Full Text Journal Articles by
Author Damian Roland

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Validating clinical practice guidelines for the management of children with non-blanching rashes in the UK (PiC): a prospective, multicentre cohort study.

Thomas Waterfield, Juli-Ann Maney, Derek Fairley, Mark D Lyttle, James P McKenna, Damian Roland, Michael Corr, Lisa McFetridge, Hannah Mitchell, Kerry Woolfall, Fiona Lynn, Bethany Patenall, Michael D Shields, ,

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 of existing clinical practice guidelines in the diagnosis of invasive meningococcal disease in children presenting ... Read more >>

Lancet Infect Dis (The Lancet. Infectious diseases)
[2020, :]

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COVID-19 is not a driver of clinically significant viral wheeze and asthma.

Damian Roland, Kah Wee Teo, Srini Bandi, David Lo, Erol A Gaillard,

Arch Dis Child (Archives of disease in childhood)
[2020, :]

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Evaluation of a novel approach to recognising community-acquired paediatric sepsis at ED triage by combining an electronic screening algorithm with clinician assessment.

Sylvester Gomes, Darryl Wood, Salma Ayis, Nikolaos Haliasos, Damian Roland,

OBJECTIVE:We report the utilisation and impact of a novel triage-based electronic screening tool (eST) combined with clinical assessment to recognise sepsis in paediatric ED. METHODS:An electronic sepsis screening tool was implemented in the paediatric EDs of two large UK secondary care hospitals between June 2018 and January 2019. Patients eligible ... Read more >>

Emerg Med J (Emergency medicine journal : EMJ)
[2020, :]

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Time to improve the diversity of paediatric skin images.

Danilo Buonsenso, Damian Roland, Nikki Abela, Dhurgshaarna Shanmugavadivel, Rebecca Platt, Tessa Davis, ,

Lancet Child Adolesc Health (The Lancet. Child & adolescent health)
[2020, 4(11):e44]

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Spirometry and FeNO testing for asthma in children in UK primary care: a prospective observational cohort study of feasibility and acceptability.

David Lo, Caroline Beardsmore, Damian Roland, Matthew Richardson, Yaling Yang, Lesley Danvers, Andrew Wilson, Erol A Gaillard,

BACKGROUND:The National Institute for Health and Care Excellence recommends the use of spirometry and measuring the fraction of exhaled nitric oxide (FeNO) as part of the diagnostic work-up for children with suspected asthma, and spirometry for asthma monitoring, across all care settings. However, the feasibility and acceptability of these tests ... Read more >>

Br J Gen Pract (The British journal of general practice : the journal of the Royal College of General Practitioners)
[2020, 70(700):e809-e816]

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Fifteen-minute consultation: Does this child have COVID-19 (and does it matter)?

Caroline Ponmani, Damian Roland,

SARS-CoV-2 was identified as a new virus in January 2020 following reports of pneumonia of unknown aetiology from China. Since then, the virus has spread rapidly throughout the world. While evidence accumulates on the collateral damage to children as a result of system changes, SARS-CoV-2 appears to rarely cause serious ... Read more >>

Arch Dis Child Educ Pract Ed (Archives of disease in childhood. Education and practice edition)
[2020, :]

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Diagnostic test accuracy of point-of-care procalcitonin to diagnose serious bacterial infections in children.

Thomas Waterfield, Julie-Ann Maney, Mark D Lyttle, James P McKenna, Damian Roland, Michael Corr, Bethany Patenall, Michael D Shields, Kerry Woolfall, Derek Fairley, ,

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 this study was to compare the diagnostic test accuracy of C-reactive protein (CRP) and ... Read more >>

BMC Pediatr (BMC pediatrics)
[2020, 20(1):487]

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Letter in response to letter by Diba Behzad-Noori & Gurdas Singh in response to 'Prescribing in a paediatric emergency'.

Haiko Kurt Jahn, Ingo Henry Jahn, Damian Roland, Wilhelm Behringer, Mark Lyttle, ,

Acta Paediatr (Acta paediatrica (Oslo, Norway : 1992))
[2020, :]

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A preimplementation survey for a standardised approach to paediatric early warning systems.

