Emma Alexander
@emmaaaaa8.bsky.social
NIHR Doctoral Fellow in Paediatric Critical Care, interested in PICU trials, implementation science, critical care nephrology and hepatology #pedsicu 🐈
Terlipressin in paediatric hepatorenal syndrome-acute kidney injury (HRS-AKI) link.springer.com/article/10.1...
Terlipressin in paediatric hepatorenal syndrome-acute kidney injury (HRS-AKI) - Pediatric Nephrology
Children with chronic liver disease are at increased risk of acute kidney injury (AKI), which could be non-hepatorenal syndrome AKI (non-HRS-AKI) or hepatorenal syndrome AKI (HRS-AKI). Approximately 5...
link.springer.com
Very interesting paper examining MgSO4 treatment implementation for preterm babies, and the cost-effectiveness of improving implementation. We need a similar focus in #PedsICU! www.frontiersin.org/journals/hea...
Frontiers | Demonstrating the value for money of implementing evidence-based treatment: the case for further investment in magnesium sulphate as a neuroprotectant for preterm births
BackgroundEffective and cost-effective treatments are not always optimally implemented. The benefit forgone due to sub-optimal implementation is often not co...
frontiersin.org
PICU colleagues in the following countries - Czechia, Denmark, Finland, Germany, Greece, Kosovo, Lithuania, Romania, Spain, Ukraine - we are looking for an estimate of total # of PICU beds in your countries (as part of our ESPNIC project). Do you have an estimate? Thank you! @espnic.bsky.social
Dual-phase machine learning framework for paediatric ventilator liberation: forecasting extubation readiness and nowcasting extubation outcomes bmjdigitalhealth.bmj.com/content/1/1/...
Dual-phase machine learning framework for paediatric ventilator liberation: forecasting extubation readiness and nowcasting extubation outcomes
Objective To develop and validate a machine learning framework for predicting optimal extubation timing in paediatric intensive care units (PICUs), addressing the clinical need for continuous monitori...
bmjdigitalhealth.bmj.com
Congratulations to the amazing and inspiring Ram!
Imperial Medicine@imperialmed.bsky.social · 11mo agoCongratulations to @imperialsandc.bsky.social's Prof Padmanabhan Ramnarayan on his prestigious @nihr.bsky.social Research Professorship 🎉 He'll lead research to personalise breathing support for critically ill children – transforming care across the NHS + beyond. imperial.ac.uk/news/270633/...
Really looking forward to the next three days at the NIHR Paediatric Critical Care Fellowship retreat! @drsofia.bsky.social
I have written for Don't Forget the Bubbles about implementation science in paediatric intensive care. To improve the care we give the sickest children, we need to understand how knowledge is mobilised to the bedside. If you are interested, get in touch! dontforgetthebubbles.com/implementati...
Implementation Science in Paediatric Intensive Care
Learn how peer assisted learning transforms education. Students learn more effectively through collaboration and support.
dontforgetthebubbles.com
Such an amazing time at #ESPNIC2025 especially inspired to see so many people talking about implementation as the next great hurdle! 💪😁
We proudly welcome Prof. Joseph Manning as the newly elected Nursing President of #ESPNIC! Congratulations! 💫 #CriticalCare #CriticalCareNurses #ScientificLeadership #PedsICU #NICU
Our ESPNIC mapping project is now live on the @espnic.bsky.social website. How many PICUs are there in Europe? We are trying to find out! To see if your unit has responded, and to respond, go here: www.espnic.eu/espnic-mappi...
ESPNIC MAPPING PROJECT – HOW MANY PICUs ARE THERE IN EUROPE? - ESPNIC
espnic.eu
Please join us in congratulating Prof. Akash Deep, elected as the new Medical President of #ESPNIC! 👏👏👏 With his experience and commitment, we're excited for the journey ahead under his leadership. 🩺 #CriticalCare #ScientificLeadership #PedsICU #NICU
Nasal high-flow oxygen for apnoeic oxygenation during emergency endotracheal intubation of children www.thelancet.com/journals/lan...
Nasal high-flow oxygen for apnoeic oxygenation during emergency endotracheal intubation of children
Emergency endotracheal intubation of children is one of the most high-risk procedures in paediatrics. The most common complication is hypoxaemia, with an incidence of up to 50%,1 although haemodynamic...
thelancet.com
Great editorial by N Yehya and @markpicu.bsky.social about the importance to conduct research in #PedsICU and the critical need to use alternative model to obtain the parental consent, in those critical situations. Based on great data by Furyk and coll. journals.lww.com/pccmjournal/...
I have to say something. Preaching to the choir on this platform- but SPEAK UP- not just here, but on the platforms where everyone doesn’t agree with us. #PutKids1st #PedsICU #PedsAnes
Great new podcast with Akash Deep, James Squires, and Barbara Wildhaber for everyone interested in paediatric acute liver failure and intricacies of organ transplant in children! #pedsicu @lancetchildadol.bsky.social @espnic.bsky.social @pccsociety.bsky.social www.youtube.com/watch?v=qEr4...
