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Professor Aisling Snow

Clinical Associate Professor (Paediatrics)
TALLAGHT HOSPITAL
      
Profile Photo

Professor Aisling Snow

Clinical Associate Professor (Paediatrics)
TALLAGHT HOSPITAL

 asnow@tcd.ie

 3531896 3763


  3D Printing   BONE DENSITY   Clinical Logistics   Clinical Workflow   Congenital Cardiac CT   Diagnostics   DXA   Foetal Abnormality   Health Planning/Policy   Magnetic Resonance Imaging (MRI)   MRI   MUSCULOSKELETAL SYSTEM   PAEDIATRIC   paediatric radiology   QUALITY ASSESSMENT   RADIOLOGY   Radiology, tomography and medical imaging   ULTRASOUND
Project Title
 Application of Logistics Principles to Optimisation of Paediatric Radiology Workflows
From
2020
To
Ongoing
Summary
This is a novel approach to managing the complexity of paediatric radiology services. Paediatric radiology departments are more complex than those in adult hospitals due to the frequent need for sedation and anaesthesia to achieve diagnostic imaging. This project is in conjunction with the corporate management and IT departments in Children's Health Ireland and researchers in the Trinity Business School and will analyse current workflows and optimise them using business logistics principles. The aim is to prospectively optimise workflows in the radiology department in the New Children's Hospital (which will be the largest in Europe) before commencement of service there. This will mean that we can get better value from our staff and our equipment and should improve staff, parent and patient satisfaction with the service being provided
Project Title
 A data-driven approach to the age at which female paediatric patients should be subject to pregnancy status determination prior to imaging using ionising radiation
From
2018
To
2021
Summary
Young patients are vulnerable when attending unfamiliar medical locations such as radiology departments. At present all female patients over the age of 12 years are asked about pregnancy when attending for certain imaging studies that use radiation. The choice of this age is not evidence based and the question is often asked in a rushed manner and usually by someone not known to the patient. This project is using population data to analyse the pregnancy inflection age and allow pregnancy questioning to instead commence at the age where we see the pregnancy rate become significant in our paediatric population. This will be applicable to radiology departments across the country using Irish data and around the world using suitable local datasets.
Project Title
 Using Simulation Techniques to Teach Upper GI Contrast Study Technique to Non-Paediatric Radiologists
From
2021
To
Summary
Using simulation techniques to allow widespread teaching of a key paediatric radiology technique (upper GI contrast study) to general radiologists who don't work in specialised children's hospitals. Upper GI contrast studies are a fluoroscopic imaging technique that allow skilled radiologists to diagnose small bowel malrotation and midgut volvulus in babies with bilious vomiting. Prompt diagnosis is imperative to allow emergency surgery to be performed in positive cases. Teaching of this technique is challenging due to the unplanned nature of the condition and widely dispersed radiologist workforce. This will be a novel simulated learning tool that will allow all radiologists to gain the specialist skills (normally only available in Children's Hospitals) required to diagnose babies with midgut volvulus (and exclude it) in hospitals of first presentation, avoiding the need for multiple patient transfers to Dublin every year. Unecessary transfers delay care for those who need it and cause stress, anxiety and potential harm to those who don't. This collaborative project is being planned and will involve the Trinity School of Computer Science and the RCSI SIM Centre for simulation in education and research.
Project Type
Novel technique development

