#PIER2023 is go! Starting with a welcome from @jamesedelman

GenSouthgate's tweet image. #PIER2023 is go! Starting with a welcome from @jamesedelman

Chris Anderson presenting a paper that changed practice - use of CGM in children with diabetes…. But still a huge inequality in numbers of children who have access to a CGM and more work to be done! #PIER2023

katrinacathie's tweet image. Chris Anderson presenting a paper that changed practice - use of CGM in children with diabetes…. But still a huge inequality in numbers of children who have access to a CGM and more work to be done! #PIER2023

@carolineRePDie1 presenting work examining energy requirements in paediatric #ckd at #PIER2023 with an all female line-up! Full article here: jrnjournal.org/article/S1051-…

matthewjharmer's tweet image. @carolineRePDie1 presenting work examining energy requirements in paediatric #ckd at #PIER2023 with an all female line-up! Full article here: jrnjournal.org/article/S1051-…


#PIER2023 The number of children with life limiting conditions is increasing.

carolineRePDie1's tweet image. #PIER2023
The number of children with life limiting conditions is increasing.

First session #pier2023 Neuro rehab MDT, so powerful to hear from Felix’s mum about his amazing rehab story!

katrinacathie's tweet image. First session #pier2023 Neuro rehab MDT, so powerful to hear from Felix’s mum about his amazing rehab story!

Great first day of #PIER2023 and seeing my poster from my Paediatric elective in Guernsey displayed electronically was exciting

rebecca_med's tweet image. Great first day of #PIER2023 and seeing my poster from my Paediatric elective in Guernsey displayed electronically was exciting

#PIER2023 tickets live… single and 2 day options! Incudes… 🩸 non malignant haem 🧠 neuro rehab - a patient story 👶 healthy start project 🔦 regional spotlights 📖 research for everyone… incl Harmonie study 📣 abstract & poster presentations 🎲 workshops & much more!🤩

PIER 2023 booking is now open. This year we are offering a one day ticket option as well as the standard two day ticket. Abstract Submissions are also open. More details regarding tickets and abstracts, visit piernetwork.org/2023. #pier2023 #conference #abstracts

pier_network's tweet image. PIER 2023 booking is now open.  This year we are offering a one day ticket option as well as the standard two day ticket.  Abstract Submissions are also open.  More details regarding tickets and abstracts, visit piernetwork.org/2023. #pier2023 #conference #abstracts


Category 2: see through fluid filled blisters or open blister with dermis intact. Don’t de-roof pressure blisters but good to aspirate them. Epidermis then sits back on top of the dermis and then will harden and act as a dressing. If de-roofed then will need dressing #PIER2023


Gutted not to gave been able to join #pier2023 this year but following twitter as much as I can to learn from all the brilliant shared work going on

All ready to go at #PIER2023! Looking forward to seeing you all soon! @pier_network

SotonHannah_EBC's tweet image. All ready to go at #PIER2023! Looking forward to seeing you all soon!  @pier_network


@UHD_NHS team @FionaHignett and Nia Newton telling us all about pill school and teaching children to take tablets. So many potential benefits and definitely something for us to explore @SotonChildHosp @katepryde @UHSPharmacyTeam @UHSFT #PIER2023

katrinacathie's tweet image. @UHD_NHS team @FionaHignett and Nia Newton telling us all about pill school and teaching children to take tablets. So many potential benefits and definitely something for us to explore @SotonChildHosp @katepryde @UHSPharmacyTeam @UHSFT #PIER2023

What an amazing opening session on day 2 of the PIER conference. Hearing from Nicky and Paul about their palliative journey with their 2 wonderful children was inspiring and incredibly moving - so powerful hearing from patients and families - not a dry eye in the house! #PIER2023

katrinacathie's tweet image. What an amazing opening session on day 2 of the PIER conference. Hearing from Nicky and Paul about their palliative journey with their 2 wonderful children was inspiring and incredibly moving - so powerful hearing from patients and families - not a dry eye in the house! #PIER2023

