Discover and read the best of Twitter Threads about #PedsICU

Most recents (24)

OK, time for a tweet summary of what we know from the paediatric literature about #COVID19 in kids SO FAR

Given the disease has only existed for 3 months, it's quite a lot...

#FOAMPed #PedsICU #IDTwitter

1/7
Kids get MUCH less severe disease than adults. Mortality AND critical illness v. low (close to 0%), confirmed from both China and Italian data

pediatrics.aappublications.org/content/pediat…

jamanetwork.com/journals/jama/…
2/7
Kids PROBABLY acquire the disease less often than adults. Low rates seen in symptomatic cohorts, and in S Korea which had higher rates of population screening.

statista.com/statistics/110…

Japanese contact tracing found lower attack rates in children

medrxiv.org/content/10.110…

3/7
Read 8 tweets
1/39 2nd podcast & tweetorial for Pediatrica Intensiva, the art & science of pediatric intensive care. Here, an update on the realities of battling a tsunami of #COVID19 with intensivists Giovanna Colombo & Lorenzo Grazioli from Bergamo, Italy

#ICU #pedsICU
Here's the link to the recording

podcasts.apple.com/au/podcast/ped…
2/39 But first, a story about 2 real life heroes in the midst of #COVID19. #ICU & #pedsICU docs Giovanna Colombo & Lorenzo Grazioli are working in the epicentre of the outbreak. They’ve seen countless deaths & know that to save many they can’t save all
Read 22 tweets
I spent the afternoon with many @HopkinsMedicine colleagues making #ppe for the staff. I am sharing (with permission) the steps and materials for making faceshields of your own. We are all in this together. ❤️💪🏼 #PPEshortage #ppeisnotoptional #PedsICU #covid19 #ICU #healthcare
@AOC @BarackObama @HillaryClinton @SenSchumer @SenateDems @JoeBiden @3M we need your help! The #PPEshortage is real and many of us are helping make #ppe to keep our colleagues in #healthcare safe. #GetMePPE #ppeisnotoptional #WeNeedPPE
Read 3 tweets
All "Mechanical ventilation for dummies" videos in one thread so we can have a bit of discussion around each topic. All questions encouraged, will try to answer to the best of my knowledge! @lberto_Medina #SoMe4MV #PedsICU
I will dedicate each video to a friend and ask them to help me with the discussion (no pressure). We are learning together, and we are a team!
1. Lung simulator. Here we learn how to build a low cost simulation device to help with our teaching. And who will be better to discuss simulation than my colleague @davidgrantsim!
Read 9 tweets
#medtwitter- now not time to dress up at work. Do it like staff in operating room. #COVID19 #ICU #pulmcc #PedsICU

1. Wear “Commute clothes” from home. Old stuff/shoes you don’t care about.

2. Remove commute clothes before any pt/team contact in office/locker room.

1/
3. Wear Surgical scrubs from machine if possible- if you don’t have access see if you can get it. Otherwise keep several clean pairs of scrubs in locker/office

4. Deposit scrubs end of day or if not from machine,keep in closed bag.

#covid19 #medtwitter #icu #PedsICU #pulmcc
2/
4. Wear Commute clothes home, straight into wash.

5. Repeat.

Trust me this is important- do not wear your clothes home. #SocialDistancing #covid19 #medtwitter
Read 3 tweets
1/31 1st podcast & tweetorial for Pediatrica Intensiva, the art & science of pediatric intensive care.

Incredible real experience of battling 100s of #COVID19 cases with intensivists Giovanna Colombo & Lorenzo Grazioli from Bergamo, Italy

#ICU #pedsICU
apple.co/39QmpIV
2/31 “The problem is seeing the outbreak in the other part of the world…is very different when you face it. Now the outbreak is here. We are the epicentre of the earthquake”

#COVID19 #ICU #PedsICU
apple.co/39QmpIV
3/31 “Lombardy is one of the richest regions in Europe, & its healthcare is one of the best in Europe. If we are in this situation with #COVID19, you can imagine the rest of Europe”

