Jon Lillie💙 @DrJonLillie Twitter profile

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Jon Lillie💙

3 years

VV #ECMO case series, two cannulae accessing neck and returning to the Femoral vein #VjVf is possible in infants down to 2.1kg. Some discussion yesterday at #EuroELSO2021 paper out today! #PedsICU @ELSOOrg #DestroyDogma

Martin Kneyber, MD PhD FCCM 🇺🇦

@Martin_Kneyber

3 years

Fascinating! Congrats @DrJonLillie and colleagues! @PedCritCareMed #PedsICU

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Jon Lillie💙

@DrJonLillie

1 year

How has our NHS come to this? 🚑 arrived FIVE hours ago to ED ?❤️ My dad still has NINE other patients in 🚑🚑ahead of him. He has been looked after by the most fantastic paramedics but they should be out attending to other 999 calls. THIRTEEN years of underinvestment

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Jon Lillie💙

@DrJonLillie

5 years

Sitting in labour ward with your wife: could there be a more inappropriate book to be reading @amateuradam ? Has anyone read #thisisgoingtohurt in a worst location?

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Jon Lillie💙

@DrJonLillie

4 years

Single page Clinical guideline out for #PIMSTS from @STRS_Evelina is here: Sorry Immunomodulation dosing is only on internal document as we are still refining! #PedsICU #COVID19 @WFPICCS @SCCM @ESPNIC_Society @PICSociety @PICJournalWatch

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Jon Lillie💙

@DrJonLillie

5 years

Venovenous ECMO cannulation using femoral vein is possible down to 2.1kg. Thanks to entire Evelina ECMO team for pushing boundaries! Don’t worry #PedsICU we will hopefully publish in a medical journal too! Presenting case series at #jpccim2019

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Jon Lillie💙

@DrJonLillie

1 year

You cannot fault the staff who are doing their absolute best. My dad had cardiac bloods and two ECGs but the HOSPITAL is FULL. It is September. If we are not coping now what will the winter be like? @Conservatives please allow us to fix our NHS.

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Jon Lillie💙

@DrJonLillie

2 years

#NursesStrike Despite lovely patient,1 of the toughest shifts #PedsICU nurses: -look after the sickest 👶👦 -give the family huge support in THE worst moments -take a huge toll on their ❤️ 🧠 - are leaving in droves Pay 👩‍⚕️👨‍⚕️more? Why wouldn’t You give them WHATEVER they need?

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Jon Lillie💙

@DrJonLillie

1 year

As someone who usually opts for data driven talks over those that look at human side of #PedsICU I looked at program for #PCCS2023 with some trepidation… Best conference in a decade(!) of going due to high quality of fresh speakers showcasing the talent of Scotland! Thank you!

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Jon Lillie💙

@DrJonLillie

2 years

Daithi certainly was challenging as a👶 and rumour has it that the purple team was created just for him! @STRS_Evelina team effort. What an amazing 👦 he is now-huge respect to Martin and Seph to have got organ donation law to this point. Good luck from @EvelinaLondon @GSTTnhs

Donate4Dáithí

@Donate4Daithi

2 years

No matter what happens over the next few hours, this will be the best photo of the whole trip. We went back to where it all began in Evelina yesterday and Dáithí got to meet the people who saved his life time, and time again. To Dr Jon Lillie and the Purple Team, we love you 💗

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Jon Lillie💙

@DrJonLillie

5 years

Thank you to all for amazing teamwork! Forest PICU becomes @Evelina Adult ICU; over to you @mrbrownsauce and @ECMODocNI , good luck and skill for treating max number of adults!

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Jon Lillie💙

@DrJonLillie

5 years

Happy Easter! Wouldn’t want to be anywhere else than @EvelinaLondon @STRS_Evelina -great team on overnight pulled out all the stops. #Backstronger tonight!

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Jon Lillie💙

@DrJonLillie

3 years

New year’s wish: May those opposite @GSTTnhs show people the same kindness that #NHS shows. Thanks to the wonderful team at @STRS_Evelina for dedicated busy #NHSNYE that reflects the crazy year. #PedsICU

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Jon Lillie💙

@DrJonLillie

4 years

Management of fluids in paediatric DKA: concerns over new guidance. Please read article- potentially a two fold increase in fluid has been advised without reference or new evidence cited. #PedsICU @PICJournalWatch .

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Jon Lillie💙

@DrJonLillie

1 year

#pedsICU and #ED intubators- free link to 📖 of >1000 intubations of infants. Weight predicts ETT length for oral and nasal tubes. 🙏 @STRS_Evelina & @KingsCollegeLon med students who looked at ALOT of X-rays! Retweet to share formula.