@Steph_1989_20 presenting at the PIER conference on the wheeze discharge advice co-produced with families @Health_2gether @DrDaveJames #PIER2023

katrinacathie's tweet image. @Steph_1989_20 presenting at the PIER conference on the wheeze discharge advice co-produced with families @Health_2gether @DrDaveJames #PIER2023

Practically: an echo, bloods and measurement of the child need to occur prior to donation. Organ retrieval can take from 2-12hrs in theatre Following retrieval, a final act of care will be performed in theatre & a moment of honour. #PIER2023 @pier_network


#PIER2023 Dr Catherine Tuffrey sneaks in 2 papers that changed her practice- thinking about early diagnosis and treatment for babies and children with cerebral palsy, and how we use the evidence base to direct our care. pubmed.ncbi.nlm.nih.gov/28715518/ link.springer.com/article/10.100…

GenSouthgate's tweet image. #PIER2023 Dr Catherine Tuffrey sneaks in 2 papers that changed her practice- thinking about early diagnosis and treatment for babies and children with cerebral palsy, and how we use the evidence base to direct our care. 

pubmed.ncbi.nlm.nih.gov/28715518/

link.springer.com/article/10.100…

#PIER2023 A great day. Escape room challenging but fun! Highlights how important team work is. Never want to be a loner! Good luck to those ‘escaping’ tomorrow 😊 #PIER2023


#PIER2023 Alan Charter presents the paper that changed his practice, with intranasal pain relief central to pain relief in children in ED, has improved our practice, &more is coming! ncbi.nlm.nih.gov/pmc/articles/P…

GenSouthgate's tweet image. #PIER2023 Alan Charter presents the paper that changed his practice, with intranasal pain relief central to pain relief in children in ED, has improved our practice, &more is coming!

ncbi.nlm.nih.gov/pmc/articles/P…

Cat 4: full thickness loss with underlying damage ‘Unstageable’ if unsure cat 3 or 4 beneath necrosis ‘Suspected deep tissue injury: depth unknown’ - may see a very dark purple area, unable to see the depth or haem filled blister #PIER2023 @pier_network @FranSpratt


@Canttouchmytoes delivering a workshop on puberty for paediatricians - a natural process that affects all young people and one we need to know about both in health and illness in order to care for our patients #PIER2023

katrinacathie's tweet image. @Canttouchmytoes delivering a workshop on puberty for paediatricians - a natural process that affects all young people and one we need to know about both in health and illness in order to care for our patients #PIER2023

Highlight of my @RadiologyACR #PIER2023 summer!

What a great way to end #FridayEve6/6/24 ❤️ ⁦@angiowoman⁩ honored 2speak2 #2024PIERSScholars #FutIReOFRadiology@ACRRFS⁩ ⁦@RadiologyACR⁩ What an exciting time 2be in Medicine& a privilege 2share about #IAmIR #BetterMedicine4All #Innovation4the🌎 ⁦THX!⁩

angiowoman's tweet image. What a great way to end #FridayEve6/6/24 ❤️ ⁦@angiowoman⁩ honored 2speak2 #2024PIERSScholars #FutIReOFRadiology ⁦@ACRRFS⁩ ⁦@RadiologyACR⁩   What an exciting time 2be in Medicine& a privilege 2share about #IAmIR #BetterMedicine4All #Innovation4the🌎 ⁦THX!⁩


Brilliant afternoon at #PIER2023 running a Pill School workshop with @FionaHignett Benefits include empowering children to swallow solid dosage form medication 💊 cut NHS spend 💰 and reduce our carbon footprint 🌍 @pier_network

NiaNewton01's tweet image. Brilliant afternoon at #PIER2023 running a Pill School workshop with @FionaHignett Benefits include empowering children to swallow solid dosage form medication 💊 cut NHS spend 💰 and reduce our carbon footprint 🌍 @pier_network

Congratulations! A very well deserved win!! #PIER2023 @pier_network

SotonHannah_EBC's tweet image. Congratulations! A very well deserved win!! #PIER2023 @pier_network

Just gets better and better... thank you to everyone who voted... #gobsmacked #proudmoment @pier_network #pier2023

_Hales_B's tweet image. Just gets better and better... thank you to everyone who voted...

