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#WILTW number 3
It’s still busy and lots of bronchiolitis. Two weeks ago I discussed using the @NICEComms guidance to manage routine cases as efficiently as possibly. But not every cases of bronchiolitis is ‘routine’
A baby is admitted with their second episode of bronchiolitis, both times RSV negative, this time quite unwell and needing a lot of respiratory support. Just bad luck of suggestive of an underlying respiratory condition?
@Damian_Roland update on the @UKHSA RSV data is really helpful.👇 There are a lot of susceptible infants who have not yet had RSV so this years outbreak still has a way to run.
Reflecting on my #WILTW 🧵. When we follow the latest NICE bronch guidance children often need ⬇️investigations and treatment than we might be used to. threadreaderapp.com/thread/1446588…
This means children spend more time at home with their families 🏠👪 and can help to reduce the pressure on our A&E departments and paediatric wards. 🏥🚑
Like hospitals across the country we’ve had lots of children with RSV bronchiolitis and been working hard to implement the new @NICEComms guidance. nice.org.uk/guidance/ng9/c…
Thankfully, most children with bronchiolitis get better on their own so we’ve been trying to ⬇️ unnecessary CXR, blood gases, NG tubes, suction, nebulisers and oxygen therapy. 
Every week @ESHTNHS the paediatric dept have a grand round when the consultant of the week 🐄 hand over. It’s multidisciplinary and an opportunity to get colleagues advice on complex cases and how me manage common paediatric conditions
The paediatric consultants have got over 100 years of paediatric experience between them😬. I learn something every week - often from the nurses.
The meeting is also a rich source of ideas about how we can improve paediatric services locally and nationally.