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Jon Lillie💙

@DrJonLillie

4 years

#LockdownLessons What have you learnt in Lockdown? For me my biggest lesson is: *Do NOT allow children to cut your hair!* @finegoulden told me I should have phoned in sick! What have you learnt? @Dr_Hari_Krishna @MJGriksaitis @amateuradam

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Jon Lillie💙

@DrJonLillie

3 years

Please see link to #ECMO sim- only 10mins Me=😬 team= 😇😎🤓 Great sim session and collaboration between @STRS_Evelina , @EvelinaLondon , @mirjanaxxx from @GreatOrmondSt and Ajay Desai from @RBHCharity for #EuroELSO2021 #PedsICU @ELSOOrg

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Jon Lillie💙

@DrJonLillie

4 years

Better than journal club is our #ECMO book club! This is absolutely fantastic book which we looked at in @STRS_Evelina meeting. Beautifully written and illustrated. Well done! Ten copies ordered for @EvelinaLondon families

Nurse Dotty Books

@BooksDotty

4 years

It’s ready! Ernie the Elephant needs ECMO. A book to support children and their families in their ECMO journey. Now available on amazon in print or ebook form. #PedsICU #ecmo

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Jon Lillie💙

@DrJonLillie

4 years

47 through PICU but at the peak we had 18 patients in HDU so took decision to triage through PICU. 31 required inotropes/ pressers so would fit typical ICU criteria.

Jeremy Tong

@jez_tong

4 years

Perhaps the largest cohort of paediatric #PIMSTS in the UK? 47 patients! Presentation of @EvelinaLondon experience by @DrJonLillie #EuroELSO2020

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Jon Lillie💙

@DrJonLillie

4 years

#MISC #pims_ts Inflammation causing disease post-COVID remains rare in children but our study shows those living In socioeconomic deprivation and certain ethnic minorities are at increased risk. Respect to @dr_jonbroad J Forman #PedsICU @STRS_Evelina

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Jon Lillie💙

@DrJonLillie

1 year

@Conservatives After 12 hours in a front line ambulance my dad was discharged after excluding cardiac pathology. You cannot fault the staff. Everything (apart from 🩻!) was done in the ambulance, including bloods/doctor /nurse seeing him- Patient location ambulance 1809.

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Jon Lillie💙

@DrJonLillie

5 years

Inspiring talk at #JPCCIM2019 by @IAmAntBennett talking about his amazing and positive life after prolonged #ecmo course and multiple cardiac arrests. Thank you Anthony! Let’s say “YES!” more when we think “no”.

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Jon Lillie💙

@DrJonLillie

1 year

@STRS_Evelina phone app Paediatric Emergency Tools is now FREE on iOS and android. Please check it out Google- Any feedback welcome

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Jon Lillie💙

@DrJonLillie

5 years

Amazing way to respond to drug incidents... Rather than send another email saying”prescribe better”, this was amazing week of interaction, quizzes and cake... appeals to our competitive natures and stomachs!

STRS & Evelina London PICU

@STRS_Evelina

5 years

Lessons in #medication #patientsafety during @STRS_Evelina #PedsICU #DrugAwareness week @EvelinaLondon @GSTTnhs Always easier to swallow when washed down with some delicious (syringe!) cake... Visit our #guidelines page for emergency drug calculators:

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Jon Lillie💙

@DrJonLillie

2 years

✅ Intro to #ECMO course for @EvelinaLondon and @BromptonHeart #pedsICU teams. The future is 🌞 for these “ecmologists”! Candidate Take homes: I feel so positive about ECMO now vs “ #Simulation is a nightmare” Guest speaker @AnnichGail inspired from 🇨🇦

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Jon Lillie💙

@DrJonLillie

3 years

When to put someone on #ECMO for #sepsis ? Survival benefit seen when mortality without ECMO is ~50% Even if you are able to KNOW when this point is for your patient-many 👩‍⚕️ 👨‍⚕️ push conventional treatment harder. What % risk do you cannulate for sepsis? #EuroELSO2021 #PedsICU

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Jon Lillie💙

@DrJonLillie

2 years

Making complex heart diagnoses in the womb when the heart is the size of a rice grain? Sometimes we take what our colleagues do for granted! It is truly remarkable. Great talk @trisha_vig @jmsimpsonmd @STRS_Evelina @EvelinaLondon

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Jon Lillie💙

@DrJonLillie

3 years

All but one of our general patients enrolled in @OxyPicu due to crazy September with minimal #PedsICU beds available in London. Well done to all the team @STRS_Evelina for finding a way to keep admitting 👶 🧒 #NHS nurses need a proper pay rise!

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Jon Lillie💙

@DrJonLillie

1 year

nasal ETT associated with ⬆️length of ventilation confounded by clinician behaviour which not modelled! E.g If patient expected to be ventilated a long time ➡️ many clinicians will CHOOSE to switch to nasal from oral ETT. Hope for prospective study when have some “free” time!

PICU Journal Watch #PedsICU #PedsCICU

@PICJournalWatch

1 year

Variation in Early #PedsICU mx and duration of #IMV in #Bronchiolitis : @PedCritCareMed @BeckyMitting @DrSamRay @KatHolls @SofiTheDoctor @DrJonLillie et al.,

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Jon Lillie💙

@DrJonLillie

1 year

Sats 88-92% for acute #PedsICU admissions- are people changing the alarms on their monitors on Monday? @STRS_Evelina

PICU Journal Watch #PedsICU #PedsCICU

@PICJournalWatch

1 year

. @OxyPicu trial results presented at #CCR23 @CritCareReviews by Prof Mark Peters and @ICNARC team #PedsICU #PCCSSG

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Jon Lillie💙

@DrJonLillie

4 years

I once, wrongly, argued with @finegoulden that #moraldistress was a concept only made up by People to write papers rehashing evidence around #depression or #stress or #burnout . This thread shows what moral distress truely is and how it can be helped by compassion. #NHSheroes

💙Dr C Kanaris MD PhD 🇺🇦(Paedtensivist)💙

@DrKanaris

4 years

1/A short recollection about compassion and moral distress in a #pedsicu that turned into an adult ICU for #COVID19 patients. This is my personal experience and there are no patient identifiers. Thread.

