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Michael Barrett

@peri-dublin.bsky.social
209 followers 297 following 34 posts

Paediatric Emergency Medicine Dublin | Clinician Researcher | Paediatric Emergency Research and Innovation (PERI) group

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Reposted by Michael Barrett
Ryan Radecki MD MS @www.evidencetriage.com · 25/02/2026
Don't trust ChatGPT Health – or likely any general health LLM – to give you medical advice in the context of a serious acute illness. Patient triage is clearly outside its functional requirements. #medsky www.evidencetriage.com/p/the-chatgp...
evidencetriage.com
The "ChatGPT Health Will Kill You" Study
LLMs can't triage, for the millionth time.
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Reposted by Michael Barrett
Forbes @forbes.com · 24/02/2026
Teachers have warned AI is hampering students’ ability to learn—but most of them are using it anyway.
forbes.com
Teens Use AI For Schoolwork—And Maybe To Cheat, New Survey Shows
Teachers have warned AI is hampering students’ ability to learn—but most of them are using it anyway.
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Reposted by Michael Barrett
eachcommunication.bsky.social @eachcommunication.bsky.social · 10/02/2026
Do you have a completed piece of original research? Submit it to #ICCH2026 in the form of an oral or poster presentation. If your research or project isn’t quite finished, have a look at submitting under our Work In Progress category 🔗 fitwise.eventsair.com/icch2026/eve... #EACH
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Reposted by Michael Barrett
National Office of Clinical Audit (NOCA) @noca-irl.bsky.social · 10/02/2026
Kayla Murphy presents “Probing for Change,” a project supporting greener and more sustainable emergency care by limiting unnecessary use of disposable equipment at CHI Crumlin. #NOCA2026
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Reposted by Michael Barrett
National Office of Clinical Audit (NOCA) @noca-irl.bsky.social · 10/02/2026
Welcome to NOCA 2026! Collette Tully, Executive Director of NOCA, welcomes 500+ attendees to NOCA’s Annual Conference: From Audit to Action, here in the @rcsi.bsky.social, opening a day focused on quality improvement through audit and action. Follow #NOCA2026 for updates! @hselive.bsky.social
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Reposted by Michael Barrett
National Office of Clinical Audit (NOCA) @noca-irl.bsky.social · 10/02/2026
Opening Address from Jennifer Murnane O’Connor TD, Minister of State for Public Health, highlighting the role of clinical audit, wellbeing and national strategies in improving healthcare. "You are never a burden on the HSE, if you feel like there is something wrong, you can rely on us." #NOCA2026
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Reposted by Michael Barrett
National Office of Clinical Audit (NOCA) @noca-irl.bsky.social · 10/02/2026
Louise Brent, NOCA Head of Audit Management, and Michael Madigan, PPI Representative, present the NOCA Impact Report 2026, showing how audit drives measurable improvements in patient care. "At NOCA, PPI is not just a checkbox, its a way of putting patients at the centre of their work" #NOCA2026
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Reposted by Michael Barrett
National Office of Clinical Audit (NOCA) @noca-irl.bsky.social · 09/02/2026
Tomorrow: NOCA Annual Conference 2026! Theme: “From Audit to Action: A Culture of Improvement” highlighting how audit can drive real impact. Thanks to our sponsors: GS1 Ireland, DMF Systems & NEC Software Solutions 🙏 See you all tomorrow! Full programme: a.storyblok.com/f/265949/x/d...
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Reposted by Michael Barrett
Dennis Ren MD @dennisrenmd.bsky.social · 18/01/2026
Management of the febrile infant has changed quite a bit. @spiroskara.bsky.social and I cover the @jama.com paper from Drs. Burstein and Kuppermann. You may no longer need to LP infants <28 days if they meet @pecarn.bsky.social low risk criteria! buff.ly/3ngdS5R #PedSky #PedsEM #FOAMed #MedSky