#gobsmacked #proudmoment @pier_network
#pier2023

Huge thank you to all the teams involved in #PIER2023, those who provided a patient voice, presented sessions, @hopewinchester, @CourtHouseFood, the cycle co. who provided our e-bikes, all our sponsors and to everyone who attended! See you all at #PIER2024! 💫 @pier_network

SotonHannah_EBC's tweet image. Huge thank you to all the teams involved in #PIER2023, those who provided a patient voice, presented sessions, @hopewinchester, @CourtHouseFood, the cycle co. who provided our e-bikes, all our sponsors and to everyone who attended! See you all at #PIER2024! 💫 @pier_network

Congrats to the ‘POxS’ team who helped Hal escape the quickest in @pier_network’s very first escape room! #PIER2023

SotonHannah_EBC's tweet image. Congrats to the ‘POxS’ team who helped Hal escape the quickest in @pier_network’s very first escape room! #PIER2023

#PIER2023 Fantastic end to PIER. Bob Kiaber. Kindness improves outcomes how can we encourage this in t he NHS. How do you sprinkle calm even when we don’t feel like this?

carolineRePDie1's tweet image. #PIER2023 Fantastic end to PIER. Bob Kiaber. Kindness improves outcomes how can we encourage this in t he NHS. How do you sprinkle calm even when we don’t feel like this?
carolineRePDie1's tweet image. #PIER2023 Fantastic end to PIER. Bob Kiaber. Kindness improves outcomes how can we encourage this in t he NHS. How do you sprinkle calm even when we don’t feel like this?

‘Kinder care leads to better outcomes’ @BobKlaber with the closing session of the 2023 @pier_network conference #PIER2023

SotonHannah_EBC's tweet image. ‘Kinder care leads to better outcomes’
@BobKlaber with the closing session of the 2023 @pier_network conference #PIER2023

#PIER2023 kindness lead to better outcomes. Important words to remember

carolineRePDie1's tweet image. #PIER2023 kindness lead to better outcomes. Important words to remember

@BobKlaber with the final session of the #PIER2023 conference - Kindness: an underrated currency @pier_network

SotonHannah_EBC's tweet image. @BobKlaber with the final session of  the #PIER2023 conference - 
Kindness: an underrated currency @pier_network

Donation does affect the location of end of life care and that means it is not right for everyone. Giving information to ensure the right decision is made for that family is key. Involve your specialist teams early. #PIER2023 @pier_network @R_chelCl_re


Practically: an echo, bloods and measurement of the child need to occur prior to donation. Organ retrieval can take from 2-12hrs in theatre Following retrieval, a final act of care will be performed in theatre & a moment of honour. #PIER2023 @pier_network


Ideally discuss with the organ donation team in advance, prior to offering donation to a family to ensure eligibility. A detailed conversation with the coroner will need to occur if PM is required, but this does not mean a complete contraindication to donation #PIER2023


Next up @R_chelCl_re following up with this morning’s palliative care session with Paediatric Organ Donation #PIER2023 @pier_network @NHSBT

SotonHannah_EBC's tweet image. Next up @R_chelCl_re following up with this morning’s palliative care session with Paediatric Organ Donation #PIER2023 @pier_network @NHSBT

@UHD_NHS team @FionaHignett and Nia Newton telling us all about pill school and teaching children to take tablets. So many potential benefits and definitely something for us to explore @SotonChildHosp @katepryde @UHSPharmacyTeam @UHSFT #PIER2023

katrinacathie's tweet image. @UHD_NHS team @FionaHignett and Nia Newton telling us all about pill school and teaching children to take tablets. So many potential benefits and definitely something for us to explore @SotonChildHosp @katepryde @UHSPharmacyTeam @UHSFT #PIER2023

💫 The key to tissue viability is you want to see what the wound bed looks like: When a wound is dry, add moisture to the slough to remove it When a wound is wet, absorb that exudate and view the wound💫 Tissue viability demystified! ✔️ #PIER2023 @pier_network @FranSpratt


Re dressings: think about what you are trying to achieve from them and don’t forget adhesive remover! #PIER2023 @pier_network @FranSpratt