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Jon Lillie💙

@DrJonLillie

3 years

You have been up all night #PedsICU #ECMO and now you have 8 retrievals to enter into the computer. What do you do? 🥄 + @lotusbiscoffUK will get me through the day! What is your secret on call pick-me-up? @finegoulden @DrKanaris @pic_pram @DrSamRay @tomjbrick @sbattrawden

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Jon Lillie💙

@DrJonLillie

4 years

#OhCraps ! I will get in trouble with my colleagues who have named it #pimsts and @STRS_Evelina The unpredictable nature of the cardiac dysfunction In combinatiom with vasoplegia def makes me think Oh Crap!

Ken Tegtmeyer, MD, FCCM, FAAP 🇺🇸 🟧

@pccm_doc

4 years

Excellent naming by @DrJonLillie for the Kawasaki-like syndrome seems with SARS-CoV2 in children. #PedsICU #COVID19

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Jon Lillie💙

@DrJonLillie

4 years

This should not be your headline page ⁦⁦ @BBCNews ⁩ Why is THE headline not that multiple London hospitals have reached their oxygen capacity- that critically ill patients are being desperately shuffled between hospitals? That this is worse than April... #UKCOVIDCrisis

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Jon Lillie💙

@DrJonLillie

3 years

#EuroELSO2021 ending and know I still have way too much to learn when @AnnichGail puts up a slide like this that says “simplified version”. 🤣🤣🤣 #ecmo @EuroELSO

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Jon Lillie💙

@DrJonLillie

3 years

Great talks on monitoring during paed #ECMO although whether it’s #EEG , #NIRS or 🤖 it still seems we can only detect secondary injury and not intervene. Focus should be on early ECMO before primary injury and loss of autoregulation. VV also better than VA. #EuroELSO2021 #PedsICU

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Jon Lillie💙

@DrJonLillie

2 years

Can it really be called a “holiday” if you have to pack a washing up bowl?🏕 🏴󠁧󠁢󠁥󠁮󠁧󠁿

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Jon Lillie💙

@DrJonLillie

3 years

Do you support infants with respiratory failure using VA ECMO? Please read-it’s Free! -multisite cannulation is effective way to deliver VV ECMO down to 2.1kg -Median VIS was 50 pre cannulation (=epi 0.5mcg/kg/min) so ⬆️ inotropes NOT contraindication for VV @STRS_Evelina

Pediatric Critical Care Medicine

@PedCritCareMed

3 years

*FREE* feature article! Multisite Veno-Venous Cannulation for Neonates and Nonambulatory Children @DrJonLillie et al 🇬🇧: Editorial @GraemeMacLaren , @RyanPBarbaro & @DrGilesPeek : #PedsICU #ECMO @SCCM @WFPICCS

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Jon Lillie💙

@DrJonLillie

4 years

You know I am never one to disagree... but as intensivist my new preference is: #CRISPS Coronavirus Related Inflammatory Shock Pancarditis Syndrome. We have seen 25 of these CRISPS have and it describes what we see in PICU while #PIMSTS is more nebulous...

Hari Krishnan

@Dr_Hari_Krishna

5 years

@DrSamRay @finegoulden @SapnaKmd @DIAMONDS_2020 @lizWWyld hmmm...lets all say it in chorus. it does get easier. *P*aediatric *I*nflammatory *M*ultisystem *S*yndrome *T*emporally associated with *S*ARSCoV2. a simple #PIMSTS in short @RCPCHtweets @bpaiig @lizWWyld @PICJournalWatch @BarneyUoB

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Jon Lillie💙

@DrJonLillie

6 years

Paper of the year (cos no one reads past abstract of EOLIA)! Adrenaline improves OHCA survival from 2 to 3% BUT the extra survivors can’t walk and need daily assistance: Should we be using multiple doses of adrenaline in picu (cerebral vasoconstriction)?

PICU Journal Watch #PedsICU #PedsCICU

@PICJournalWatch

6 years

#PARAMEDIC2 trial: RCT of #Epinephrine in #OutofHospital #CardiacArrest (Adults) Interesting results, consistent with what was expected. Do we need similar study in kids? #PedsICU #pedsEM @NEJM

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Jon Lillie💙

@DrJonLillie

6 years

#PedsICU #WFPICC2018 inspired by @SapnaKmd , this is my first tweet at age of 38... what an achievement! (then discover that mark Rogers became a professor at 37!)