#ICU #pedsICU
apple.co/39QmpIV
Read 32 tweets
T1. Each March for the last decade, I have given a visiting lecture at @GWpublichealth "Mathematical Modeling of Infectious Disease Epidemiology", which combines my love of math w/ work relevant to my life in the #PedsICU (disclaimer: I am not an ID doc)
T2. This year unfortunately, we weren't able to find a date that worked but given the emergence of #COVID19, I thought it might be worthwhile providing a little context to some of the terms being thrown around the interwebs.
T3. "I simply wish that, in a matter which so closely concerns the wellbeing of the human race, no decision should be made without all knowledge which a little analysis and calculation can provide" Daniel Bernoulli (yes, the 0,1 guy) 1760 onlinelibrary.wiley.com/doi/abs/10.100…
Read 13 tweets
Ahmeneh Ghavam from U of Chicago: first speaker in ethics of rationing in #PedsICU #CCC49
Ghavam : objectives and overview #CCC49 #PedsICU
Ghavam: how did we get here? #CCC49 #PedsICU by 2030 we’ll spend more than 20% of GDP on healthcare in the US
Read 38 tweets
The moment we have been waiting for!! @jerjohzimm #sepsis @PedCritCareMed @ESICM #ccc49 (thread)

#sepsis #PedsICU

bit.ly/3bJIr1k
.@PierreTissieres is up first introducing the process & rationale #CCC49 #PedsICU #Sepsis
@TexKissoon tells us “Why Now”? #ccc49 #PedsICU #sepsis

Burden is highest on #children, and deaths occur early in the course
Read 21 tweets
Si escribo coronavirus probablemente encienda en tu cabeza varias alarmas.
Si lees que, como todo virus, no suele requerir de tratamiento específico quizá esa alarma suene extraña.
Si añades distancia e incertidumbre tienes un cóctel revuelto y agitado.
Hablemos del cóctel pues.
Este #HiloYTal tendrá los siguientes apartados:
1️⃣ La COPIA RARA
2️⃣ El PERO
3️⃣ La CURA
4️⃣ La ALERTA
5️⃣ ¿Conclusión?
1️⃣ La COPIA RARA
El coronavirus depende de aquel a quien infecta para replicarse. Tipo con instrucciones pero sin material ni herramientas.
Llega al individuo, alcanza las células que tapizan su vía aérea y entra en su interior para amueblarse la casa.
Read 34 tweets
Prevención de #Quemaduras🧯🚒

Enfoque Pediátrico. Por nuestros niños.

Abro hilo, iniciamos y abierto los comentarios 👨‍⚕️👩‍⚕️

#tweetorial #MedEd #PedsICU
Los esfuerzos para reducir la incidencia de quemaduras han tenido resultados variables.
El asesoramiento familiar en las visitas al pediatra en el control de niño sano puede ser lo más efectivo.
Existen programas educativos y en lugares públicos que buscan prevenir este tipo de accidentes, siendo estos diferentes en cada país.
Read 27 tweets
🚨Junto a @Dr_Hari_Krishna hicimos selección 🇬🇧🇪🇸de mejores artículos 📑 2⃣0⃣1⃣9⃣ en #PedsICU para @PICJournalWatch

Comparte y comenta!
#Tweetorial acompañante

Lista PDF👉docs.google.com/viewer?a=v&pid…
Infográfico clickeable👉docs.google.com/viewer?a=v&pid…
Pubmed👉ncbi.nlm.nih.gov/sites/myncbi/h…
@Dr_Hari_Krishna @PICJournalWatch @Nopanaden @curso_vm @miguelrdgzrubio @LA_Rednetwork @WFPICCS @SapnaKmd @jramonfernandez @PedCritCareMed @ChrisCarrollMD @pccm_doc 3/ La colección es incompleta. Muchos buenos estudios han sido publicados durante 2019. Ayúdanos a completarla y comparte tus ideas!

Surely this colection is incomplete. Many good studies have been published during the past 2019. Feel free to share with us!

#PedsICU #BestOf2019
Read 30 tweets
1/15 #Fever #tweetorial

Parents and paediatricians alike are obsessed with fever

We've all got fever fever 🔥 But it is SO misunderstood

Let's take a look at what fever actually is, and finish off with some myth busting!

