RT @apsmunro: @Damian_Roland @surf4children I am mid-nights so unable to formulate any useful thoughts but shall return to this as it’s suc…
@Damian_Roland @surf4children I am mid-nights so unable to formulate any useful thoughts but shall return to this as it’s such a great study Fits well with our previous commentary @sailordoctor @Damian_Roland https://t.co/sLYuJqYKHE
@DoctorRach13 I try to avoid antibiotics (only small number of high risk pts in UK) @apsmunro @sailordoctor and I suggested this during #COVID19 (https://t.co/XyIVmpDLcs) but many still not willing to adopt it as risk of ‘missing’ any invasive cases, howe
RT @apsmunro: Please note that the best management for the VAST majority of children with sore throats is NO antibiotics There is a reaso…
RT @apsmunro: Please note that the best management for the VAST majority of children with sore throats is NO antibiotics There is a reaso…
Please note that the best management for the VAST majority of children with sore throats is NO antibiotics There is a reason this study starts age 6+ and scores don't include children <3y - who make up >60% of presentations with this problem https
RT @Damian_Roland: @DrNickTwit There are very few reasons to give Pen V at all…. https://t.co/ZfOvLCkfgR https://t.co/YeWjylF8Hw
RT @Damian_Roland: @DrNickTwit There are very few reasons to give Pen V at all…. https://t.co/ZfOvLCkfgR https://t.co/YeWjylF8Hw
RT @Damian_Roland: @DrNickTwit There are very few reasons to give Pen V at all…. https://t.co/ZfOvLCkfgR https://t.co/YeWjylF8Hw
RT @Damian_Roland: @DrNickTwit There are very few reasons to give Pen V at all…. https://t.co/ZfOvLCkfgR https://t.co/YeWjylF8Hw
RT @Damian_Roland: @DrNickTwit There are very few reasons to give Pen V at all…. https://t.co/ZfOvLCkfgR https://t.co/YeWjylF8Hw
RT @Damian_Roland: @DrNickTwit There are very few reasons to give Pen V at all…. https://t.co/ZfOvLCkfgR https://t.co/YeWjylF8Hw
RT @Damian_Roland: @DrNickTwit There are very few reasons to give Pen V at all…. https://t.co/ZfOvLCkfgR https://t.co/YeWjylF8Hw
RT @Damian_Roland: @DrNickTwit There are very few reasons to give Pen V at all…. https://t.co/ZfOvLCkfgR https://t.co/YeWjylF8Hw
RT @Damian_Roland: @DrNickTwit There are very few reasons to give Pen V at all…. https://t.co/ZfOvLCkfgR https://t.co/YeWjylF8Hw
RT @Damian_Roland: @DrNickTwit There are very few reasons to give Pen V at all…. https://t.co/ZfOvLCkfgR https://t.co/YeWjylF8Hw
RT @Damian_Roland: @DrNickTwit There are very few reasons to give Pen V at all…. https://t.co/ZfOvLCkfgR https://t.co/YeWjylF8Hw
RT @Damian_Roland: @DrNickTwit There are very few reasons to give Pen V at all…. https://t.co/ZfOvLCkfgR https://t.co/YeWjylF8Hw
@DrNickTwit There are very few reasons to give Pen V at all…. https://t.co/ZfOvLCkfgR https://t.co/YeWjylF8Hw
I love not prescribing antibiotics... so some favourites here. This paper builds on what we already know: there is very limited benefit to antibiotics in URTI, and we probably don't have to prescribe them. https://t.co/svGUkLWWAZ
RT @apsmunro: Whether any given mild respiratory infection in infancy is, or is not caused by bacteria is probably a moot point - most will…
RT @apsmunro: Whether any given mild respiratory infection in infancy is, or is not caused by bacteria is probably a moot point - most will…
RT @apsmunro: Whether any given mild respiratory infection in infancy is, or is not caused by bacteria is probably a moot point - most will…