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Jon Lillie💙

@DrJonLillie

1 year

Come work with us @STRS_Evelina for 1 year fellowship in 👶 bronchoscopy and #ECMO - apply now: People come for the skills- they stay because of the TEAM! @PedsICU_tweets

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Jon Lillie💙

@DrJonLillie

5 years

Really interesting review of methylene blue from @Yale . Dogma says not to use due to concerns of unpredictable vasoconstriction and concerns of NEC. This review suggests we should maybe think again.... #jpccim2019 @PICJournalWatch @PICSociety @STRS_Evelina @MJGriksaitis

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Jon Lillie💙

@DrJonLillie

4 years

@Dr_Hari_Krishna @PICJournalWatch @pic_pram @pus27 @lyvonnetume @josephcmanning @JosLatour1 @RobertCTasker @rolystrike @drnazimapathan @docwt @jmenzies1 Shane as an Aztec king doesn’t communicate on twitter! @docmcdevelina @sarahanna161 @finegoulden

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Jon Lillie💙

@DrJonLillie

3 years

#EuroELSO2021 watched by @STRS_Evelina #ECMO team... enjoying a @DietCoke break!!! Any chance @CocaCola of sponsorship!

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Jon Lillie💙

@DrJonLillie

6 years

What a week of education at @evelina for @PICStrainees ( and consultants)! ecmo sim day, @STRS_Evelina outreach training in Hastings and now training with @ChildrensAirAmb . @PICJournalWatch

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Jon Lillie💙

@DrJonLillie

1 year

A picture is worth a thousand words! You can tell who dragged who up Arthur’s seat!

PICPOD

@PicPod_Podcast

1 year

Nice pre #PCCS2023 conference wake up run with @DrJonLillie to Arthur's Seat. Ready to go!

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Jon Lillie💙

@DrJonLillie

3 years

I mean quite simply excess #fluid in #NICU #PedsICU or #ICU is never good unless it’s at @STRS_Evelina #Christmas party

ESPNIC

@ESPNIC_Society

3 years

Fluid overload (FO) is associated with higher rates of mortality and morbidity in #pediatric and adult populations. But, is there any association between FO and mortality in critically ill neonates? 🧐📚 Let's check it out👇 #NICU

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Jon Lillie💙

@DrJonLillie

4 years

😊Proud of this paper, most of all for collaboration of three London #PedICU showing shorter LOV in centre that used Nasal #ETT and no midaz. Too many differences to demonstrate which factors had greatest impact- roll on RCT!

Peter Donnelly (he/him)

@drpeterdonnelly

4 years

Delighted to see our collaborative work published...phenomenal leadership from the wonderful @BeckyMitting . Invasive Mechanical Ventilation for Acute Viral... : Pediatric Critical Care Medicine

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Jon Lillie💙

@DrJonLillie

5 years

Downstairs in @STRS_Evelina PICU we are ALL migrants from 🇿🇦 🇿🇼 🇰🇪 🇪🇸 🇵🇹 🇷🇴 🇧🇪 🇮🇪 🇮🇹 🇬🇷 🇱🇰 🇮🇳 🇦🇺 🇳🇿 🇯🇲 🇸🇮 and those “from” 🏴󠁧󠁢󠁥󠁮󠁧󠁿 🏴󠁧󠁢󠁷󠁬󠁳󠁿 and 🏴󠁧󠁢󠁳󠁣󠁴󠁿 are keen to migrate if Brexit happens! #brexitNHSRIP @amateuradam

Aaron Bell

@ajayding

5 years

Completely true! Say this as an immigrant 🇳🇿 that runs a paediatric cardiology service dependent on colleagues from 🇮🇳 🇵🇰 🇲🇾 🇱🇻 🇹🇷 🇮🇹 🇮🇹 🇬🇷 🇬🇷 🇦🇺 🇮🇷 as well as 🏴󠁧󠁢󠁥󠁮󠁧󠁿 🏴󠁧󠁢󠁷󠁬󠁳󠁿 🏴󠁧󠁢󠁳󠁣󠁴󠁿 Diversity is our strength

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Jon Lillie💙

@DrJonLillie

4 years

Fantastic format #EuroELSO2020 @STRS_Evelina #ECMO team able to watch speakers of highest quality for free! Major advantage of these webinars for #PedsICU

Jon Lillie💙

@DrJonLillie

4 years

47 through PICU but at the peak we had 18 patients in HDU so took decision to triage through PICU. 31 required inotropes/ pressers so would fit typical ICU criteria.

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Jon Lillie💙

@DrJonLillie

4 years

Blood is not red? 💙 Don’t oscillate 🔇 Protect those lungs 🫁 ECMO’s your mate! 😰➡️🌪🪢🥰 #ECMO #PedsICU @SapnaKmd @MJGriksaitis @manalalasnag @RobertCTasker @finegoulden @Martin_Kneyber @mrbrownsauce @geraintjl

💙Dr C Kanaris MD PhD 🇺🇦(Paedtensivist)💙

@DrKanaris

4 years

Roses are red You can improve the prognosis Don’t give “normal” saline In metabolic acidosis #PedsICU #medicalvalentines

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Jon Lillie💙

@DrJonLillie

4 years

Lancet paper gives all the data and Miriam’s article beautifully portrays how it was to be at @EvelinaLondon in the eye of the #PIMSTS ⛈

Dr_MFG

@finegoulden

4 years

Important collaboration published @LancetChildAdol : #COVID19 associated #PIMSTS #MISC in UK #PedsICU @PICJournalWatch @pic_pram @BarneyUoB @DrJonLillie @lizWWyld Read account @ADC_BMJ from 1st unit to report cases @STRS_Evelina

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Jon Lillie💙

@DrJonLillie

4 years

@StarredBastard @AngryCardio @discokitten @TheLancet @STRS_Evelina We tested stool, throat and BAL: PCRs were negative, IgG and IgM were positive hence the article saying this is hyperinflammation POST infection

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Jon Lillie💙

@DrJonLillie

6 years

#WFPICCS18 #PedsICU fantastic presentation by Andrew Nyman of @EvelinaLondon approach to stenting airway in cardiac disease.