buff.ly
How Low Can You Go? Rethinking Lumbar Punctures for Well-Appearing Febrile Infants
Do you need to perform an LP on every infant under 28 days of age or can we use the PECARN febrile infant rule?
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Reposted by Michael Barrett
Department of Health - Ireland @roinnslainte.bsky.social · 27/11/2025
The children’s flu vaccine is a quick, simple nasal spray. Book an appointment with your GP or participating pharmacy. It is also offered through some primary schools. www2.hse.ie/conditions/f...
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Reposted by Michael Barrett
Michael Barrett @peri-dublin.bsky.social · 21/10/2025
www.sciencedirect.com/science/arti...
sciencedirect.com
Treatment of acute trauma-related pain in children and adolescents with methoxyflurane (Penthrox®) compared to placebo (MAGPIE): a randomised clinical trial
Methoxyflurane, an inhalational analgesic, has proven safety and efficacy in clinical trials and clinical practice. This double–blind, well-controlled…
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Reposted by Michael Barrett
National Office of Clinical Audit (NOCA) @noca-irl.bsky.social · 31/10/2025
Join us Wed 5th Nov at 10am for the launch webinar for the Irish National Audit of Stroke National Report 2024 & Organisational Audit 2025. Hear key findings from Prof Joe Harbison, a patient story “From Stroke to Strength” and updates on the National Stroke Strategy. 🔗 www.noca.ie/news-events/...
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Michael Barrett @peri-dublin.bsky.social · 21/10/2025
www.sciencedirect.com/science/arti...
sciencedirect.com
Treatment of acute trauma-related pain in children and adolescents with methoxyflurane (Penthrox®) compared to placebo (MAGPIE): a randomised clinical trial
Methoxyflurane, an inhalational analgesic, has proven safety and efficacy in clinical trials and clinical practice. This double–blind, well-controlled…
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Reposted by Michael Barrett
Three Red Kings @threeredkings.bsky.social · 19/10/2025
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Three Red Kings @threeredkings.bsky.social · 18/10/2025
That was all the more satisfying because we beat Leinster in the exact way that they tend to lose games. Give them no defensive energy, make them attack, kick at a very high volume and then defend like you hate them.
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Reposted by Michael Barrett
John Launer @johnlauner.bsky.social · 09/10/2025
Medical students and residents learn formulaic ways of conducting consultations. But in reality these can often develop in multiple directions, and be more like freeform jazz than line dancing. How do we teach this? My latest "Talking Point" @bmj.com www.bmj.com/content/bmj/...
bmj.com
John Launer: The pluripotent consultation
Every time I teach, I try to introduce an exercise I’ve never done before. I hope this ensures that people are less likely to be bored if they’ve already been to one of my workshops, but it also keeps...
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Reposted by Michael Barrett
Goodishintent @omnintensivist.bsky.social · 09/10/2025
"Yeah, I'm not doing that" - Me
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National Office of Clinical Audit (NOCA) @noca-irl.bsky.social · 25/09/2025
National Audit of Hospital Mortality National Report 2022–2023. The report shows progress in reducing in-hospital deaths for heart attack, stroke, and pneumonia, while COPD rates have stabilised. For the first time, inequalities in hospital outcomes were also explored. www.noca.ie/documents/na...
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NEJM.org @nejm.org · 23/09/2025
