In long term care, the organization implemented multiple forms of healthcare technology, including TYTO Care devices, the Polycom RealPresence device, and doxy.me services to continue to provide care to these extremely high-risk patients. In the arguably most at-risk environment, the emergency department, the health system was able to use their eCARE emergency video call system to reduce the amount of staff exposed to COVID patients and allow physicians to minimize their exposure while still being able to communicate with patients and perform necessary procedures. Hopefully health systems that have yet to embrace telemedicine or other forms of healthcare technology can use this organization’s model to implement changes, especially in the face of uncertainty regarding whether coronavirus will peak again, and whether that peak will be even higher than the surge already seen throughout the U.S.Pancreatic duct rupture and fistula formation are known complications of distal pancreatectomy (DP); however, internal pancreatic fistulas and duct ruptures as a result of pancreatitis with delayed onset after DP are rare. SP2509 This case reports a 77-year-old man with acute pancreatitis presenting with a delayed pancreatic duct rupture, fistula, and pseudocyst formation at the resection site three years status-post distal pancreatectomy for resection of intraductal papillary mucinous neoplasm of pancreas. This case report is designed to bring attention to the possible risk of delayed internal pancreatic fistula years post distal pancreatectomy, in the setting of a first episode of acute pancreatitis.The coronavirus disease-2019 (COVID-19) has (as of Oct. 14, 2020) infected approximately 38 million people worldwide. The most feared sequelae of COVID-19 in adults are severe, often fatal, lung disease, venous thromboembolic disease, cerebrovascular disease, and multiple organ system failure. Fortunately, unlike adults, most children who contract COVID-19 have a mild respiratory illness or asymptomatic. It is now evident that a small percentage of children develop a critical and novel illness with persistent fever , prominent GI symptoms , single or multi-organ dysfunction including shock and laboratory evidence of profound inflammation which has been termed multisystem inflammatory syndrome in children (MIS-C) by the CDC. Some of the reported cases share features with well-known inflammatory syndromes such as Kawasaki disease, macrophage activation syndrome/hemophagocytic lymphohistiocytosis and toxic shock syndrome. The temporal relationship of MIS-C and COVID-19 suggests a post-infectious immune dysregulation. Patients with MIS-C, especially those with cardiac dysfunction and/or shock, should preferably be managed in pediatric intensive care. We will discuss the epidemiology of MIS-C, similarities with known inflammatory syndromes in children, clinical presentation, and present management options.Despite relatively recent advances in our understanding of the physiopathology of asthma and the availability of highly effective controller medications, such as inhaled corticosteroids (ICS), currently many pediatric patients fail to control their asthma, especially in low- and middle-income countries (LMICs). Although some of these difficult-to-control asthmatic children have severe therapy-resistant asthma, most of them experience poor asthma control due to various modifiable factors, among which poor adherence to inhaled controller therapy and inadequate inhaler technique are the most common. Although electronic monitoring devices have been considered to be essential tools in identifying patients with severe therapy-resistant asthma, their high cost and low availability have currently limited their use in clinical practice. For these reasons, clinicians might consider using validated self-reported questionnaires and the weight of inhaler canisters and as alternative and valid options for assessing adherence to inhaled controller therapy. Furthermore, clinicians might consider adopting validated instruments as an objective measurement of the adequacy of inhaler technique. Although recognizing poor adherence does not automatically lead to improved adherence, it is usually an essential first step in effectively targeting adherence behavior, especially if the reasons for low or erratic compliance are explored by means of non-judgmental doctor-patient communication. These recommendations could assist in overcoming our inability to have pediatric asthmatic patients use ICS and in avoiding escalating their controller therapy toward more expensive medications, eventually reaching the use biologics. Promoting the rational and cost-effective use of asthma controller therapy could help to optimize the limited health resources in many LMICs.Michael Cook looks at the role of an embedded Public Health Information Specialist highlighting the ways the core evidence, information and knowledge skills are used to progress Public Health activity in local government settings. Acknowledging the current pandemic, he explores how COVID-19 has dominated all aspects of health and social care, and outlines how evidence services have work within these complex Public Health systems to lead the local response and recovery efforts.This dissertation study investigates the ways that NHS libraries are currently marketing their services within their organisation and was submitted as part of the MA Library and Information Management at the University of Sheffield in 2019. This paper presents the findings from twelve semi-structured interviews carried out with NHS library managers in the East of England to identify the most and least successful methods, and in comparison with that which is currently in the general marketing literature. The study found that outreach marketing was the most effective and that librarians are currently conducting marketing to the best of their ability, but they lack time and funding to be able to make the most of their promotional campaigns. F.J.Teaching students how to conduct bibliographic searches in health sciences’ databases is essential training. One of the challenges librarians face is how to motivate students during classroom learning. In this article, two hospital libraries, in Spain, used Escape rooms as a method of bringing creativity, teamwork, communication and critical thinking into bibliographic search instruction. Escape rooms are a series of puzzles that must be solved to exit the game. This article explores the methods used for integrating escape rooms into training programmes and evaluates the results. Escape Rooms are a useful tool that can be integrated into residents’ training to support their instruction on bibliographic searches. This kind of learning stablishes competences like logical thinking and deductive approaching. These aspects aid participants to make their own decision and to develop social and intellectual skills.