Jayne Wheway, Philippa Anna Stilwell, Adam Cook, Damian Roland,

Arch Dis Child (Archives of disease in childhood)
[2020, :]

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A Pediatric Strategy for the Next Phase of the SARS-CoV-2 Pandemic.

Danilo Buonsenso, Piero Valentini, Umberto Moscato, Walter Ricciardi, Damian Roland,

Although the first wave of the SARS-CoV-2 pandemic relatively spared children, the next winter season will put a strain on health systems including pediatric services. Clinical staff managing children will need to deal not only with suspected cases of COVID-19, but also with the classic infectious agents that involve children ... Read more >>

Front Pediatr (Frontiers in pediatrics)
[2020, 8:582798]

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Evaluating the reliability of gestalt quality ratings of medical education podcasts: A METRIQ study.

Jason M Woods, Teresa M Chan, Damian Roland, Jeff Riddell, Andrew Tagg, Brent Thoma,

INTRODUCTION:Podcasts are increasingly being used for medical education. Studies have found that the assessment of the quality of online resources can be challenging. We sought to determine the reliability of gestalt quality assessment of education podcasts in emergency medicine. METHODS:An international, interprofessional sample of raters was recruited through social media, ... Read more >>

Perspect Med Educ (Perspectives on medical education)
[2020, 9(5):302-306]

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Inter-rater reliability of paediatric emergency assessment: physiological and clinical features.

Calvin Heal, Sarah Cotterill, Andrew Graeme Rowland, Natalie Garratt, Tony Long, Stephen Brown, Grainne O'Connor, Chloe Rishton, Steve Woby, Damian Roland,

OBJECTIVE:The Paediatric Admission Guidance in the Emergency Department (PAGE) score is an assessment tool currently in development that helps predict hospital admission using components including patient characteristics, vital signs (heart rate, temperature, respiratory rate and oxygen saturation) and clinical features (eg, breathing, behaviour and nurse judgement). It aims to assist ... Read more >>

Arch Dis Child (Archives of disease in childhood)
[2020, :]

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Incidence of spread of clinically relevant SARS-CoV2 infection between children in a tertiary emergency department: An evaluation.

Meenu Pandey, Shilpa Sisodia, Srini Bandi, Damian Roland,

J Infect (The Journal of infection)
[2020, :]

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Fifteen minute consultation: When can I use a medical app?

Gala Rowe-Setz, Wilhelm Behringer, Damian Roland, Mark D Lyttle, Haiko Kurt Jahn,

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 some reluctance by institutions and medical staff to fully embrace these advances due to privacy and ... Read more >>

Arch Dis Child Educ Pract Ed (Archives of disease in childhood. Education and practice edition)
[2020, :]

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Opt-out Consent in Children's Emergency Medicine Research.

Tony Long, Andrew Rowland, Sarah Cotterill, Steve Woby, Calvin Heal, Natalie Garratt, Steve Brown, Damian Roland,

There is global acceptance that individuals should be allowed to decide whether or not to take part in research studies, and to do so after being informed about the nature of the research and the risk that might attach to participation. The process of providing detailed information before seeking consent ... Read more >>

Compr Child Adolesc Nurs (Comprehensive child and adolescent nursing)
[2020, :1-12]

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Did children 'stay safe'? Evaluation of burns presentations to a children's emergency department during the period of COVID-19 school closures.

Jennifer Amanda Mann, Nakul Patel, Julia Bragg, Damian Roland,

Arch Dis Child (Archives of disease in childhood)
[2020, :]

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Prescribing in a paediatric emergency: A PERUKI survey of prescribing and resuscitation aids.

Haiko Kurt Jahn, Ingo Henry Johannes Jahn, Damian Roland, Wilhelm Behringer, Mark Lyttle, ,

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 was performed. In stage (i), a lead investigator at PERUKI sites completed a department-level survey; in stage (ii), individual ... Read more >>

Acta Paediatr (Acta paediatrica (Oslo, Norway : 1992))
[2020, :]

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Fifteen-minute consultation: Assessing the child with an elbow injury.

