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...
#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...
Really interesting that there is a much reduced ED presentation and admission effect.
However Emergency Departments are still as full as ever so winter still looking to be a challenging one.
However Emergency Departments are still as full as ever so winter still looking to be a challenging one.
November 8, 2025 at 1:33 AM
Really interesting that there is a much reduced ED presentation and admission effect.
However Emergency Departments are still as full as ever so winter still looking to be a challenging one.
However Emergency Departments are still as full as ever so winter still looking to be a challenging one.
While RSV still feels a little muted.
Is this because flu has been competition?
The vaccine is showing signs of impact?
Or does it have some nasty trick up its sleeve...?
Is this because flu has been competition?
The vaccine is showing signs of impact?
Or does it have some nasty trick up its sleeve...?
November 8, 2025 at 1:33 AM
While RSV still feels a little muted.
Is this because flu has been competition?
The vaccine is showing signs of impact?
Or does it have some nasty trick up its sleeve...?
Is this because flu has been competition?
The vaccine is showing signs of impact?
Or does it have some nasty trick up its sleeve...?
November 8, 2025 at 1:33 AM
There is hope though.
Graph of admissions for RSV is definitely showing a different trend - and this looks to hold for < 5s and >75s
Will be interesting to see what November brings for Children's Emergency Departments...
Graph of admissions for RSV is definitely showing a different trend - and this looks to hold for < 5s and >75s
Will be interesting to see what November brings for Children's Emergency Departments...
October 30, 2025 at 6:11 PM
There is hope though.
Graph of admissions for RSV is definitely showing a different trend - and this looks to hold for < 5s and >75s
Will be interesting to see what November brings for Children's Emergency Departments...
Graph of admissions for RSV is definitely showing a different trend - and this looks to hold for < 5s and >75s
Will be interesting to see what November brings for Children's Emergency Departments...
RSV following a typical trajectory - will we see any impact from the RSV vaccination programme?
There is certainly impact in patients over 60 (vaccination rates 60-65%)
www.gov.uk/government/p...
....less so for infants (with rates at 53%)
www.gov.uk/government/p...
#RSV
There is certainly impact in patients over 60 (vaccination rates 60-65%)
www.gov.uk/government/p...
....less so for infants (with rates at 53%)
www.gov.uk/government/p...
#RSV
October 30, 2025 at 6:11 PM
RSV following a typical trajectory - will we see any impact from the RSV vaccination programme?
There is certainly impact in patients over 60 (vaccination rates 60-65%)
www.gov.uk/government/p...
....less so for infants (with rates at 53%)
www.gov.uk/government/p...
#RSV
There is certainly impact in patients over 60 (vaccination rates 60-65%)
www.gov.uk/government/p...
....less so for infants (with rates at 53%)
www.gov.uk/government/p...
#RSV
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 thanks to @ukhsa.bsky.social
can now directly compare the admission rates for RSV between infants and older persons.
Will be useful to see what trends emerge given differences in vaccination rates between the two groups....
can now directly compare the admission rates for RSV between infants and older persons.
Will be useful to see what trends emerge given differences in vaccination rates between the two groups....
October 21, 2025 at 1:44 PM
And thanks to @ukhsa.bsky.social
can now directly compare the admission rates for RSV between infants and older persons.
Will be useful to see what trends emerge given differences in vaccination rates between the two groups....
can now directly compare the admission rates for RSV between infants and older persons.
Will be useful to see what trends emerge given differences in vaccination rates between the two groups....
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...
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...
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
Also a novel methodology of trial design for antibiotic treatment.
A 'Durations' approach
pmc.ncbi.nlm.nih.gov/articles/PMC...
Multiple durations some knowingly much shorter and much longer that thought needed to determine the optimum duration.
#PERUKI25
A 'Durations' approach
pmc.ncbi.nlm.nih.gov/articles/PMC...
Multiple durations some knowingly much shorter and much longer that thought needed to determine the optimum duration.
#PERUKI25
September 4, 2025 at 1:21 PM
Also a novel methodology of trial design for antibiotic treatment.
A 'Durations' approach
pmc.ncbi.nlm.nih.gov/articles/PMC...
Multiple durations some knowingly much shorter and much longer that thought needed to determine the optimum duration.
#PERUKI25
A 'Durations' approach
pmc.ncbi.nlm.nih.gov/articles/PMC...
Multiple durations some knowingly much shorter and much longer that thought needed to determine the optimum duration.
#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
Tom shows this slide.
And then says - "don't believe this - it's a lie"
UTI is probably 3-4% in febrile infants
Concern about UTI is common but actual UTI isn't
#PERUKI25
And then says - "don't believe this - it's a lie"
UTI is probably 3-4% in febrile infants
Concern about UTI is common but actual UTI isn't
#PERUKI25
September 4, 2025 at 8:14 AM
Tom shows this slide.
And then says - "don't believe this - it's a lie"
UTI is probably 3-4% in febrile infants
Concern about UTI is common but actual UTI isn't
#PERUKI25
And then says - "don't believe this - it's a lie"
UTI is probably 3-4% in febrile infants
Concern about UTI is common but actual UTI isn't
#PERUKI25