long as part of the PASSPORT study.
www.passport-platform.org
September 13, 2025 at 5:00 PM
It's #worldsepsisday
Please consider this Sepsis Research Priority Survey with the @LindAlliance
Led by the sepsis expert @Dr_Elliot_Long as part of the PASSPORT study.
www.passport-platform.org
Please consider this Sepsis Research Priority Survey with the @LindAlliance
Led by the sepsis expert @Dr_Elliot_Long as part of the PASSPORT study.
www.passport-platform.org
Post Lunch
Stuart Hartshorn on the CURLY study
Cefalexin for UTIs – Right treatment Length in Young children.
curly.digitrial.com
Interesting findings already on frequency of true culture positive in Children presenting to EDs
#PERUKI25
Stuart Hartshorn on the CURLY study
Cefalexin for UTIs – Right treatment Length in Young children.
curly.digitrial.com
Interesting findings already on frequency of true culture positive in Children presenting to EDs
#PERUKI25
The CURLY Study
The CURLY Study
curly.digitrial.com
September 4, 2025 at 1:20 PM
Post Lunch
Stuart Hartshorn on the CURLY study
Cefalexin for UTIs – Right treatment Length in Young children.
curly.digitrial.com
Interesting findings already on frequency of true culture positive in Children presenting to EDs
#PERUKI25
Stuart Hartshorn on the CURLY study
Cefalexin for UTIs – Right treatment Length in Young children.
curly.digitrial.com
Interesting findings already on frequency of true culture positive in Children presenting to EDs
#PERUKI25
And now Charlotte Durand on e-scooters
Audit from Alderhey demonstrated a clear signal for the incidence of Major Trauma from e-scooters.
Helmet wearing (or lack of) was an issue
**Private e-Scooters are illegal**
#PERUKI25
Audit from Alderhey demonstrated a clear signal for the incidence of Major Trauma from e-scooters.
Helmet wearing (or lack of) was an issue
**Private e-Scooters are illegal**
#PERUKI25
September 4, 2025 at 9:12 AM
And now Charlotte Durand on e-scooters
Audit from Alderhey demonstrated a clear signal for the incidence of Major Trauma from e-scooters.
Helmet wearing (or lack of) was an issue
**Private e-Scooters are illegal**
#PERUKI25
Audit from Alderhey demonstrated a clear signal for the incidence of Major Trauma from e-scooters.
Helmet wearing (or lack of) was an issue
**Private e-Scooters are illegal**
#PERUKI25