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Jon Lillie💙

@DrJonLillie

4 years

Great work by our @STRS_Evelina ECMO team. Higher heparin dosing required to maintain adequate Anti-Xa for #MIS -C patients @AlisonPienaar @MMustafaFRCS

ELSO

@ELSOOrg

4 years

Thrombophilia in pediatric patients with MIS-C secondary to #COVID19 on #ECMO : markedly higher fibrinogen levels vs non-MISC ECMO patients, and high incidence of thrombotic events despite elevated heparin dosage in this case report. #FOAMecmo @asaiojournal

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Jon Lillie💙

@DrJonLillie

3 years

#ELSO2021 wonderful talk by @AnnichGail demonstrating that survival of children on prolonged respiratory #ECMO is not as bad as people suggest. 35% at 7 weeks (patient selection clearly confounder) #PedsICU

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Jon Lillie💙

@DrJonLillie

2 years

Are you interested in 👶 VV #ECMO and learning 👶 #bronchoscopy ? @EvelinaLondon ECMO/ airway fellowship from March 2023. Application Closing date 14th of July #PedsICU @STRS_Evelina

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Jon Lillie💙

@DrJonLillie

2 years

Next step neonatal percutaneous cannulation delivered by #PedsICU clinicians. Amazing day @OspedaleGaslini with Andrea Moscatelli

Dr_MFG

@finegoulden

2 years

What (really) is #ECMO & when should you consider it in neonates/children? Technical basics-VA/VV-Indications-Complications-Outcomes-Follow-up @DrJonLillie @ArchivesEandP @ADC_BMJ #PedsICU #PedsCICU #NICU #Paediatrics #PedEM @EuroELSO @PaediatricFOAM

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Jon Lillie💙

@DrJonLillie

4 years

If you insist @Dr_Hari_Krishna I named it #OH_CRAPS Hyperinflammatory COVID Related: Abdomen_Pancarditis_Shock I am not clever enough to understand immunology so just repeated what I said every 3 hours of my on call with each new admission! Bet @PedCritCareMed will go for #PCHIS

Dr_MFG

@finegoulden

5 years

We’ve been calling it Post- #COVID Hyperinflammatory Syndrome so my vote is for #PCHS or #PCHIS So far children testing negative for active infection but positive antibodies on serology @SapnaKmd @Dr_Hari_Krishna #PedsICU

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Jon Lillie💙

@DrJonLillie

3 years

Thought provoking talk by Tim Jones @Bham_Childrens proposing that it is better to take down Acutely failing #Glenn (on left) or #Fontan (right) rather than #ECMO . @EuroELSO #PedsICU #EuroELSO2021 ⚠️atrial septal obstruction can be acquired and missed during Fontan

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Jon Lillie💙

@DrJonLillie

3 years

Amazing PICU team about to swim the English channel/ La manche

STaRfiSh Channel Team

@STaRfiSh_ELCH

3 years

Team A are all set to swim at midnight tonight! They will be heading down to Dover this evening to meet the pilot. Wind has settled and the sea is looking calm 🤞🏻 T-12 hours!! #Channelswim #NHS #fundraiser #PedsICU #charity #swim

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Jon Lillie💙

@DrJonLillie

2 years

Do’h! The most important photo forgotten!

Jon Lillie💙

@DrJonLillie

2 years

✅ Intro to #ECMO course for @EvelinaLondon and @BromptonHeart #pedsICU teams. The future is 🌞 for these “ecmologists”! Candidate Take homes: I feel so positive about ECMO now vs “ #Simulation is a nightmare” Guest speaker @AnnichGail inspired from 🇨🇦

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Jon Lillie💙

@DrJonLillie

4 years

Let’s face on the ground facts! It’s mid-September and we have swathes of nurses off due to #TrackandTrace or a fever in their child and they are unable to get tested. The winter will be a #NHSDisaster unless you sort this.

Matt Hancock

@MattHancock

4 years

We're doing more #coronavirus testing per head than other European countries, & we have record capacity.