Which is better? Lactated Ringer’s solution or normal saline? The latest video in our partnership with @glaucomflecken.bsky.social summarizes the FLUID trial. 👉 nej.md/DrG26 #MedSky #MedEd #Surgery
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Reposted by Michael Barrett
itern.bsky.social @itern.bsky.social · 18/09/2025
🚀📷 Thrilled to announce our latest research on chest drain complications in the ED is officially published in the @IMJ_IRL !! 📄 imj.ie/prevalence-o... huge shoutout to the incredible team that made this happen! #MedicalResearch #EmergencyMedicine
imj.ie
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Michael Barrett @peri-dublin.bsky.social · 15/09/2025
Paediatric Sepsis Priority Setting Partnership 🤝: A James Lind Alliance Priority Setting Partnership asking 👉 What sepsis research questions matter most to families, carers, and frontline professionals? Survey 1 is now live🔗 Take the survey www.passport-platform.org/research-pri...
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Prof. Damian Roland @damianroland.bsky.social · 13/09/2025
It's #worldsepsisday Please consider this Sepsis Research Priority Survey with the @LindAlliance Led by the sepsis expert @Dr_Elliot_Long as part of the PASSPORT study. www.passport-platform.org
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Prof. Damian Roland @damianroland.bsky.social · 13/09/2025
On #WorldSepsisDay highlighting editorial (with @apsmunro.bsky.social ) "Time for paediatrics to screen out sepsis “screening” www.bmj.com/content/381/... (For example screening, by definition, requires patient to be asymptomatic. But many patients receiving a “sepsis screen” are symptomatic)
bmj.com
Time for paediatrics to screen out sepsis “screening”
It is time to remove the term, “sepsis screen,” from the paediatric lexicon, argue these authors Despite the success of vaccinations against organisms such as Haemophilus influenza type B and Neisser...
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Reposted by Michael Barrett
National Office of Clinical Audit (NOCA) @noca-irl.bsky.social · 12/09/2025
Join us for the launch of the Major Trauma Audit National 2022 Report at our upcoming webinar on the 24th September from 10:00-12:30pm. Hear from Irish & international experts on helimedicine, AI, rehabilitation & the first year of Major Trauma Centres. 👉 Register now: www.noca.ie/news-events/...
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Michael Barrett @peri-dublin.bsky.social · 05/09/2025
Cant look away Can't Look Away is a gripping documentary that exposes the dark side of social media and its devastating impact on young users. youtu.be/kSmyNHKMYB4
youtu.be
CAN'T LOOK AWAY (2025) - Official Trailer | JOLT
YouTube video by Jolt Film
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Michael Barrett @peri-dublin.bsky.social · 05/09/2025
The evidence of harms of social media to children - what frontline doctors need to know #APEM25 @PERUKItweep #Peruki25
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Michael Barrett @peri-dublin.bsky.social · 05/09/2025
Great presentation slide synopsising the diagnostic challenge of investigating possible paediatric serious infectious illnesses in the emergency 🚨 setting #APEM25 #Edinburgh @PERUKItweep #PERUKI25 @damianroland.bsky.social
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Reposted by Michael Barrett
Prof. Damian Roland @damianroland.bsky.social · 04/09/2025
Post Lunch Stuart Hartshorn on the CURLY study Cefalexin for UTIs – Right treatment Length in Young children. curly.digitrial.com Interesting findings already on frequency of true culture positive in Children presenting to EDs #PERUKI25
curly.digitrial.com
The CURLY Study
The CURLY Study
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Prof. Damian Roland @damianroland.bsky.social · 19/07/2025
Our vaccine effectiveness study has just been released. "In keeping with the treatment to prevention principle of the #NHS 10 Year plan, we would ask all health care systems to consider how they will optimise the roll out of RSV vaccination for mothers" www.sciencedirect.com/science/arti...