Whether any given mild respiratory infection in infancy is, or is not caused by bacteria is probably a moot point - most will self resolve regardless of treatment Severe illness or risk of complications is what should guide whether or not to treat 5/ htt
RT @Damian_Roland: And although I'm biased (but it is a relevant paper!) Throat and ear infections in children: URTI in the time of #COVI…
RT @Damian_Roland: And although I'm biased (but it is a relevant paper!) Throat and ear infections in children: URTI in the time of #COVI…
RT @Damian_Roland: And although I'm biased (but it is a relevant paper!) Throat and ear infections in children: URTI in the time of #COVI…
And although I'm biased (but it is a relevant paper!) Throat and ear infections in children: URTI in the time of #COVID19 https://t.co/ZfOvLCkfgR HT @sailordoctor @apsmunro https://t.co/sbLDjYdGUj
@drtarageorge @egplearning An alternative view- don't take pictures of tonsils. The appearance of the tonsils is not the answer to anything that you should care about in a child in a situation where you are happy to accept a photo. https://t.co/5nJpYlzk5A
RT @sailordoctor: 7- There is therefore a strong argument for not looking at a child's throat when there are reasonable indicators (cough,…
RT @sailordoctor: 7- There is therefore a strong argument for not looking at a child's throat when there are reasonable indicators (cough,…
RT @sailordoctor: 7- There is therefore a strong argument for not looking at a child's throat when there are reasonable indicators (cough,…
This is good medical logic that will get you absolutely destroyed by Press Ganey
RT @sailordoctor: 7- There is therefore a strong argument for not looking at a child's throat when there are reasonable indicators (cough,…
RT @sailordoctor: 7- There is therefore a strong argument for not looking at a child's throat when there are reasonable indicators (cough,…
RT @sailordoctor: 7- There is therefore a strong argument for not looking at a child's throat when there are reasonable indicators (cough,…
7- There is therefore a strong argument for not looking at a child's throat when there are reasonable indicators (cough, coryza) of an URTI. If antibiotics are not the answer why look? Further reading here: https://t.co/lA6LcZ6DoW https://t.co/8AnABn3GnO
RT @pea88: Interesting conversation started here
RT @Damian_Roland: Throat exam still needed in febrile convulsion with no obvious focus & can be useful for definitive 'opinion' where pare…
RT @Damian_Roland: Throat exam still needed in febrile convulsion with no obvious focus & can be useful for definitive 'opinion' where pare…
RT @Damian_Roland: Throat exam still needed in febrile convulsion with no obvious focus & can be useful for definitive 'opinion' where pare…
RT @Damian_Roland: Throat exam still needed in febrile convulsion with no obvious focus & can be useful for definitive 'opinion' where pare…
RT @Damian_Roland: Throat exam still needed in febrile convulsion with no obvious focus & can be useful for definitive 'opinion' where pare…
RT @Damian_Roland: Throat exam still needed in febrile convulsion with no obvious focus & can be useful for definitive 'opinion' where pare…
Throat exam still needed in febrile convulsion with no obvious focus & can be useful for definitive 'opinion' where parental anxiety. The real question #COVID19 has triggered: "So you've had a look. What do you do about pus if you see it? " Answer