Details Date
Chair, Radiology Equipping Decision Group, Children's Health Ireland - responsible for delivering the equipment required to run the new department 2019
Clinical Lead for Paediatric Radiology, Children's Health Ireland. Responsibility for coordinating the integration of the paediatric radiology services in Crumlin, Temple Street and Tallaght into one entity. Involves mobilising teams of relevant staff members and leading subgroups tasked with planning workforce, IT, administrative, QA, research, education, interventional radiology, radiation protection and patient safety aspects of the service. 2015
Member of the Healthcare Technology Equipping Group, Children's Health Ireland. This group reported to the board of hospital and to the National Paediatric Hospital Development Board and was tasked with overseeing the healthcare equipment procurement for the new children's hospital. I was the only clinician on the committee and led clinical evaluation of the options for how to equip the hospital in general and the radiology department in particular. 2017
Paediatric Radiology Subgroup, Faculty of Radiologists, RCSI 2018
Member, Radiation Safety Committee, Children's Health Ireland - responsible for ensuring statutory compliance with radiation safety best practice 2018
Member of Cross Hospital Paediatric Radiologists Group, Dublin. I designed the governance structure for our specialty that has been accepted by the CEO of the CHI hospital group and now applies to our method of managing the process of integrating the 3 hospitals into 1. As part of this the Cross Hospital Paediatric Radiologists Group has responsibility for policies and protocols in paediatric radiology. 2017
Chair of Radiation Quality Assurance Group, Children's Health Ireland at Crumlin - tasked with integrating the current approaches in the existing hospitals to radiation safety, and designing the future structure of the radiation safety programme in the New Children's Hospital 2017
Reviewer, Journal of Ultrasound in Medicine
Member of the Residency Review Committee, Boston Children's Hospital - Fellow representative - responsible for assessing residents' competency and determining suitable for sign off from their rotation in paediatric radiology 2012
Member and Fellow representative, Graduate Medical Education (GME) Committee, Boston Children's Hospital - responsible for decision making about fellowship training programs, including eligibility of foreign graduates 2013
Member, Non-Consultant Hospital Doctor committee, Irish Medical Organisation 2009
Radiology Registrar Rota Coordinator, Tallaght University Hospital - responsibility for drawing up fair and effective rotas for daily work and call cover for all radiology registrars 2010
Language Skill Reading Skill Writing Skill Speaking
English Fluent Fluent Fluent
French Medium Medium Medium
Irish Medium Medium Medium
Details Date From Date To
Fellow of the Faculty of Radiologists, RCSI 2011 Current
Fellow of the Faculty of Sports and Exercise Medicine, RCPI/RCSI 2018 Current
European Society of Skeletal Radiology 2014 Current
American Institute of Ultrasound in Medicine 2015 Current
Society for Paediatric Radiology 2012 Current
European Society for Paediatric Radiology 2011 Current
Radiological Society of North America 2018 Current
Member of the Irish Medical Organisation 2004 Current
Member of the Irish Hospital Consultants Association 2018 2020
A Snow, A radiologist's perspective on protection of the fetus in a paediatric hospital, EURADOS Winter School 2020, Online, February 4th , 2021, European Radiation Dosimetry Group, Invited Talk, PUBLISHED
Lane L, deGascun C, O'Connor P, Cronly S, Snow A, Cryan J, Multicystic encephalomalacia the neuropathology of systemic neonatal parechovirus infection, Pediatric and Developmental Pathology, 2021, pDOI 10.1177/10935266211001645 , Notes: [ ], Journal Article, PUBLISHED
Mulholland, D; Snow, A, The evaluation of palpable thigh modularity in vaccination age children - differentiating vaccination granulomas from other causes, Journal of Medical Ultrasound, 2021, Journal Article, ACCEPTED
Snow A., Taylor G.A., Coronavirus Disease 2019 (COVID-19) Imaging Austerity: Coming Back From the Pandemic, Journal of the American College of Radiology, 17, (7), 2020, p903 - 905, p903-905 , Journal Article, PUBLISHED  DOI
Breatnach, Colm; Snow, Aisling; Nolke, Lars; Oslizlok, Paul, Cardiac Strangulation Causing Refractory Cardiac Arrest, Cardiology in the Young, 30, (10), 2020, p1535 - 1537, Notes: [Accepted July 21, 2020, pub September 2020], Journal Article, PUBLISHED
Breatnach, C.R., Snow, A., Nolke, L., Oslizlok, P., Cardiac strangulation causing refractory cardiac arrest during elective pacemaker revision: A cautionary tale, Cardiology in the Young, 30, (10), 2020, p1535-1537 , Journal Article, PUBLISHED
Martin, Therese, Moore, Mary, Melody, Laura, Nolan, Beatrice, Snow, Aisling, Govender, Pradeep, Blackburn, Carol, Going out on a (clotted) limb - an interesting case of paget-schroetter syndrome in a young adolescent, BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2019, Conference Paper, PUBLISHED  DOI
Walsh B, Fennessy P, Ni Mhuircheartaigh R, Snow A, McCarthy KF, McCaul CL, Accuracy of ultrasound in measurement of the pediatric cricothyroid membrane., Paediatric anaesthesia, 2019, Journal Article, PUBLISHED
Joyce EA, Farrell T, McMorrow J, Mulholland D, Browne KM, Snow A, Are adult carpal angle measurements applicable to the pediatric population in the trauma setting?, Skeletal radiology, 2018, Journal Article, PUBLISHED
Smyth AE, Kaleviste E, Snow A, Kisand K, McMahon CJ, Cant AJ, Leahy TR, Aortic Calcification in a Patient with a Gain-of-Function STAT1 Mutation., Journal of clinical immunology, 2018, Journal Article, PUBLISHED  DOI
  

