A5084237110- Infrared Thermography in Medicine
- Emergency and Acute Care Studies
- Traumatic Brain Injury and Neurovascular Disturbances
- Trauma and Emergency Care Studies
- Orthopedic Surgery and Rehabilitation
- Thermography and Photoacoustic Techniques
- Neurosurgical Procedures and Complications
- Thermal Regulation in Medicine
- Thermoregulation and physiological responses
- Cardiac Arrest and Resuscitation
- Sepsis Diagnosis and Treatment
- Elbow and Forearm Trauma Treatment
- Radiation Dose and Imaging
- Artificial Intelligence in Healthcare and Education
- Medical Malpractice and Liability Issues
- Clinical Reasoning and Diagnostic Skills
- Nursing Roles and Practices
- Bone fractures and treatments
- Child and Adolescent Health
- Pediatric Urology and Nephrology Studies
- COVID-19 diagnosis using AI
- Traumatic Brain Injury Research
- Pneumonia and Respiratory Infections
- Urinary Tract Infections Management
- Methemoglobinemia and Tumor Lysis Syndrome
Sheffield Children's Hospital
2015-2024
Sheffield Children's NHS Foundation Trust
2011-2024
Yorkshire Ambulance Service NHS Trust
2021
Sheffield Hallam University
2020
University of the West Indies
2019-2020
University of the West Indies
2019
Northern General Hospital
2007-2017
University of the West
2017
Sheffield Teaching Hospitals NHS Foundation Trust
2014-2015
National Health Service
2006
Phenytoin is the recommended second-line intravenous anticonvulsant for treatment of paediatric convulsive status epilepticus in UK; however, some evidence suggests that levetiracetam could be an effective and safer alternative. This trial compared efficacy safety phenytoin management epilepticus.This open-label, randomised clinical was undertaken at 30 UK emergency departments secondary tertiary care centres. Participants aged 6 months to under 18 years, with requiring treatment, were...
BackgroundThe most common fractures in children are torus (buckle) of the wrist. Controversy exists over treatment, which ranges from splint immobilisation and discharge to cast immobilisation, follow-up, repeat imaging. This study compared pain function affected offered a soft bandage immediate with those receiving rigid follow-up as per treating centre protocol.MethodsIn this randomised controlled equivalence trial we included 965 (aged 4–15 years) distal radius fracture 23 hospitals UK....
Objective To determine if ultrasound guided measurement of the optic nerve sheath diameter accurately predicted elevated intracranial pressure (ICP) as demonstrated by cranial computed tomography (CT) in at-risk emergency department patients. Methods Optic diameters were measured on a convenience sample adult patients presenting with suspected ICP to large teaching hospital over 6-month period. A cut off for 5 mm was considered positive ICP. All had subsequent CT scan same day reported...
Objectives Management of anticoagulated patients after head injury is unclear due to lack robust evidence. This study aimed determine the adverse outcome rate in these and identify risk factors associated with poor outcome. Design Multicentre, observational using routine patient records. Setting 33 emergency departments England Scotland. Participants 3566 adults (aged ≥16 years) who had suffered blunt were currently taking warfarin. Main measures Primary measure was defined as death or...
Convolutional neural network (CNN) models were devised and evaluated to classify infrared thermal (IRT) images of pediatric wrist fractures. The recorded from 19 participants with a fracture 21 without (sprain). injury diagnosis was by X-ray radiography. For each participant, 299 IRT their wrists recorded. These generated 11,960 (40 × images). image, the region interest (ROI) selected fast Fourier transformed (FFT) obtain magnitude frequency spectrum. spectrum resized 100 pixels its center...
There has been a rise in the number of studies relating to role artificial intelligence (AI) healthcare. Its potential Emergency Medicine (EM) explored recent years with operational, predictive, diagnostic and prognostic emergency department (ED) implementations being developed. For EM researchers building models de novo, collaborative working data scientists is invaluable throughout process. Synergism understanding between domain experts increases likelihood realising successful real-world...
Acute limp is a common presenting condition in the paediatric emergency department. There are number of causes acute that include traumatic injury, infection and malignancy. These young children not easily distinguished. In this pilot study, an infrared thermographic imaging technique to diagnose undifferentiated was developed. Following required ethics approval, 30 (mean age = 5.2 years, standard deviation 3.3 years) were recruited. The exposed lower limbs participants imaged using...
Background Co-location of primary care services with Emergency Departments (ED) is one initiative aiming to reduce the burden on EDs patients attending non-urgent problems. However, extent which these are operating within or alongside not currently known. This study aimed create a typology co-located in operation across Yorkshire and Humber (Y&H) as well identify early barriers facilitators their implementation sustainability. Methods A self-report survey was sent lead consultant other...
The clinical diagnosis of urinary tract infection (UTI) in infants under the age 2 years is challenging because nonspecific symptoms and signs this group. Prompt treatment critical, although dipstick testing allows rapid testing, there some doubt about its use infants. We sought to show test identifying or excluding UTI presenting emergency department with a febrile illness.We conducted retrospective diagnostic cohort study for over 12-month period UK Paediatric Emergency Department,...
Objectives It is not currently clear whether all anticoagulated patients with a head injury should receive CT scanning or only those evidence of traumatic brain (eg, loss consciousness amnesia). We aimed to determine the cost-effectiveness for compared selective use injury. Design Decision-analysis modelling data from multicentre observational study. Setting 33 emergency departments in England and Scotland. Participants 3566 adults (aged ≥16 years) who had suffered blunt injury, were taking...
To review compliance with our emergency department (ED) guideline on the imaging of ingested non-hazardous metallic foreign bodies in children, investigate adverse outcomes, and make suggestions for improving guideline.Retrospective analysis patients presenting a 3 year period to paediatric ED history possible body (MFB) ingestion, who were managed according an guideline.We identified 430 episodes MFB which 422 eligible inclusion study. Compliance was 77.8% no significant events. The...
Objective: To determine the factors influencing attendance at a Paediatric Emergency Department with conditions suitable for management in less acute settings. Methods: Semi-structured interviews exploring parental decision-making processes surrounding care-seeking behaviours urgent situations were undertaken parents of children allocated to two lowest triage categories type-1 urban over 2-week periods. Results: All expressed desire access care from most appropriate service their child...
Abstract Background Point-of-care testing (POCT) is diagnostic performed at or near to the site of patient. Understanding current capacity, and scope, POCT in this setting essential order respond new research evidence which may lead wide implementation. Methods A cross-sectional online survey study use was conducted between 6th January 2nd February 2020 on behalf two United Kingdom (UK) Ireland-based paediatric networks (Paediatric Emergency Research UK Ireland, General Adolescent Paediatric...