1/
#PedsICU conversations
Just out our paper in @PedCritCareMed led by the fabulous @AnnaZanin_MD
on the Live Tweeting the Discovery of #COVID19 related Syndrome in Children ( #PIMS #MISC)
Nuestro artículo sobre descubrimiento Sínd niños y @Twitter https://journals.lww.com/pccmjournal/Citation/9000/Live_Tweeting_the_Discovery_of_a_New_Coronavirus.97863.aspx#
#PedsICU conversations
Just out our paper in @PedCritCareMed led by the fabulous @AnnaZanin_MD

Nuestro artículo sobre descubrimiento Sínd niños y @Twitter https://journals.lww.com/pccmjournal/Citation/9000/Live_Tweeting_the_Discovery_of_a_New_Coronavirus.97863.aspx#
2/
Doctors have discussed clinical cases since its inception, COnversations among peers and sharing is key for medicine knowledge advancements
Los médicos siempre conversaron entre ellos y así la medicina avanza
(Rembrandt) #historicmedtwitter
https://smarthistory.org/rembrandt-anatomy-lesson-of-dr-tulp/
Doctors have discussed clinical cases since its inception, COnversations among peers and sharing is key for medicine knowledge advancements
Los médicos siempre conversaron entre ellos y así la medicina avanza
(Rembrandt) #historicmedtwitter
https://smarthistory.org/rembrandt-anatomy-lesson-of-dr-tulp/
3/
These conversations abled naming of diseases, etc. Unfortunately, many of those inventions/discoveries remained in silos, and massive global dissemination was impossible in real time. Moreover, tracking the origins and giving merits was difficult.
These conversations abled naming of diseases, etc. Unfortunately, many of those inventions/discoveries remained in silos, and massive global dissemination was impossible in real time. Moreover, tracking the origins and giving merits was difficult.
4/
Antes era difícil, sino imposible el rastrear el orìgen de los nombres de las enfermedades y los que la decubrieron y muchos de esos inventos quedaban en silos y la diseminación de la ciencia era más lenta. Ni hablar de la injusticia de muchos epónimos
http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-00112018000100087
Antes era difícil, sino imposible el rastrear el orìgen de los nombres de las enfermedades y los que la decubrieron y muchos de esos inventos quedaban en silos y la diseminación de la ciencia era más lenta. Ni hablar de la injusticia de muchos epónimos
http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-00112018000100087
5/
Today is easier. But as everything, it has some side effects. Naming is IMPORTANT. Eponyms and clinical descriptions deserves caution and uniformity
Hoy es más fàcil, pero no exento de problemas. Epónimos y descripciones clínicas deben uniformizarse https://bmcmedresmethodol.biomedcentral.com/articles/10.1186/1471-2288-9-18
Today is easier. But as everything, it has some side effects. Naming is IMPORTANT. Eponyms and clinical descriptions deserves caution and uniformity
Hoy es más fàcil, pero no exento de problemas. Epónimos y descripciones clínicas deben uniformizarse https://bmcmedresmethodol.biomedcentral.com/articles/10.1186/1471-2288-9-18
6/ With the surge of #COVID19 pediatricians knew soon that kids did not get sick as frequently as adults and childhood was not a risk agre for the new virus
Los pediatras reconocimos que niños no eran población de riesgo para COVID19 relativamente pronto https://pubmed.ncbi.nlm.nih.gov/32271728/
Los pediatras reconocimos que niños no eran población de riesgo para COVID19 relativamente pronto https://pubmed.ncbi.nlm.nih.gov/32271728/
7/ Sin embargo, en abr-mayo se comenzaron las primeras conversaciones (online) de un Sindrome nuevo asociado a #SARSCoV2 en niños
However, in apr-may online conversations begun on a new Syndrome (look at @Twitter data)
What was it? An inflammatory syndrome with multiple names ?
However, in apr-may online conversations begun on a new Syndrome (look at @Twitter data)
What was it? An inflammatory syndrome with multiple names ?
8/ Más tarde en Julio las 2 primeras formales descripciones comenzaron
In july first formal descriptions were reported
https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(20)30215-7/fulltext https://www.nejm.org/doi/full/10.1056/NEJMoa2021680
In july first formal descriptions were reported
https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(20)30215-7/fulltext https://www.nejm.org/doi/full/10.1056/NEJMoa2021680
9/
So we, peds, were talking (pretty much) online BEFORE #peereview about this new syndrome. And almost instantly, all around the global we were aware of this new entity which was named with several acronyms ( #hashtags)
We explored that in our paper https://journals.lww.com/pccmjournal/Citation/9000/Live_Tweeting_the_Discovery_of_a_New_Coronavirus.97863.aspx#
So we, peds, were talking (pretty much) online BEFORE #peereview about this new syndrome. And almost instantly, all around the global we were aware of this new entity which was named with several acronyms ( #hashtags)
We explored that in our paper https://journals.lww.com/pccmjournal/Citation/9000/Live_Tweeting_the_Discovery_of_a_New_Coronavirus.97863.aspx#
10/
O sea, que los pediatras estàbamos conversando en línea del SIndrome MUCHO ANTES que estuviera en @TheLancet y @NEJM
Claro que las etiquetas eran muy diferentes lo cual generaba problemas
( #PIMSTS, #MISC, #PIMS,
#kawasakidisease, #MIS_C, #Kawasaki, #PMIS, et al
O sea, que los pediatras estàbamos conversando en línea del SIndrome MUCHO ANTES que estuviera en @TheLancet y @NEJM
Claro que las etiquetas eran muy diferentes lo cual generaba problemas
( #PIMSTS, #MISC, #PIMS,
#kawasakidisease, #MIS_C, #Kawasaki, #PMIS, et al
11/
So 2 problems we had: proper NAMING and online PERCEPTION of what was happening.
Was the “online world” reflecting the real clinical impact at the bedside (offline world and MIS-C real prevalence)?
The syndrome still is REALLY rare at a population level
So 2 problems we had: proper NAMING and online PERCEPTION of what was happening.
Was the “online world” reflecting the real clinical impact at the bedside (offline world and MIS-C real prevalence)?
The syndrome still is REALLY rare at a population level
11/
Entonces teníamos 2 problemas: el NOMBRE y la PERCEPCION de lo que sucedía.
Reflejaba el "mundo online" lo que sucedía a escala clínica en el mundo "offline" real
Este SINDROME es MUY RARO a escala poblacional
Entonces teníamos 2 problemas: el NOMBRE y la PERCEPCION de lo que sucedía.
Reflejaba el "mundo online" lo que sucedía a escala clínica en el mundo "offline" real
Este SINDROME es MUY RARO a escala poblacional
12/
On human perception through #SoMe take a look at this
Lean este breve artículo para entender lo que les digo https://www.thechicagoschool.edu/insight/from-the-magazine/a-virtual-life/
On human perception through #SoMe take a look at this
Lean este breve artículo para entender lo que les digo https://www.thechicagoschool.edu/insight/from-the-magazine/a-virtual-life/
13/
So, was this SYndrome real? YES!
But was it SO REAL and COMMON? Nope
Era el Sd real? SI Tan real y COMUN? No
Take a look on @apsmunro et al @DFTBubbles work to stay updated https://dontforgetthebubbles.com/evidence-summary-paediatric-covid-19-literature/
So, was this SYndrome real? YES!
But was it SO REAL and COMMON? Nope
Era el Sd real? SI Tan real y COMUN? No
Take a look on @apsmunro et al @DFTBubbles work to stay updated https://dontforgetthebubbles.com/evidence-summary-paediatric-covid-19-literature/
14/
In the #PedsICU community we used #SoMe a lot to share information and we tried to put everything together. @SapnaKmd @ChrisCarrollMD worked on this early on
Nuestra comunidad trabajo ra´pido para tratar de juntar la infromación, como se reporta aquí https://journals.lww.com/pccmjournal/Fulltext/2020/08000/Using_Social_Media_for_Rapid_Information.30.aspx
In the #PedsICU community we used #SoMe a lot to share information and we tried to put everything together. @SapnaKmd @ChrisCarrollMD worked on this early on
Nuestra comunidad trabajo ra´pido para tratar de juntar la infromación, como se reporta aquí https://journals.lww.com/pccmjournal/Fulltext/2020/08000/Using_Social_Media_for_Rapid_Information.30.aspx
15/
But regarding this inflammatory entity we have to do better and improve collaboration. @Dr_Hari_Krishna and @BarneyUoB proposed it last year
Hari y Barney
hablaron de mejorar la colaboración y nombres el año pasado. Léanlo: https://academic.oup.com/jpids/advance-article/doi/10.1093/jpids/piaa105/5908305
But regarding this inflammatory entity we have to do better and improve collaboration. @Dr_Hari_Krishna and @BarneyUoB proposed it last year
Hari y Barney

