Ben Lawton

Paediatric emergency physician. Interested in simulation, education, retrieval medicine and #FOAMPed #FOAMed uxorious for 20yrs. He/him

[BMJ Quality & Safety @BMJ_Qual_Saf]

🩺 How do we sustain de-implementation of low-value care in paediatric bronchiolitis?

Interviewing 50 ED and paediatric clinicians from 12 hospitals that took part in the PREDICT Bronchiolitis KT trial, the authors identified facilitators and barriers using the Consolidated Framework for Sustainability Constructs in Healthcare.

Key messages:
🔹 A culture of evidence-based practice, supported by senior leadership, helps maintain reduced use of five low-value practices (e.g., salbutamol, steroids, chest X-ray).
🔹 Ongoing multimodal education, formal and informal, reinforces key messages and supports new staff.
🔹 Strong clinical leaders as unofficial champions promote guideline use and model best practice.
🔹 Barriers included lack of paediatric-trained ED staff, bronchiolitis no longer seen as a priority, and limited time for education.

Sustaining de-implementation in acute care requires more than a one-off intervention: it needs culture, leadership and continuous education tailored to local context.

🔗 https://t.co/AMFX5nx2vJ

[Simon Craig @DrSimonCraig]

Ban children under 16 from riding e-mobility devices on public roads - Sign the Petition! https://t.co/nSjc9BzhXU via @ChangeAUS

[JAMA Pediatrics @JAMAPediatrics]

Nirsevimab reduced odds of LRTI-related hospitalizations and emergency visits in infants ≤24 months, with no significant effect on all-cause hospitalizations. https://t.co/UIu6wVhlxM

[Iain Beardsell @docib]

Absolutely delighted to launch @MedPodLearn. A searchable medical podcast library with educational scaffolding and tools to download all your activity. Have a look!

https://t.co/1B0lvKmmAY

[Alasdair Munro @apsmunro]

Respiratory PCR testing has exploded since the pandemic, but tests are expensive and sometimes used indiscriminately

We produced a statement for our regional network to help guide testing and improve diagnostic stewardship

https://t.co/SmyQSTHkzE

[Tom Solan @TomSolan123]

Help shape the future of global paediatric sepsis research 🌍
We’re working with the James Lind Alliance (JLA) to set priorities that matter most to patients, families, & clinicians. Share your voice by completing the survey at https://t.co/Hv7i9ikyDK ✍️ @LindAlliance @RCHMelbourne @MCRI_for_kids

#PaediatricSepsis #Research #JLA

[Aeromedical Society of Australasia @aeromedsociety]

Looking forward to welcoming delegates to the Society's conference in Hobart. Avoid the rush and register now! This is the last day for discounted rates!
#Aeromed25 @NSWAmbulance @SA_Ambulance @StJohn_SA @eRetrievalTAS @ambulancetas @RFDSQld @rfdsSANT_EGMMRS @RoyalFlyingDoc

[Murdoch Children's Research Institute (MCRI) @MCRI_for_kids]

More accurate measures are needed to help diagnose children with #sepsis as a current clinical tool is failing to detect those requiring #hospital care, according to a new #MCRI led study. | @sepsisAU @Infection_MCRI @Dr_Elliot_Long @RCHMelbourne

More 👉 https://t.co/gPizwgv5cA

[Ben Symon @symon_ben]

The scientific integrity of healthcare systems relies on honest reporting of concerns from clinicians about side effects and ethics. Psychologically safe organisations thrive because they allow debate.

Proud to sign this petition regarding the reinstatement of @Jilliantweeting

[Damian Roland @Damian_Roland]

Amazing piece of work by @DrSimonCraig & colleagues

A caregiver's concern their child is getting worse is an independent risk factor for ICU admission

A number of really important take-aways from this study so it isn't mis-interpreted.

Thread 1/n 🧵

https://t.co/YTBIIHQWZb

[Damian Roland @Damian_Roland]

Neat summary of the study by @DFTBubbles (and apologies I hadn't appreciated the lead author Erin Mills @drerinmills was on X!)

https://t.co/aViZRLTVZ9

[EMA Journal @EMAJournal]

Using feedback from paediatric resuscitation team members to improve quality of care

#OpenAccess

https://t.co/I8EXdpp6XU

@DrSimonCraig @WileyHealth @acemonline

[JAMA Pediatrics @JAMAPediatrics]

In children with toddler’s fractures, a removable boot was as effective as circumferential casting for pain recovery.

https://t.co/bfqthcRMEP #PAS2025

[JAMA Network Open @JAMANetworkOpen]

This external validation of the Phoenix sepsis criteria found similar test characteristics to the original derivation study. https://t.co/R7T2fgXlSr @nkuppermann

[KIDS THRIVE @KIDSTHRIVE]

Kids Thrive results on NHF oxygen for apnoeic oxygenation during emergency paediatric intubation now available online ⁦@emfresearch⁩ ⁦@nhmrc⁩ @PREDICT_network⁩ @ANZICS_PSG⁩ ⁦@UQMedicine⁩ ⁦@GC_Health⁩ #pedsicu https://t.co/SlvbMbiO0h

[KIDS THRIVE @KIDSTHRIVE]

Proud to announce the publication of the kids THRIVE trial - Effectiveness of nasal high-flow oxygen during apnoea on hypoxaemia an... https://t.co/6D82hx4Wcd We would like to thank the dedicated clinicians, trial steer committee & most importantly the children & their families

[EMA Journal @EMAJournal]

Challenges faced by healthcare providers in rural, remote, and regional health centres in Queensland during a paediatric resuscitation course

https://t.co/UQJCFShfVy
#OpenAccess

@acworthj
@WileyHealth @acemonline

[DrVickiCurrie @DrVickiCurrie1]

Check out what’s new in paeds literature in the most awesome collaboration between @DFTBubbles and @RMCHosp @KMaduemem https://t.co/iH6thmjMDG 🫧🫧🫧🫧🫧

[Spyridon Karageorgos @spiroskarageo]

Greatly looking forward to @IPEM2025 !!!
Meeting PEM mentors and IPEM trainees!!!
@QMUL @DFTBubbles

[Kate Hancorn @KateHancorn]

The ASGBI Trauma Committee - 3 days to go to apply! https://t.co/cemwkLyBdI The committee represents the interests of trauma clinicians to coordinate a portfolio of trauma education, research and strategy - join us!