Transplant Challenges in Pediatric Liver Failure by A. Deep et al. | OPENPediatrics
YouTube video by OPENPediatrics
youtube.com
Coming up tomorrow at #SCCM2025! pediatric acute liver failure #PALF #PedsICU With Dr. Akash Deep @espnic.bsky.social @emmaaaaa8.bsky.social
PICU colleagues, could I please ask for your help yet again - a 3-5 minute survey on how we use evidence in PICU imperial.eu.qualtrics.com/jfe/form/SV_... and how we can improve our provision of evidence-based care! Thank you so much 📚😀
Qualtrics Survey | Qualtrics Experience Management
The most powerful, simple and trusted way to gather experience data. Start your journey to experience management and try a free account today.
imperial.eu.qualtrics.com
Last call before we write up our first report- we are especially missing responses from German PICUs - we believe there may be 100 of you but only 6 responses so far! If anyone is a paediatric intensive care professional in Germany we would be really grateful if you have time to reply!
Emma Alexander@emmaaaaa8.bsky.social · 2y agoEuropean PICU #PedsICU friends on Bluesky, please help us! How many PICUs are there in Europe? We don't know! Together with ESPNIC we are surveying the European PICU community! If you work in a PICU in Europe please complete this extremely short survey: edc01.unipd-ubep.it/redcap/surve...
Announcing… the PEdSIG PAFTAs! Do you know a paediatric medical educator who innovates, integrates or inspires? Nominate them for a PEdSIG PAFTA by 31/01/25 for the chance to celebrate them at RCPCH Conference! bit.ly/4fe6mpe
PEdSIG are running two essay competitions this year, one for healthcare students and one for Foundation doctors - deadline for submissions is 16th January, prizes are tickets to RCPCH Conference! @pedsig-uk.bsky.social See: pedsig.co.uk/articles/hea... and www.pedsig.co.uk/articles/fou...
Healthcare Student Essay Prize 2024
pedsig.co.uk
I have written a blog about my very positive experiences with PPIE for paediatric intensive care research - thank you so much to @imperialperc.bsky.social who are wonderful, for all your guidance! blogs.imperial.ac.uk/perc/2024/12...
Having an Impact with PPIE in Paediatric Intensive Care Research
By Emma Alexander As a doctor who works in children’s intensive care, I have always been interested in research, especially in research that matters to parents and young children
blogs.imperial.ac.uk
Don’t miss our final blog of 2024! 💫 Featuring @emmaaaaa8.bsky.social Emma Alexander's amazing Public Involvement work in the Paediatric Intensive Care Unit research. Please find it here: blogs.imperial.ac.uk/perc/2024/12... Let us know your thoughts in the comments!
Having an Impact with PPIE in Paediatric Intensive Care Research
By Emma Alexander As a doctor who works in children’s intensive care, I have always been interested in research, especially in research that matters to parents and young children
blogs.imperial.ac.uk
Interesting paper in PICJournalWatch this month - single centre cohort study of renal outcomes 11 years after PICU admission! One of the few studies I have seen with such long follow-up. AKI was associated with CKD 11 years later pubmed.ncbi.nlm.nih.gov/39585355/
Kidney and blood pressure outcomes 11 years after pediatric critical illness and longitudinal impact of AKI: a prospective cohort study - PubMed
This study provides novel data showing that adverse kidney and blood pressure outcomes remain highly prevalent 10 years after critical illness in childhood. The association with AKI wanes over time.
pubmed.ncbi.nlm.nih.gov
Thanks so much to all who have responded so far! We currently have few/no responses from PICUs in - Germany, Czechia, Denmark, Estonia, Greece, Hungary, Poland, Sweden, and Switzerland. If you work in PICU #PedsICU in these places, please fill it in! Thank you so much! 🤩
Emma Alexander@emmaaaaa8.bsky.social · 2y agoEuropean PICU #PedsICU friends on Bluesky, please help us! How many PICUs are there in Europe? We don't know! Together with ESPNIC we are surveying the European PICU community! If you work in a PICU in Europe please complete this extremely short survey: edc01.unipd-ubep.it/redcap/surve...
New survey - the management of paediatric acute liver failure: results from an international multi-centre survey across Europe #PedsICU We highlight variation in key aspects of management across Europe, for children with paediatric acute liver failure link.springer.com/article/10.1...
The management of paediatric acute liver failure: results from an international multi-centre survey across Europe - Intensive Care Medicine – Paediatric and Neonatal
Background Paediatric acute liver failure (PALF) is a rare condition with high morbidity and mortality. The liver transplant era, and improvements in medical management, have transformed outcomes. How...
link.springer.com
European PICU #PedsICU friends on Bluesky, please help us! How many PICUs are there in Europe? We don't know! Together with ESPNIC we are surveying the European PICU community! If you work in a PICU in Europe please complete this extremely short survey: edc01.unipd-ubep.it/redcap/surve...
In this new article led by Prof Akash Deep in Lancet C&AH we explore the challenging circumstance of the critically ill child with acute liver failure, who is unsuitable for liver transplant - due to medical, social, logistical, or ethical concerns www.sciencedirect.com/science/arti...
Paediatric acute liver failure: a multidisciplinary perspective on when a critically ill child is unsuitable for liver transplantation
Paediatric acute liver failure is a devastating condition with high morbidity and mortality, which is challenging to manage for the hepatologist, inte…
sciencedirect.com
Today in mourning the retirement of one of the two greatest ever to play the game! Gracias Rafa!
Hello Bluesky and #pedsicu community! I am here to talk about the implementation of PICU clinical trials, critical care hepatology and nephrology, and cats! 🤓🐈