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Jon Lillie💙

@DrJonLillie

1 year

All posts filled until spring 2024- apply now if you would like to work in lovely fun supportive team. Disclosure: we don’t hug and eat cake every day

STRS & Evelina London PICU

@STRS_Evelina

1 year

We're recruiting for a Senior Clinical Fellow #PedsICU #PedsCICU @EvelinaLondon @GSTTnhs #PedsAnes #Anesthesia 🗓️Feb/March 2024 🛏️23 beds 🏥1,200 admissions/yr 🫀 🫁 cardiac & general 🚑integrated retrieval service 📚teaching/learning Deadline: 9th July

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Jon Lillie💙

@DrJonLillie

5 years

Believe me it was great to see the mall cleared for my great great morning run this morning. Thanks to the incredible Men and women of the @metpoliceuk I got a record time of 28 minutes for 5k which no one has ever done before. #TrumpVisitUK

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Jon Lillie💙

@DrJonLillie

4 years

I really empathise with you in #PED for trying to pick out #PIMSTS #MISC ! In #PedsICU we have the benefit of time/bloods/MDT and we still find it hard. April-we didn’t recognise it but now we are (?over)-investigating a lot of febrile but well children. @STRS_Evelina

Rachael Mitchell

@DrRachaelM

4 years

As someone who has (happily) been on maternity leave during all of COVID, this is something I envisage is one of the trickiest things to navigate How do we avoid over calling PIMS-TS without missing other pathologies? @DrJonLillie @LondonPaeds

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Jon Lillie💙

@DrJonLillie

2 years

Thank you to @ELSOOrg for letting us propose an alternative approach to VAECMO for neonatal resp failure with #VVMS #ECMO @STRS_Evelina @VanessaStanley7 @PedsICU_tweets References all hyperlinked in newsletter

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Jon Lillie💙

@DrJonLillie

4 years

Great work by ⁦ #ECMO team⁩ ⁦⁦ @GSTTnhs ⁩. All #COVID ECMO patients had CT: 1/3rd PE but additional 1/4 had ischaemia without thrombus- #immunethrombosis in microvasculature? Non-COVID controls would be good ⁦ @PICJournalWatch ⁩ #PedsICU

Pulmonary ischaemia without pulmonary arterial thrombus in COVID-19 patients receiving extracorpo...

To evaluate the incidence of pulmonary ischaemia in COVID-19 patients on extracorporeal membrane oxygenation (ECMO), and its correlation with pulmonary artery thrombosis. Computed tomography (CT)...

pmc.ncbi.nlm.nih.gov

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Jon Lillie💙

@DrJonLillie

1 year

@picucat @DrSamRay The paramedics are sadly use to this-borrowing a softer mattress from somewhere! Apparently, it is not uncommon for the paramedic dayshift to handover to the nightshift and they come back the next day to the same patient… If this carries on we will lose these paramedics to 🇦🇺

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Jon Lillie💙

@DrJonLillie

2 years

Baby Cloruro! Our first neonate percutaneously cannulated- Teaching by Moscatelli @OspedaleGaslini Collaboration: @EvelinaLondon @STRS_Evelina @RBHCharity and @semmelweishu @PedsICU_tweets

Jon Lillie💙

@DrJonLillie

2 years

Next step neonatal percutaneous cannulation delivered by #PedsICU clinicians. Amazing day @OspedaleGaslini with Andrea Moscatelli

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Jon Lillie💙

@DrJonLillie

2 years

Come for the London Life*🎡⛲️🌃 Stay for the love of #PedsICU in a lovely team! *Disclaimer. London life applies to the great fun after work before getting on train back to non-London postcode. No one other than oligarchs and MPs in their 2nd homes can afford to live here.

STRS & Evelina London PICU

@STRS_Evelina

2 years

New Level 2 Paediatric Critical Care Unit opening this summer @EvelinaLondon ! Interested in hearing more about working as a #nurse on #HDU & links with #PedsICU ? Drop in to Sky PCCU Nursing Open Day Wednesday 20th July 09.00 - 16.00 More info 💻Helen.Reynolds1 @gstt .nhs.uk

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Jon Lillie💙

@DrJonLillie

3 years

Draining via the neck/returning via the femoral is practical as majority of venous return is via SVC in infants (4/5th in 👶) and femoral vein too small to accommodate larger access cannula. @STRS_Evelina

M Velia Antonini

@FOAMecmo

3 years

Expanding multisite VV #ECMO cannulation strategies in neonatal respiratory failure? In this study, Vj-Vf safe in pts <10kg (smallest = 2.1kg). Preferred option vs VA #ECLS ?? Editorial #PedsICU #FOAMecmo #FOAMcc on @PedCritCareMed

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Jon Lillie💙

@DrJonLillie

5 years

9,000+ users in 65 countries can’t be wrong! Newly rebranded as #paediatric_emergency_tools App for Apple and android! All Guidelines will automatically upload. Feedback welcomed!

STRS & Evelina London PICU

@STRS_Evelina

5 years

Have you downloaded the newly updated @STRS_Evelina #app yet? Have access to #drug #calculators & #clinicalguidelines for #paediatric #PedsICU #PedsAnes #PedsED #emergency management in the palm of your hand - all for the price of a(n expensive #London !) coffee... #STPN19

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Jon Lillie💙

@DrJonLillie

4 years

Never thought I would block you @fionam_miles - today may be the day! No temptation: very happy at @STRS_Evelina in well-resourced NHS, earning mega💷💷, with work life balance, AND can get a nice NZ🍷from @Tesco so no need to reminisce about lazy days at @MudbrickVineyrd ...