Barrier films can be used under all dressings eg Cavilon, Medi-derma. When the dressing is removed it stops skin stripping and just removed the barrier instead #PIER2023 @pier_network @FranSpratt


Ideally remove the pressure, if you can’t eg with NIV masks, try and dissipate the pressure over a larger area eg with gel strips. Medical devices esp NG tubes, casts are high risk for damage. Heels must be off loaded from pressure when casts are on. #PIER2023 @pier_network

SotonHannah_EBC's tweet image. Ideally remove the pressure, if you can’t eg with NIV masks, try and dissipate the pressure over a larger area eg with gel strips. 

Medical devices esp NG tubes, casts are high risk for damage. Heels must be off loaded from pressure when casts are on. 
#PIER2023 @pier_network

Mari Bandiola with the importance of training on genomics in paediatrics and embedding this in everyday care. Genomics is no longer niche. - Vital for diagnosis, prognosis, testing relatives, currently free at point of delivery in the UK. #PIER2023 @pier_network

SotonHannah_EBC's tweet image. Mari Bandiola with the importance of training on genomics in paediatrics and embedding this in everyday care. Genomics is no longer niche. 

- Vital for diagnosis, prognosis, testing relatives, currently free at point of delivery in the UK. 
#PIER2023 @pier_network

Dan Owens chairing the submitted abstracts session, great to see the work going on across Wessex! #PIER2023 @pier_network

SotonHannah_EBC's tweet image. Dan Owens chairing the submitted abstracts session, great to see the work going on across Wessex! #PIER2023 @pier_network

#PIER2023 is go! Starting with a welcome from @jamesedelman

GenSouthgate's tweet image. #PIER2023 is go! Starting with a welcome from @jamesedelman

Paper 3 (and 4!) from Catherine Tuffrey looking at cerebral palsy - early intervention & diagnosis - Tailored physio-led examinations looking at subtle movements can provide earlier prediction - Early intervention can significantly improve outcomes #PIER2023 @pier_network

SotonHannah_EBC's tweet image. Paper 3 (and 4!) from Catherine Tuffrey looking at cerebral palsy - early intervention & diagnosis

- Tailored physio-led examinations looking at subtle movements can provide earlier prediction

- Early intervention can significantly improve outcomes #PIER2023 @pier_network
SotonHannah_EBC's tweet image. Paper 3 (and 4!) from Catherine Tuffrey looking at cerebral palsy - early intervention & diagnosis

- Tailored physio-led examinations looking at subtle movements can provide earlier prediction

- Early intervention can significantly improve outcomes #PIER2023 @pier_network

#PIER2023 Dr Catherine Tuffrey sneaks in 2 papers that changed her practice- thinking about early diagnosis and treatment for babies and children with cerebral palsy, and how we use the evidence base to direct our care. pubmed.ncbi.nlm.nih.gov/28715518/ link.springer.com/article/10.100…

GenSouthgate's tweet image. #PIER2023 Dr Catherine Tuffrey sneaks in 2 papers that changed her practice- thinking about early diagnosis and treatment for babies and children with cerebral palsy, and how we use the evidence base to direct our care. 

pubmed.ncbi.nlm.nih.gov/28715518/

link.springer.com/article/10.100…

The team have developed a great resource for those wanting to learn more! #PIER2023 @pier_network

SotonHannah_EBC's tweet image. The team have developed a great resource for those wanting to learn more! #PIER2023 @pier_network

@Steph_1989_20 presenting PRN salbutamol regimes Currently huge inconsistency in weaning regimes on discharge Updates include wheeze info to empower patients/carers Resulted in 2/3rd reduction in use following episode of acute wheeze & no increase in re-attendance #PIER2023

SotonHannah_EBC's tweet image. @Steph_1989_20 presenting PRN salbutamol regimes 

Currently huge inconsistency in weaning regimes on discharge

Updates include wheeze info to empower patients/carers

Resulted in 2/3rd reduction in use following episode of acute wheeze & no increase in re-attendance  #PIER2023