#FOAMPed #FOAMed #IDTwitter #PedsICU #PedsID
2/15
Fever (pyrexia) is an elevated core body temperature as part of a physiological response to infection controlled by the hypothalamus

This is opposed to hyperthermia, a pathological elevated temperature

This is important, as your body is IN CONTROL. Fever happens on purpose
3/15
What temperature counts as a fever?

There's no strict definition (there's no really good data on what a "normal" temperature is...), but an arbitrary cut of off 38C is often used.

Its better taken in context; 37.8C following temps >38.5C is probably still a fever.
Read 15 tweets
Tweetorial of @AparnaHoskote ‘s fantastic talk on #ecmo pearls for #singleventricle #chd in the #PedsCICU #PedsICU at #jpccim2019. Single ventricle pts have 43% ecmo survival. Several tweets to follow with pearls for how to optimize! @PICS_Conference @PCICS2 @PICSociety
1/10
Pearl 1: Timing is important; go on #ecmo electively
#jpccim2019 2/10
Pearl 2: hypoxemia is a better indication with better prognosis than hypotension (I.e. shunt issues are better than cardiac dysfunction) #jpccim2019 3/10
Read 10 tweets
Herniación Cerebral en Traumatismo Craneoencefálico
#PedsICU #FOAMed #MedEd

Abro hilo, iniciamos y abiertos los comentarios👩‍⚕️👨‍⚕️
Último hilo del año sobre la serie de #TCE.
Antes de iniciar, te dejamos los 4 enlaces de la serie completa (#tweetorial):

1. Abordaje Prehospitalario e Inicial en el TCE
Todo empieza antes de llegar al Hospital, así se logra el mejor desenlace.

2. Cuidados basales en el #TCE Severo
Lo que todo paciente con Escala de Coma de Glasgow igual o menor de 8 debe recibir.

Read 31 tweets
#Quemaduras en Pediatría (#Burn)🔥

Parte 2/2. Abordaje y Tratamiento.🏥

Abro hilo, iniciamos y abiertos los comentarios.👨‍💻

#PedsICU #tweetorial
Antes de continuar este hilo, recuerda pasar a revisar la primera parte, por lo que te dejamos el enlace⬇️

Recordemos que en todo paciente grave, tener la mayor información posible antes de que llegue a Urgencias es fundamental.
El mejor desenlace ocurre con un adecuado apoyo prehospitalario, por lo que debemos apoyar a los servicios prehospitalarios y contribuir a su capacitación.
Read 23 tweets
Palliative & end of life care is a small but critically important part of #pedsICU

Our community has the knowledge & skills that our patients need but we lack simple & robust frameworks

My talk on #pedsPC at @worldcongressic #WCIC19
@worldcongressic Few kids die but they die after long battles, with chronic illnesses & in hospital or #pedsICU

¾ kids who die in PICU do after WLST

= palliative care in the PICU is inextricably linked with care in the PICU, & we are the best ppl to manage it

#pedsPC #WCIC19 @worldcongressic
@worldcongressic A simple & robust framework for palliative care in the #pedsICU

1. See clearly (use benefits vs burdens)
2. Build professional consensus
3. Create shared understanding w family
4. Offer active palliative care

#pedsPC #WCIC19 @worldcongressic
Read 7 tweets
Why is so important (even vital) to improve research networks in LMICs ?
Here an awesome example of why NO ONE IS BETTER THAN ALL TOGETHER

Nadie es mejor que todos juntos. Sobre la importancia del trabajo en RED.

#PedsICU @WFPICCS
(Thread/Hilo)
1/x
2/x
First, CONTEXT. Look at this video from Queen Elizabeth Central Hospital in #Malawi 🇲🇼
Primero para conocer el CONTEXTO, miren este video

3/x
In 2014, this trial on bCPAP for #RDS in #preterms was published in @PLOSMedicine

Artículo salido en 2014 sobre CPAP en SDR neonatal

👉87 👶/ 1🏥

journals.plos.org/plosone/articl…
Read 6 tweets
With the help of @PICJournalWatch @harrykchris we though we could put together a collaborative thread with useful #PedsICU resources like apps, websites, blogs and accounts. This thread is open so please don’t hesitate to add yours. Here are mine 👇🏻
Apps:
- I-Perfuse: great tool for anything cardiovascular including #ECMO cannula sizes, equations, a calculator... very useful for #PedsCICU
- Heartpedia: awesome 3D models of heart anatomy. Also great for teaching at the #PedsCICU. And it was created by the great @pccm_doc
Apps continued:
- The Sanford Guide: it costs 25€/year. I’d pay 250€ since I use it everyday in the #PedsICU. Basically everything you need to now about antibiotics and bugs #PedsID.
Read 14 tweets
Cuidados de Segundo Nivel en #TBI