Sarah Edwards, Damian Roland,

This article aims to provide a concise summary of the key considerations when assessing a child with an elbow injury. Elbow injuries are common with acute elbow trauma, accounting for 2%-3% of all visits to the emergency department. This article will cover history, examination and key X-ray findings, along with ... Read more >>

Arch Dis Child Educ Pract Ed (Archives of disease in childhood. Education and practice edition)
[2020, :]

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A systematic review of the organizational, environmental, professional and child and family factors influencing the timing of admission to hospital for children with serious infectious illness.

Bernie Carter, Damian Roland, Lucy Bray, Jane Harris, Poornima Pandey, Jo Fox, Enitan D Carrol, Sarah Neill,

BACKGROUND:Infection, particularly in the first 5 years of life, is a major cause of childhood deaths globally, many deaths from infections such as pneumonia and meningococcal disease are avoidable, if treated in time. Some factors that contribute to morbidity and mortality can be modified. These include organisational and environmental factors ... Read more >>

PLoS One (PloS one)
[2020, 15(7):e0236013]

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International Practice Patterns of Antibiotic Therapy and Laboratory Testing in Bronchiolitis.

Amy Zipursky, Nathan Kuppermann, Yaron Finkelstein, Roger Zemek, Amy C Plint, Franz E Babl, Stuart R Dalziel, Stephen B Freedman, Dale W Steele, Ricardo M Fernandes, Todd A Florin, Derek Stephens, Anupam Kharbanda, Damian Roland, Mark D Lyttle, David W Johnson, David Schnadower, Charles G Macias, Javier Benito, Suzanne Schuh, ,

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 bronchiolitis in 38 emergency departments in Pediatric Emergency Research Networks in Canada, the United States, Australia ... Read more >>

Pediatrics (Pediatrics)
[2020, 146(2):]

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Children's emergency presentations during the COVID-19 pandemic.

Damian Roland, Rachel Harwood, Nick Bishop, Dougal Hargreaves, Sanjay Patel, Ian Sinha,

Lancet Child Adolesc Health (The Lancet. Child & adolescent health)
[2020, 4(8):e32-e33]

Cited: 1 time

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Throat and ear infections in children: URTI in the time of COVID-19.

Edward Snelson, Damian Roland, Alasdair Peter Stuart Munro,

Arch Dis Child Educ Pract Ed (Archives of disease in childhood. Education and practice edition)
[2020, :]

Cited: 0 times

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Loop-mediated isothermal amplification for the early diagnosis of invasive meningococcal disease in children.

Thomas Waterfield, Mark D Lyttle, James McKenna, Julie-Ann Maney, Damian Roland, Michael Corr, Kerry Woolfall, Bethany Patenall, Michael Shields, Derek Fairley, ,

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 amplification (LAMP) in the diagnosis of MD. DESIGN:Data were collected prospectively from three UK emergency departments (ED) ... Read more >>

Arch Dis Child (Archives of disease in childhood)
[2020, 105(12):1151-1156]

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Navigating success for early stage investigators-practical words of advice.

Damian Roland, Sara L Van Driest, William J Heerman, Katharine Y King, Nathalie L Maitre, Stephanie A Fritz, Shari Barkin,

Pediatr Res (Pediatric research)
[2020, :]

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A multicentre prospective randomized equivalence trial of a soft bandage and immediate discharge versus current treatment with rigid immobilization for torus fractures of the distal radius in children: protocol for the Forearm Fracture Recovery in Children Evaluation (FORCE) trial.

Juul Achten, Ruth Knight, Susan J Dutton, Matthew L Costa, James Mason, Melina Dritsaki, Duncan Appelbe, Shrouk Messahel, Damian Roland, James Widnall, Daniel C Perry,

Aims:Torus fractures are the most common childhood fracture, accounting for 500,000 UK emergency attendances per year. UK treatment varies widely due to lack of scientific evidence. This is the protocol for a randomized controlled equivalence trial of 'the offer of a soft bandage and immediate discharge' versus 'rigid immobilization and ... Read more >>

Bone Jt Open (Bone & joint open)
[2020, 1(6):214-221]

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