Fiona Miles

@fionam_miles

4 years

Fantastic and rare opportunity- Picu consultant posts at Starship hospital NZ. link below. Please share. Or apply! @DrJonLillie @drzaf_pic @Matt_Marvey @jvc2006 @neilspenceley @davidjvaughan @HorsleyCarl @psirides @brierl_jb @Peterlaussen1 @PeterCox

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Jon Lillie💙

@DrJonLillie

3 years

Great #PedsICU by @PicPod_Podcast on #EIT . Potential for using for 👶 now and gives information that helps decision making Re: #PEEP optimisation. @PCCStrainees study day at @STRS_Evelina

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Jon Lillie💙

@DrJonLillie

5 years

@docmcdevelina @EvelinaLondon Rocking the circuit change on Evelina ECMO sim day. Paeds ECMo fellowship starting this year! Evelina ECMO growing! @finegoulden @MJGriksaitis

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Jon Lillie💙

@DrJonLillie

4 years

💙We are telling the truth. 💙 Please listen. We are not in cahoots with @BorisJohnson , we get no money from drug companies (unfortunately), It’s not in our interests to home school our kids (or our livers’) but #COVIDCrisis is real.

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Jon Lillie💙

@DrJonLillie

3 years

If everyone shares this- #CPR saves lives

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Jon Lillie💙

@DrJonLillie

4 years

Thanks for editorial @RobertCTasker and for highlighting that the huge majority of patients from the #FLUID trial by #PECARN were awake at presentation and less sick than the ones we have aimed @STRS_Evelina guidance at and who we worry about in #PedsICU

💙Dr C Kanaris MD PhD 🇺🇦(Paedtensivist)💙

@DrKanaris

4 years

It’s is an excellent follow up from @DrJonLillie @docmcdevelina @finegoulden and @arannicq ‘s initial article citing concerns about the new BSPED DKA fluid management guidelines . Definitely worth a read (and thank you @RobertCTasker ) #pedsicu

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Jon Lillie💙

@DrJonLillie

5 years

@SapnaKmd No medical documentary will ever beat #ER for giving inspiration. Fantastic talk by @babyheartsurger with some help from Dr Peter Benton on cannulation! Having fab time on @EvelinaLondon #ECMO_course With @finegoulden @sarahanna161 @arannicq

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Jon Lillie💙

@DrJonLillie

2 years

Hurray! Honour to speak to such a wide-reaching community!

Yasser Kazzaz ياسر قزاز

@Yasser_Kazzaz

2 years

I’m sold on VV multi-site Cannulation for neonates. Following @DrJonLillie talk “Cannulation strategies versus pre-ECLS haemodynamics - the therapy or the disease that impact neurological complications? (is the cannulation)” #EuroELSO2023

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Jon Lillie💙

@DrJonLillie

4 years

Great work to the editors for keeping us all in check... Format looks really good with bite size chapters dispelling some #PedsICU myths

Hari Krishnan

@Dr_Hari_Krishna

4 years

Countdown to publication of our @OUPAcademic #PedsICU book in the #ChallengingConcepts series. 3 weeks to go! Available from 5 November: Co-edited with @aakashdeeparora @finegoulden (& Sai: not on twitter)

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Jon Lillie💙

@DrJonLillie

2 years

#EuroELSO2022 Great collaboration-simulation of hypoxia on neonatal VV #ECMO . @GOSHCharity @EvelinaLondon and @MalaikaMendonca

Bitcoinminetrix Team

@bitcoinmineot

2 years

#EduCorer 6th May 0900-1000 CRRT, 1030-1130 CDH, 1145-1245 transport, 1400-1500 Recirculation in VV ECMO, 1515-1615 Neurological nightmares, easy way into the complex cases☀️ @ECMOdaily @AparnaHoskote @FOAMecmo @Mat_DiNardo @HeidiDalton26 @DrJonLillie @MalaikaMendonca @marisavie 🌞

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Jon Lillie💙

@DrJonLillie

3 years

Obviously everyone excited about another neonatal VVDL #ECMO cannula coming to market (MC3 crescent) but Our @STRS_Evelina experience is that multi site cannulation is stable and effective (once you convince surgeon to site femoral cannula) @Speggio

Kristy Xinghan Fu

@FuXinghan

3 years

(1): It was superb listening to @DrJonLillie himself advocating for VV-ecmo for paediatric/neonatal respiratory failure! Loved his disclosure sharing his belief and comparing 8Fr experience versus a cut-up of a dual lumen cannula! #ELSO2021 #PediECMO #PedsICU

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Jon Lillie💙

@DrJonLillie

3 years

😞This is disappointing review of this paper by @DFTBubbles . This paper does not “reassuringly show…the risk of cerebral injury during #DKA treatment is not increased by declining sodium concentrations”! Let me explain why this isn’t the “Bottom Line” @pedsicu

Dani Hall (she/her)

@danihalltweets

3 years

What's the link between salt and cerebral injury in DKA? Rhiannon McBay tells us in her @DFTBubbles review of the latest paper from the @PECARNteam FLUID trial

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Jon Lillie💙

@DrJonLillie

6 years

#STRSConf18 astounding data showing LTV expansion at Evelina. Amazing Nurse specialists and team to manage this.... how can we manage this going forward?! @finegoulden @docmcdevelina @DrSamRay @STRS_Evelina

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Jon Lillie💙

@DrJonLillie

3 years

Clever+++ RCT by @KathMaitland #COAST underpowered as stopped early+mortality ⬇️ Take home on 1st read: Children with pneumonia+median sats 88% (IQR 86-90) randomised to permissive hypoxaemia (sats >80% 😳) did just as well those given ⬇️or ⬆️ flow oxygen

Randomised controlled trial of oxygen therapy and high-flow nasal therapy in African children with...

