@trini_anandi

🇹🇹👩🏽‍⚕️| Paediatric Emergency Medicine Consultant | Interests 🗺global health🏏west indies🥭julie mango https://xitter.cf/t.co/Xo1UpxC4Xp

 Birmingham
Joined October 2019
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My latest paper on Paediatric Early Warning Systems Paediatric Early Warning Systems: prediction without proof? My central argument is PEWS have been evaluated as scores but implemented as systems. #PEWS #earlywarning authors.elsevier.com/a/1nk90… (open access for 60 days)
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Anandi retweeted
The BMJ
@bmj_latestAug 24
NHS England has said it is not unlawful to access patients’ data for “legitimate and appropriate work purposes” in updated guidance to staff, a move welcomed by the BMA bmj.com/content/394/bmj-2026…

NHS clarifies “legitimate purposes” for which staff can access patient data

NHS England has said it is not unlawful to access patients’ data for “legitimate and appropriate work purposes” in updated guidance to staff, a move welcomed by the BMA. Last month NHS England chief...

bmj.com
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If you have a baby who struggles with a completely normal physiological consequence of growing please don’t stick a plastic tube up their bum… MHRA formally advise to stop using these over the counter treatments gov.uk/drug-device-alerts/al… HT @NCMD_England
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What's in a name! A true legacy
SWB ED@_swb_edJul 14
A celebration of the trail blazers who carved a path for future generations of South Asian female doctors.... A must read to understand how far society has come and how hard our mothers, grandmothers and great-grandmothers fought for the freedoms we now have 🙏🙏
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My fantastic colleague Dr Charlotte Durand has worked collaboratively with @RCollEM to produce a position statement on e-scooter use in children. Please have a read and share widely. rcem.ac.uk/wp-content/upload…
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🚨 Hot off the press! 🚨 Introducing the PRoMPT BOLUS study results — a landmark trial evaluating the safety & efficacy of normal saline vs. balanced fluids in suspected pediatric septic shock 🌍 9,000+ children 🏥 47 sites 🌎 5 countries And the winner is… 👇 nejm.org/doi/full/10.1056/NE… @nkuppermann @franbalamuth
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…both! PRoMPT BOLUS found: • 0.9% saline AND balanced fluids are safe & effective in suspected pediatric septic shock • Fluid type does NOT impact major outcomes (mortality, kidney injury) • Biochemical differences ≠ differences in patient-centered outcomes @PERC_network @PREDICT_network nejm.org/doi/full/10.1056/NE…

Balanced Fluid or 0.9% Saline in Children Treated for Septic Shock | NEJM

Whether treatment with balanced crystalloid fluid leads to better outcomes than 0.9% saline in children treated for septic shock is debated. In this pragmatic clinical trial conducted at 47 emergen...

nejm.org
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🚨Great news for children! 🚨 In 2012 we knew we could treat significant forearm fractures in children without surgery ovid.com/jnls/jbjsjournal/ab… It's only taken another 14 years to demonstrate this in a RCT... crafft.digitrial.com/results Well done @MrDanPerry and team!
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🚨New #PECARN Blog Post 🚨 Check out the latest blog, "The End of Routine Lumbar Punctures for the Febrile Infant 28 Days and Younger" @M_Lin walks through a recent #PECARN study to share the changing landscape of lumbar punctures for young infants Read it here 👉🏼 pecarn.org/pecarn_news/the-e… #PRIME #EmergencyMedicine #Pediatrics #FebrileInfant @JAMA_current

The End of Routine Lumbar Punctures for the Febrile Infant 28 Days and Younger?

For decades, the teaching in pediatric emergency medicine has been consistent: “Young febrile infants (0-28 days) with fevers get a full sepsis workup.” This traditionally means blood, urine, and...

pecarn.org
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Anandi retweeted
ADC@ADC_BMJ14 Nov 2025
Medicines update - Use of tranexamic acid in children with major haemorrhage Good trial evidence of effectiveness in adults, but lacking in children. Good safety profile, so may be useful to use ep.bmj.com/content/early/202…
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You’re a little slow to the party.
Nicki Minaj
@NICKIMINAJ22 Oct 2025
Idk who needs to hear this, but you’re beautiful.
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"Your roots are your strength, giving you a unique lens through which to care, lead and innovate" - Dr Shivan Pancham, NHS consultant haematologist. Celebrating all our South Asian NHS staff - past & present 💙 #RootstoRoutes #SouthAsianHeritageMonth
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Meanwhile in Birmingham 😎
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An exciting two days of PEM with like minded folks Thank you @PremierWessex Here's some pics of Winchester beauty as,@DurrantNiall has conference content covered – at Winchester, England
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– at Winchester, England
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– at North Hinksey Village, England
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– at Winchester, England
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🚨Adverse events from procedural #sedation are rare - occurring <1% of the time High-quality care can mitigate the risk of adverse outcomes Review these resources from @EMSCImprovement Pediatric Education and Advocacy Kit (PEAK): Procedural Sedation bit.ly/4hBpjo2
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