Discover and read the best of Twitter Threads about #epccs20

Most recents (11)

Next is Prof Elizabeth Draper discussing the data reported and modelling from the UK on #COVID19 data in #PedsICU

#EPCCS20
Roles included:
* modelling #PedsICU bed requirement in the #COVID19 pandemic to ensure enough #PICU beds
* report real time #COVID cases & #PIMSTS in kids

This is helpful data for us to learn and adapt to this disease

#EPCCS20
The number of children admitted to #PedsICU with #COVID19 followed the same wave as adults, but obviously lower numbers. Starting to slowly increase again....

#EPCCS20
Read 4 tweets
Prof Mike Levin talking to us about the #physiology and #immunology of #COVID19 and #PIMSTS in #PedsICU

Generally children had a mild disease phenotype - then as the pandemic progressed more inflammatory disorders were seen and a new condition was created: PIMS-TS

#EPCCS20
Further investigation of the #COVID19 inflammatory response found 3 phenotypes - all had coronary artery disease, but not all needed #PedsICU

#EPCCS20
The new disease when compared to Kawasaki disease:
- higher CRP
- younger age
- higher ferritin
- lower lympocytes
- lower albumin
- lower haemoglobin

Shock patients:
- higher troponin
- higher BNP
- higher CRP

#PedsICU #COVID19 #EPCCS20
Read 7 tweets
Dr Patricia Weir next talks about long term volunteering in Malawi #PedsICU

The impact of long term volunteering is different to short term missions

#EPCCS20
Dr Weir then talks about is #PedsICU set up in LMIC the right use of resources?

She feels yes - by promoting this there is a knock on effect: adult ICU then improves, the HDU’s then improve, equipment and skills can be shared

#EPCCS20
Short term vs long term missions have different impacts in LMIC

#PedsICU #EPCCS20
Read 4 tweets
Mike English is prof of international child health & discusses emergency care in LMIC

He poses: what care is most critical to add to LMIC? (rather than asking what critical care is there)

The things people need is much simpler than what people want to give

#PedsICU #EPCCS20
In LMIC in addition to needing the basic equipment - you need staffing!

Trying to introduce advanced technology before getting the basics is not helpful

You need to train the staff for context (e.g. not training staff in ventilators if they don’t have them)

#EPCCS20 #PedsICU
In addition to equipment and staff you then need to think of team work, especially in overwhelmed LMIC systems:
- operational functions (e.g. triage)
- Handovers
- checking kit

This is so important and things we often take for granted

#PedsICU #EPCCS20
Read 4 tweets
Martha Curley now discussing year of the #nurse and inspiring the future work force: what a year 2020 has been for nurses.

Without nursing staff the response to the #COVID19 pandemic would have failed

They are the key part of healthcare.

#PedsICU #EPCCS20
Prof. Curley now describes the role of the #nurse in #research - and feels the priority should be going back to make sure our health care settings are designed to help and heal and comfort patients

We should not be harming patients by being in the hospital

#PedsICU #EPCCS20
To achieve nursing research we need to create a platform that allows this!

We are lucky @SotonChildHosp #PedsICU that we have @Katystearn1Katy @donnaaust1n @UHS_PICResearch @RDsouthampton @southamptonCRF who support nursing research - & teaching how to do it! #EPCCS20
Read 4 tweets
Lynne Latten now talking about #PedsICU #nutrition considerations in #COVID19 children

10 tips about to follow....

#EPCCS20
Tip 1: use standard guidelines - not much needs to change in #COVID19 #PedsICU

#EPCCS20
Tip 2: Carry out a good nutritional assessment

#COVID19 risks worse with higher BMI

#PedsICU #EPCCS20 #nutrition
Read 11 tweets
Next is Luise Marino - our amazing academic dietician @SotonChildHosp #PedsICU - talking about refeeding syndrome
The most common risks for re-feeding syndrome are shown in this slide below...

The full review by Dr Marino et al can be found here:
pm.amegroups.com/article/view/5…

#PedsICU #Nutrition #EPCCS20
What is the pathophysiology of re-feeding syndrome...?

Associated with 5-7 days of starvation and then a sudden increase in electrolytes and insulin causes the problems

#PedsICU #Physiology #EPCCS20 #Nutrition
Read 6 tweets
Now @lyvonnetume answering the question for feeding children (or not) when they are on non-invasive ventilation...

It’s not should we... it should be how do we feed...

#PedsICU #EPCCS20
What does the data say already on the topic of feeding #PedsICU patients on non-invasive ventilation?

@lyvonnetume #EPCCS20
@lyvonnetume now describes the research her team have carried out to identify feeding practices and calorie target for #PedsICU on #NIV

#EPCCS20
Read 5 tweets
Excellent representation for @SotonChildHosp @UHSFT @FOPICU #PedsICU junior medical and nursing staff presenting work at #EPCCS20

Do check out all the posters online for those ‘at’ at the conference...!
@Webb20Richard @DrDeeOS @DoctorMacAndDog et al discussing our analysis of time critical transfers in @PaedCritCareODN with @SORT_Oxford @SORT_Soton @pccsatg
@UoS_Medicine medical student Alex Evens work with @donnaaust1n and Fran Zanetti on comparing endotracheal secretions with bronchial alveolar lavage for diagnosis of pneumonia in #PedsICU

#EPCCS20
Read 5 tweets
Now @FionaBickell1 describing the @STRS_Evelina and @EvelinaLondon experience of expanding #PedsICU during #COVID19 to help deal with surge activity

#EPCCS20
As the #COVID19 pandemic increased in London the requests for help from #PedsICU to adult #ICU increased as it was clear this disease didn’t impact on children as much

Key issues were:
- nursing staff
- space

#EPCCS20
As the #COVID19 pandemic progressed it was noted older children were presenting with what was later found to be #PIMS-TS

#PedsICU key in making the diagnosis and helping to identify this disease

However the moved #PICU was not fully fit for purpose

#EPCCS20 @FionaBickell1
Read 4 tweets
First up is James Fraser, president of @PICSociety discussing the UK #PedsICU response to #COVID19

This was a busy and difficult time for all!

#EPCCS20
#COVID19 data for the admission of children to #PedsICU: cumulative around 100 children

#EPCCS20
Some UK #PedsICU became adult units - around 30% of #PICU beds became used for #COVID19 adults

We were fortunate this was in the summer when #PedsICU was quiet...

#EPCCS20
Read 4 tweets

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