Key to follow up these children long term #PIER2023 @pier_network

SotonHannah_EBC's tweet image. Key to follow up these children long term 
#PIER2023 @pier_network

@BobKlaber with the final session of the #PIER2023 conference - Kindness: an underrated currency @pier_network

SotonHannah_EBC's tweet image. @BobKlaber with the final session of  the #PIER2023 conference - 
Kindness: an underrated currency @pier_network

Food inflation far exceeds general inflation and affects households with lower incomes disproportionately #PIER2023

katrinacathie's tweet image. Food inflation far exceeds general inflation and affects households with lower incomes disproportionately #PIER2023

#PIER2023 Alan Charter presents the paper that changed his practice, with intranasal pain relief central to pain relief in children in ED, has improved our practice, &more is coming! ncbi.nlm.nih.gov/pmc/articles/P…

GenSouthgate's tweet image. #PIER2023 Alan Charter presents the paper that changed his practice, with intranasal pain relief central to pain relief in children in ED, has improved our practice, &more is coming!

ncbi.nlm.nih.gov/pmc/articles/P…

Workshop time now! @FranSpratt with tissue viability in paediatrics: #PIER2023 @pier_network Wound healing is all about replacing and restoring loss and function, it needs the right environment at the wound bed. Wounds can look clean but not be healing without this

SotonHannah_EBC's tweet image. Workshop time now! @FranSpratt with tissue viability in paediatrics:
#PIER2023 @pier_network 

Wound healing is all about replacing and restoring loss and function, it needs the right environment at the wound bed.

Wounds can look clean but not be healing without this

#PIER2023 @Padderrs starts the oral presentations from submitted abstracts. Presenting a really interesting retrospective review of HUS cases @SotonChildHosp and highlighting the importance of long term follow up even with rapid recovery of acute phase. Look forward to the paper!

GenSouthgate's tweet image. #PIER2023 @Padderrs starts the oral presentations from submitted abstracts. Presenting a really interesting retrospective review of HUS cases @SotonChildHosp and highlighting the importance of long term follow up even with rapid recovery of acute phase. Look forward to the paper!

@UHD_NHS team @FionaHignett and Nia Newton telling us all about pill school and teaching children to take tablets. So many potential benefits and definitely something for us to explore @SotonChildHosp @katepryde @UHSPharmacyTeam @UHSFT #PIER2023

katrinacathie's tweet image. @UHD_NHS team @FionaHignett and Nia Newton telling us all about pill school and teaching children to take tablets. So many potential benefits and definitely something for us to explore @SotonChildHosp @katepryde @UHSPharmacyTeam @UHSFT #PIER2023

A wonderful session from the paediatric palliative care team, moving, insightful and thought-provoking. Very emotive but such essential conversations to be had #PIER2023 @pier_network @DrKateRen

SotonHannah_EBC's tweet image. A wonderful session from the paediatric palliative care team, moving, insightful and thought-provoking. Very emotive but such essential conversations to be had #PIER2023 @pier_network @DrKateRen

Brilliant afternoon at #PIER2023 running a Pill School workshop with @FionaHignett Benefits include empowering children to swallow solid dosage form medication 💊 cut NHS spend 💰 and reduce our carbon footprint 🌍 @pier_network

NiaNewton01's tweet image. Brilliant afternoon at #PIER2023 running a Pill School workshop with @FionaHignett Benefits include empowering children to swallow solid dosage form medication 💊 cut NHS spend 💰 and reduce our carbon footprint 🌍 @pier_network

@Steph_1989_20 presenting at the PIER conference on the wheeze discharge advice co-produced with families @Health_2gether @DrDaveJames #PIER2023

katrinacathie's tweet image. @Steph_1989_20 presenting at the PIER conference on the wheeze discharge advice co-produced with families @Health_2gether @DrDaveJames #PIER2023

Good words to use when talking to families about palliative care #PIER2023 Kate Renton concluding a very emotional session - thank you to all the speakers and especially Nicky and Paul

katrinacathie's tweet image. Good words to use when talking to families about palliative care #PIER2023
Kate Renton concluding a very emotional session - thank you to all the speakers and especially Nicky and Paul

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