Intensive Care Medicine - The life-saving role of oxygen therapy in African children with severe pneumonia is not yet established. The open-label fractional-factorial COAST trial randomised...

link.springer.com

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Jon Lillie💙

@DrJonLillie

3 years

You forgot the importance of #debrief to any #ECMO emergency- braving the British summer for a #“debrief”

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Jon Lillie💙

@DrJonLillie

4 years

Concerns about dual lumen cannulae now magnified as Origen no longer manufacturing. VV Multisite cannualtion possible in neonates, access neck return via femoral. Submitting our first 10 cases with 1 year follow up ASAP @PICJournalWatch @STRS_Evelina

Pediatric Critical Care Medicine

@PedCritCareMed

4 years

#Neonates with #respiratory failure supported by VV #ECMO has declined from 58% to 16% in the 🇬🇧: Why? Read and find out! @DrJonLillie et al: @SCCM @ESPNIC_Society @WFPICCS @PICSociety #PedsICU #NICU #neoEBM

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Jon Lillie💙

@DrJonLillie

3 years

Respect to Luergn! 🚙 This is the most interested I have been in a car chat since the 1990s! @EuroELSO #EuroELSO2021

Jon Lillie💙

@DrJonLillie

3 years

When to put someone on #ECMO for #sepsis ? Survival benefit seen when mortality without ECMO is ~50% Even if you are able to KNOW when this point is for your patient-many 👩‍⚕️ 👨‍⚕️ push conventional treatment harder. What % risk do you cannulate for sepsis? #EuroELSO2021 #PedsICU

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Jon Lillie💙

@DrJonLillie

4 years

@FOAMecmo @EuroELSO @asaiojournal @MarkGlasgowPICU @iceman_ex @jez_tong @Pipes_n_pumps @jan_belohlavek @mirjanaxxx @jrdelbrio @ECMOprincess Hi fidelity sim hopefully will keep your interest! Certainly caused us some stress! Please attend paeds stream EUROELSO on Wednesday

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Jon Lillie💙

@DrJonLillie

1 year

👇 best talk have heard on incivility: really made me think and how it creeps into our own practice. Thank you @deetssleeps

Michael Griksaitis

@MJGriksaitis

1 year

Civility save lives. Dr Catherine Stretton wonderfully discusses the data behind this statement. Rude comments, even those that are considered minor, reduce performance in the person receiving them. The person making the comments also perform less well… #PCCS2023 #PedsICU

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Jon Lillie💙

@DrJonLillie

6 years

#WFPICCS18 #PedsICU Great HFNC summary slide re flow rates from Peter rimensberger. Jury is still out. Probably better than low flow but does not reduce LOS-USE CPAP if significant resp failure

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Jon Lillie💙

@DrJonLillie

5 years

#estrelladammluna best way to end a week on Call!

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Jon Lillie💙

@DrJonLillie

4 years

What a difference two months makes... the same board in January reflecting all the incredible Paediatric nurses on a shift providing care to adult ICU patients #PedsICU #NHS

STRS & Evelina London PICU

@STRS_Evelina

4 years

The indomitable @STRS_Evelina #PedsICU spirit Our most popular #wellbeing initiative yet... #PubCountdown

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Jon Lillie💙

@DrJonLillie

5 years

Amazing work @DrSamRay ! Destroying dogma decade of paeds/ PICU ahead! Exciting.

Dr_MFG

@finegoulden

5 years

Fantastic work @DrSamRay showing non-linear relationship between temperature & heart rate on #PedsICU : HR ⬆️ by ~10bpm for each degree C to 38C, then 20bpm to 39C then only ~15bpm beyond - Adaptive? Compensatory? How much incr in CO? More qus than answers! #physiology #ESPNIC19

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Jon Lillie💙

@DrJonLillie

4 years

This is real. On call this week. It’s worse than the first time. Read this:

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Jon Lillie💙

@DrJonLillie

4 years

He really is an inspiration. Hundreds of schools/ football clubs/ individuals now working together to provide free meals through the school holidays. @Christi35895049

Marcus Rashford

@MarcusRashford

4 years

Time we worked together.

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Jon Lillie💙

@DrJonLillie

4 years

@EvelinaLondon team will focus on #PIMSTS #MISC in our cohort of 70+ children: wisdom and overview from ID team, images with impact from cardiology and I will have to resort to think of something funny to say 😬 #PedsICU #COVID19

Medical Realities

@MedRealities

4 years

We have a paediatrics themed #GlobalVirtualGrandRounds tomorrow at 6pm! @DrJonLillie @owenimiller Dr Julia Kenny & Dr Jennifer Handforth will explore "Covid in Children" #CovidMedEd #MedTwitter Sign up FREE:

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Jon Lillie💙

@DrJonLillie

6 years

#STRSConf18 great presentation by @KAM4LPatel from @BSUH_NHS @Rockinghorse67 study shows only 1 child readmitted out of 200 children admitted with bronchiolitis who required cpap or HFNC. Perhaps we can now look at how we can reduce LOS further!

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