16/
Professional Use of #SoMe was GOOD! But...
#SoMe users’ perception of the scale of the MIS-C clinical problem deserves further investigation
EL uso profesional de redes fue BUENA COSA! Pero... la percepción de la escala del problema necesita mayor investigación
Professional Use of #SoMe was GOOD! But...
#SoMe users’ perception of the scale of the MIS-C clinical problem deserves further investigation
EL uso profesional de redes fue BUENA COSA! Pero... la percepción de la escala del problema necesita mayor investigación
END
It was my pleasure to collaborate with so many #PEdsICU friends




Online clinical conversations make the world much smaller. A global PICU grand round.
Challenge: Do NOT forget to correlate with bedside rounds and collaborate for proper NAMING
It was my pleasure to collaborate with so many #PEdsICU friends





Online clinical conversations make the world much smaller. A global PICU grand round.
Challenge: Do NOT forget to correlate with bedside rounds and collaborate for proper NAMING
Las conversaciones en línea llegaron. Las mismas hacen al mundo más pequeño pero es necesario mejorarlo y cuidado al generalizar
Es más fácil encontrar el origen de descubrimientos y reconocer el mérito de quienes hacen las observaciones iniciales
Rembrandt 2020 Credit: @round
Es más fácil encontrar el origen de descubrimientos y reconocer el mérito de quienes hacen las observaciones iniciales
Rembrandt 2020 Credit: @round