RT @Damian_Roland: There is a degree of momentum in practice that occasionally requires a seismic event to drive a change in approach, to o…
RT @Damian_Roland: There is a degree of momentum in practice that occasionally requires a seismic event to drive a change in approach, to o…
RT @Damian_Roland: There is a degree of momentum in practice that occasionally requires a seismic event to drive a change in approach, to o…
RT @Damian_Roland: There is a degree of momentum in practice that occasionally requires a seismic event to drive a change in approach, to o…
RT @Damian_Roland: There is a degree of momentum in practice that occasionally requires a seismic event to drive a change in approach, to o…
RT @Damian_Roland: There is a degree of momentum in practice that occasionally requires a seismic event to drive a change in approach, to o…
RT @Damian_Roland: There is a degree of momentum in practice that occasionally requires a seismic event to drive a change in approach, to o…
RT @Damian_Roland: There is a degree of momentum in practice that occasionally requires a seismic event to drive a change in approach, to o…
Great article & very relevant to #GeneralPractice 👍
RT @Damian_Roland: There is a degree of momentum in practice that occasionally requires a seismic event to drive a change in approach, to o…
RT @Damian_Roland: There is a degree of momentum in practice that occasionally requires a seismic event to drive a change in approach, to o…
RT @Damian_Roland: There is a degree of momentum in practice that occasionally requires a seismic event to drive a change in approach, to o…
RT @Damian_Roland: There is a degree of momentum in practice that occasionally requires a seismic event to drive a change in approach, to o…
RT @Damian_Roland: There is a degree of momentum in practice that occasionally requires a seismic event to drive a change in approach, to o…
There is a degree of momentum in practice that occasionally requires a seismic event to drive a change in approach, to one that is more suited to a clinical problem that has significantly evolved "URTI in the time of #COVID19" https://t.co/ZfOvLCkfgR htt
RT @ashleighlowther: This is brilliant- if you work in Paeds ED- read this! Thanks @Damian_Roland @sailordoctor @apsmunro
RT @Damian_Roland: Simples... Don't use CENTOR or FEVERPAIN Don't use Antibiotics https://t.co/ZfOvLCkfgR https://t.co/3Zkn7QkCoy https:…
RT @Damian_Roland: Simples... Don't use CENTOR or FEVERPAIN Don't use Antibiotics https://t.co/ZfOvLCkfgR https://t.co/XH9ZRJc4sA
RT @Damian_Roland: Simples... Don't use CENTOR or FEVERPAIN Don't use Antibiotics https://t.co/ZfOvLCkfgR https://t.co/XH9ZRJc4sA
RT @Damian_Roland: Simples... Don't use CENTOR or FEVERPAIN Don't use Antibiotics https://t.co/ZfOvLCkfgR https://t.co/XH9ZRJc4sA
It will take a generation to un-learn the centor criteria! https://t.co/CU66TP3eBt
RT @Damian_Roland: Simples... Don't use CENTOR or FEVERPAIN Don't use Antibiotics https://t.co/ZfOvLCkfgR https://t.co/XH9ZRJc4sA
RT @Damian_Roland: Simples... Don't use CENTOR or FEVERPAIN Don't use Antibiotics https://t.co/ZfOvLCkfgR https://t.co/XH9ZRJc4sA
RT @Damian_Roland: Simples... Don't use CENTOR or FEVERPAIN Don't use Antibiotics https://t.co/ZfOvLCkfgR https://t.co/3Zkn7QkCoy https:…
RT @Damian_Roland: Simples... Don't use CENTOR or FEVERPAIN Don't use Antibiotics https://t.co/ZfOvLCkfgR https://t.co/XH9ZRJc4sA
RT @mysterymoth: Oh this is so sensible!
Oh this is so sensible!