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O'Connor R, Ryan S, Snow A, 'Paediatric Radiography Protocols for Children's Health Ireland', version 1, 2018, -, Protocol or guideline, PUBLISHED
A Snow, Paediatric Radiology, Paediatric Trainee Study Day, RCPI, Kildare Street, April , 2018, Invited Talk, PUBLISHED
L Fitzgerald, A Snow, Audit of Physical Marker Use in Paediatric Radiology, 2018, Poster, PUBLISHED
A Snow, Designing for Success - Radiology Planning for the New Children's Hospital, Annual Scientific Meeting, Faculty of Radiologists, RCSI, Dublin, September, 2017, Invited Talk, PUBLISHED
A Snow, Paediatric MRA/MRV, Irish MRI Meeting, Kilkenny, January, 2017, Invited Talk, PUBLISHED
A Snow, Paediatric Iliofemoral Ligament Tears, Charter Day, RCSI, Dublin, February, 2017, Invited Talk, PUBLISHED
A Snow, Paediatric Radiology for Paediatricians, RCPI Paediatric Study Day, Royal College of Physicians of Ireland, 2017, Invited Talk, PUBLISHED
A Snow, Update on Foetal MRI, Irish Perinatal Society Meeting, RCPI Kildare Street, October, 2016, Invited Talk, PUBLISHED
A Snow, Murphy D, Mc Coubrey S, Paediatric Perspective on Pregnancy in Imaging, National Pregnancy Policy Workshop, Dublin, February, 2016, Invited Talk, PUBLISHED
A Snow, C Brenner, D Rea, 'Neonatal Ultrasound Referral Guidelines', Coombe Women and Infants Hospital, 2012, -, Protocol or guideline, PUBLISHED

  


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Award Date
Scholarship, Trinity College Dublin 2001
Fellowship of the Faculty of Sports & Exercise Medicine (RCSI/RCPI) 2018
Innovate Course for entrepreneurs, Enterprise Ireland/Guinness Enterprise Centre/Dublin Business Innovation Centre 2018
Entrance Exhibition, Trinity College Dublin 1998
Junior Grant of the European Society for Paediatric Radiology - bursary to support attendance at the annual meeting, awarded to promising trainees 2013
Kinsale Sharks Design awards Gold Award (only one awarded) for the Crumlin-Disney X-ray Toy Story collaboration, Print category, 2018 2018
EPICA International Design awards, Gold winner, X-ray Toy Story Disney collaboration, 2018 2018
Senior House Officer (trainee doctor) of the Year, Tallaght University Hospital 2011