Abro hilo, iniciamos y abierto los comentarios👩‍💻👨‍💻

#PedsICU #EduMed #MedEd
Cuarto hilo de #TBI enfocado a los casos Severos por Escala de Coma de Glasgow. Te sugerimos leer los hilos previos para continuar la temática (Abordaje prehospitalario y Urgencias, Cuidados Basales y Terapias de Primer Nivel)
Iniciamos comentándote que todas las terapias de segundo nivel "cuentan con mayor cantidad de efectos adversos", por lo que debes estar preparado para tratar estos efectos y saber como solucionarlos (te cobrarán factura). Una vez mencionando esto, iniciamos.
Read 25 tweets
1/11
Short #Tweetorial

How did we started with heated humified high flow nasal cannula in 🇺🇾 ?

Easy explanation of 3 #HHHFNC homemade models #HFNC devices?

(No COI to declare)

#PedsICU #SoMe4MV #historyofmedicine @WFPICCS
2/
It is really easy.
You can get information of its uses and applications in this nice review in @respcare ▶️ncbi.nlm.nih.gov/pubmed/27016353

This is basically the diagram 👇
3/
So back in 2012 in our country we wanted to try some kind of respiratory support for the youngest infants in which interfases for #NIV was difficult.

SO we came up with an idea: What if we dismantle the old ventilators we do not use any more?

Like this ones 👇
Read 13 tweets
#PedsICU #FridayQuiz
2/12term👶♀
PrevF+W
24h⬆️WOB
🚑🔜🏥
O/E
HR200-220
RR↕️-gasps
Sats85%(L=R)FiO2 15L/min
CRT6
A♈️PU
BP34/14-L=R
AF↔️
⬇️AE Lbase
❌murmurs
pulses feeble-palpable
❌rash
A)ETT plan-drugs/preox?
B)Post ETT plan
C)Ddx
D)InterpretECG&identify intervention @Τ=5
/1
Acronyms
F+W Fit&Well
↕️Variable
♈️Responds to voice
↔️Soft
L=R Equal bilaterally
⬇️AE Decreased air entry
Ddx Differentials
Cases from published peer reviewed reports
Answers next week
Focus on management
Tomorrow is the 1 year anniversary of the #PedsICU #FridayQuiz/2
🎈 🎉 🍰
It has grown into this collaborative #FOAMed clinical storytelling platform that is fun, evidenced based & credible.
It wouldn’t have been a success without all the people that supported it from the very beginning and all of you playing along /3
Read 13 tweets
Citation counts come from OTHER RESEARCHERS. They are important, yes.

But, sharing #science on #SoMe=broad & instantaneous dissemination to those who focus their time AT THE BEDSIDE. Which may surprise some- but is MOST OF MEDICINE especially....#anesthesiology.(Thread) #AUA2019
A metric like the “Kardashian Index” *MAY* be relevant in genome biology where the proportion of basic/translational science is significantly higher and no immediate bedside application for a general practitioner is there. (and I’m making an assumption here) #medtwitter #aua2019
When your #research is relevant primarily to other #scientists who are also writing research papers then citation counts do more wholly reflect the paper’s impact. But in clinical research, it’s different. Bedside clinicians are looking to the literature for guidance & new ideas.
Read 13 tweets
Pediatric Sepsis Research on LMIC countries: Overcoming challenges. Another oustanding conferences by Daniela @danicds72 #PedsICU #Sepsis@ILASepse⁩ ⁦@WFPICCS⁩ ⁦@LA_Rednetwork⁩ ⁦@slepe8
The Agenda #PedsICU
The 80/20 Rule. We know 80% from those places where the 20% happens #PedsICU @WFPICCS @SLACIP17 @slepe8 @LA_Rednetwork @atip_latam
Read 28 tweets

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