RT @Damian_Roland: Simples... Don't use CENTOR or FEVERPAIN Don't use Antibiotics https://t.co/ZfOvLCkfgR https://t.co/XH9ZRJc4sA
RT @ashleighlowther: This is brilliant- if you work in Paeds ED- read this! Thanks @Damian_Roland @sailordoctor @apsmunro
RT @Damian_Roland: Simples... Don't use CENTOR or FEVERPAIN Don't use Antibiotics https://t.co/ZfOvLCkfgR https://t.co/XH9ZRJc4sA
RT @Damian_Roland: Simples... Don't use CENTOR or FEVERPAIN Don't use Antibiotics https://t.co/ZfOvLCkfgR https://t.co/XH9ZRJc4sA
RT @Damian_Roland: Simples... Don't use CENTOR or FEVERPAIN Don't use Antibiotics https://t.co/ZfOvLCkfgR https://t.co/XH9ZRJc4sA
RT @Damian_Roland: Simples... Don't use CENTOR or FEVERPAIN Don't use Antibiotics https://t.co/ZfOvLCkfgR https://t.co/XH9ZRJc4sA
This is brilliant- if you work in Paeds ED- read this! Thanks @Damian_Roland @sailordoctor @apsmunro
RT @Damian_Roland: Simples... Don't use CENTOR or FEVERPAIN Don't use Antibiotics https://t.co/ZfOvLCkfgR https://t.co/XH9ZRJc4sA
RT @Damian_Roland: Simples... Don't use CENTOR or FEVERPAIN Don't use Antibiotics https://t.co/ZfOvLCkfgR https://t.co/XH9ZRJc4sA
Simples... Don't use CENTOR or FEVERPAIN Don't use Antibiotics https://t.co/ZfOvLCkfgR https://t.co/XH9ZRJc4sA
RT @apsmunro: @mrdraperjr @sailordoctor @Damian_Roland @ianlewins Seeing as @sailordoctor missed an opportunity to publicise our paper I wi…
@mrdraperjr @sailordoctor @Damian_Roland @ianlewins Seeing as @sailordoctor missed an opportunity to publicise our paper I will leave it here for everyones reference...! https://t.co/sLYuJqYKHE
RT @sailordoctor: @Doctor_DPJ I'd say not. Treat complications only. Reduce risk only if high. Here's the academic version with co-authors…
@babydrclaire @DrNickTwit @LittleDoctorVic @LordSedge @PEMDrMike If you take this approach then suddenly the appearance of the throat is irrelevant the vast majority of the time. https://t.co/ZcAiBPCJOm Impacted chicken bones not withstanding....
@Doctor_DPJ I'd say not. Treat complications only. Reduce risk only if high. Here's the academic version with co-authors @apsmunro and @Damian_Roland making it sound much more clever than that. https://t.co/ZcAiBPCJOm
2) A retrospective single centre review of management of tonsillitis https://t.co/nh5qBkbg7y Retrospective but FeverPAIN and Cantor may not rationalise as much as we think - supports argument to remove the scoring element! https://t.co/whpEVsGMxl
RT @Damian_Roland: @ValerieBSmithMD @chadhayesmd Or it maybe you determine not to treat a simple acute otitis media with antibiotics at all…
RT @Damian_Roland: @ValerieBSmithMD @chadhayesmd Or it maybe you determine not to treat a simple acute otitis media with antibiotics at all…
@ValerieBSmithMD @chadhayesmd Or it maybe you determine not to treat a simple acute otitis media with antibiotics at all…. https://t.co/whpEVsGMxl https://t.co/jcLHt60139
@DrNickTwit @edd_broad @sailordoctor @mrdraperjr @Damian_Roland @drPramV @rcpch_trainees @AssimJavaid @FionaHignett @doctorsanjay @DFTBubbles @ianlewins @Dr_J_Underwood @apsmunro Goals=⬇️Supportive & Non-Supporative complications. https://t.co/HeuNI0Mr
I genuinely thought most people had changed practice by now. I remember a lecture as an FY2 in GP delivered by a public health consultant that was essentially this message. Can't remember the last time I gave ABx for an uncomplicated URTI.
@edd_broad @Tomcromarty @drPramV @rcpch_trainees @AssimJavaid @FionaHignett @doctorsanjay @DFTBubbles @DrNickTwit @ianlewins @Dr_J_Underwood In line with our #COVID19 era review of antibiotic use in URTIs https://t.co/whpEVspbFN @sailordoctor @apsmunro
RT @apsmunro: @heretolearnkids @DFTBubbles @drsaledyer For upper respiratory there are so few benefits to treating that it’s rare for benef…
RT @apsmunro: @heretolearnkids @DFTBubbles @drsaledyer For upper respiratory there are so few benefits to treating that it’s rare for benef…
RT @KirstyPaedsACP: Throat and ear infections in children: URTI in the time of COVID-19 | ADC Education & Practice Edition https://t.co/n4c…
Throat and ear infections in children: URTI in the time of COVID-19 | ADC Education & Practice Edition https://t.co/n4cFUXiZng