sciencedirect.com
Bivalent prefusion F vaccination in pregnancy and respiratory syncytial virus hospitalisation in infants in the UK: results of a multicentre, test-negative, case-control study
Respiratory syncytial virus (RSV) is the leading cause of acute lower respiratory infections (ALRI) in infants younger than 6 months globally. A mater…
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Reposted by Michael Barrett
Prof. Damian Roland @damianroland.bsky.social · 04/09/2025
Having taken a hiatus from BlueSky I'm back. It's the @PERUKItweep conference 2025 Thomas Waterfield kicks off. One of the self proclaimed "UTI men" (with @stuarthartshorn) #PERUKI25
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Michael Barrett @peri-dublin.bsky.social · 04/09/2025
The ‘Not’-Easy Study #PERUKI25
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Reposted by Michael Barrett
Prof. Damian Roland @damianroland.bsky.social · 04/09/2025
And now Charlotte Durand on e-scooters Audit from Alderhey demonstrated a clear signal for the incidence of Major Trauma from e-scooters. Helmet wearing (or lack of) was an issue **Private e-Scooters are illegal** #PERUKI25
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Reposted by Michael Barrett
NPR @npr.org · 11/08/2025
In a rural Vermont county, spotty cellphone coverage is the norm. But a local tinkerer is using old technology to help his community stay connected free of charge.
n.pr
An engineer restores pay phones for free public use
In a rural Vermont county, spotty cellphone coverage is the norm. But a local tinkerer is using old technology to help his community stay connected free of charge.
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Reposted by Michael Barrett
National Office of Clinical Audit (NOCA) @noca-irl.bsky.social · 30/07/2025
Have your say - NOCA’s strategy survey is now live. We are currently developing NOCA’s next strategy, which will guide our work over the period 2026 to 2028. This short survey will take approximately 5 minutes to complete. 🔗 forms.office.com/e/dNsR3bHPDt
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Reposted by Michael Barrett
Dennis Ren MD @dennisrenmd.bsky.social · 27/07/2025
#SGEMPeds returns with 🍑y-O! Olanzapine vs diazepam for pediatric agitation. @bradsobo.bsky.social @thesgem.bsky.social @annalsofem.bsky.social #FOAMed #PedSky #MedSky #EMEdSky thesgem.com/2025/07/sgem...
thesgem.com
SGEM#480: In the End It Doesn’t Even Matter: Oral Olanzapine or Diazepam for Pediatric Agitation - The Skeptics Guide to Emergency Medicine
Reference: Bourke EM, et al. PEAChY-O: Pharmacological Emergency Management of Agitation in Children and Young People: A Randomized Controlled Trial of Oral Medication. Annals of Emergency Medicine. F...
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Reposted by Michael Barrett
WHO @who.int · 25/07/2025
Today is World Drowning Prevention Day. Every year, drowning claims hundreds of thousands of lives, most of these deaths being preventable. If you’ve taken action to prevent drowning, share it using #DrowningPrevention and tag @who.int. 👉 bit.ly/DrowningPrevention2025
The top half shows houses built on stilts over water, with the bold message "Anyone can drown". The lower half is underwater, with the words "no one should" partially submerged and distorted among rising air bubbles.
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NEJM.org @nejm.org · 13/07/2025
In the BATURA phase 3b trial, as-needed albuterol–budesonide resulted in a lower risk of severe asthma exacerbation than as-needed albuterol among participants with disease that was uncontrolled despite treatment for mild asthma. Full trial results and Research Summary: nej.md/43uVpwK
The New England Journal of Medicine              
As-Needed Albuterol–Budesonide in Mild Asthma 
A Research Summary based on LaForce C et al. | 10.1056/NEJMoa2504544 | Published on May 19, 2025  

Visual representations of the patients in the trial and the treatments they were assigned.                  

Read the full Research Summary at NEJM.org.
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Reposted by Michael Barrett
National Office of Clinical Audit (NOCA) @noca-irl.bsky.social · 09/07/2025
NOCA is seeking a Clinical Lead for the Irish Dementia Registry (IDR). 1 day/week (3-year term). IDR will be a clinically led development project which will record prospective data on people with memory impairment and dementia. Apply by 25 July 2025. Further details: a.storyblok.com/f/265949/x/7...
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JAMA Network Open @jamanetworkopen.com · 01/07/2025
Cluster RCT: Video streaming during EMS dispatch reduced the number of highest-urgency ambulance dispatches and 24-hour readmissions while maintaining patient safety. ja.ma/45PImaW
Visual Abstract
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Dennis Ren MD @dennisrenmd.bsky.social · 01/07/2025
🩸Calling all pediatric ED clinicians! Got 10 minutes to help? DFTB is studying when to measure & replace calcium in pediatric trauma patients (practice varies wildly!). @damianroland.bsky.social @andrewjtagg.bsky.social @katpriddis.bsky.social bit.ly/DFTBCalcium #PedSky #MedSky #SurgSky #TraumaSky
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National Office of Clinical Audit (NOCA) @noca-irl.bsky.social · 17/06/2025
📢 A brilliant session today hosted by NOCA with special thanks to Associate Professor Craig Lockwood from JBI @jbiebhc.bsky.social We are exploring how shared learning and international collaboration can drive quality improvement and evidence-based practice. @marinacronin.bsky.social
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Women in Medicine in Ireland Network @womenmedireland.bsky.social · 08/06/2025
#SundayWiMIN25 Week 23: Dr Carol Blackburn, Consultant in Paediatric Emergency Medicine at CHI Crumlin, Fellow RCPI Faculty of Paediatrics. National Specialty Director for HST Paediatrics at RCPI. ➡️ www.wimin.ie/sundaywimin25
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Prof. Damian Roland @damianroland.bsky.social · 08/06/2025
Is observation an investigation? www.youtube.com/watch?v=wtIw...
youtube.com
Observation Is An Investigation
YouTube video by Don't Forget The Bubbles
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Critical Care Reviews @criticalcarereviews.com · 06/06/2025
🚨 The Best Critical Care Trials in the World 🚨 ✅ Discussed 🔍 Dissected 📢 Disseminated 🎥 Free, full livestream #CCR25 🔗 criticalcarereviews.com/meetings/cc…
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National Office of Clinical Audit (NOCA) @noca-irl.bsky.social · 04/06/2025
The National Paediatric Mortality Register team, @peri-dublin.bsky.social, Cliona McGarvey and Maria Kehoe presented at Children's Health Ireland Grand Rounds recently. Prof Barrett & Maria Kehoe presented on the developments for the roll-out of the electronic notification system for NPMR. #CAAW25
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Royal College of Emergency Medicine @rcem.ac.uk · 03/06/2025
If you’d like to explore Paediatrics further, catch up on our on-demand study day: Paediatric Pearls and Pitfalls. It’s packed with essential learning on recognising red flags, managing critical presentations, and avoiding pitfalls in paediatric emergency care. Watch now: rcem.ac.uk/events/pa...
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Michael Barrett @peri-dublin.bsky.social · 30/05/2025
🚨 Join our team at Children’s Health Ireland as a Consultant in Paediatric Emergency Medicine! Shape the future of paediatric emergency care in Dublin. Apply now www.bmj.com/careers/job/... 
bmj.com
Consultant in Paediatric Emergency Medicine - Dublin (County), Leinster (IE) job with Children&#39;s Health Ireland | 705416
Purpose of the Role: This post along with the other Paediatric Emergency Medicine consultants will facilitate appropriate responsive consultant pre...
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Reposted by Michael Barrett
National Office of Clinical Audit (NOCA) @noca-irl.bsky.social · 21/05/2025
NOCA welcomes this key paper using Office of the State Pathologist data, underlining the need for a single child mortality reporting system. We are working on an e-notification process for the National Paediatric Mortality Register. 🔗 pubmed.ncbi.nlm.nih.gov/40280729/ @peri-dublin.bsky.social
pubmed.ncbi.nlm.nih.gov
Paediatric and perinatal deaths by the Office of the Irish State Pathologists: a 5-year retrospective cohort study - PubMed
Homicide was the leading cause of referred cases at 31% over 2018-2022 and 29% between 2012-2022. While the OSP provides a high standard service, key areas of improvement include the reporting of SIDS...
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WHO @who.int · 19/05/2025
WHO faces a 21% reduction from the original proposed budget for the 2026-27 biennium. “If we think US$ 2.1 billion a year is ambitious—or $ 4.2 billion for the biennium—then either we must lower our ambitions for what WHO is and does, or we must raise the money.” - @drtedros.who.int bit.ly/3ZrwCXZ
Text on dark background reads:
4.2 billion dollars for two years – or 2.1 billion a year – is not ambitious, 
it’s extremely modest.

2.1 billion dollars is the equivalent of:

8 hours of global military expenditure or,
1 stealth bomber or,
3 months’ advertising expenditure by the tobacco industry.

"It seems somebody switched the price tags on what is truly valuable
in our world."

Dr Tedros Adhanom Ghebreyesus, WHO Director-General
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Reposted by Michael Barrett
Picard Tips @picardtips.bsky.social · 18/05/2025
Picard management tip: Exercise makes you smarter. Don't just sit there thinking. Get up.
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