Aim To establish a consensus on terminology used to define stomal, parastomal and peristomal complications in Australia.

Methods A list of stomal, parastomal and peristomal complications was generated through group dialogue which was informed by the clinical and academic knowledge of the researchers. An extensive literature review was undertaken to identify any additional terms and to create a database of definitions/descriptions. A library of images related to the identified conditions was generated. An online Delphi process was conducted amongst a representative, purposive sample of Australia expert wound, ostomy, continence nurses (WOCNs) and colorectal surgeons. Ten terms were presented to the panel with descriptive photographs of each complication. Up to three Delphi rounds, and if necessary a priority voting round, were conducted.

Results Seven of the ten terms reached agreement in the first round. One term (allergic dermatitis) was refined (allergic contact dermatitis) and reached agreement in the second round. Two terms (mucocutaneous granuloma and mucosal granuloma) were considered by the panel to be the same condition in different anatomical locations and were combined as one term (granuloma). Two terms (skin stripping and tension blisters) were combined as one term – medical adhesive related skin injury (MARSI) – and reached agreement in round two.

Conclusion A consensus in terminology used to describe stomal, para/peristomal complications will enhance communication amongst patients and health professionals, and advance opportunities for education and benchmarking of stomal, para and peristomal complications nationally.

Patients who are critically ill with COVID-19 need ventilation support in the ICU. However, ICU patients are at higher risk of developing a pressure injury (PI). Unfortunately, PI prevention is not optimally implemented in Indonesia, especially in the makeshift hospitals created during the COVID-19 pandemic.

Here, the authors report two cases of critically ill COVID-19 patients who developed large sacral PIs during hospitalisation in a makeshift hospital in Indonesia. The first patient developed a grade III, 7 cm × 7 cm sacral PI on the 14th day of hospitalisation. The second patient developed a grade IV, 12 cm × 8 cm sacral PI on the 16th day of hospitalisation. Both patients had elevated D-dimer levels and used a noninvasive ventilator for one week.

The wounds were treated with surgical debridement, silver hydrogel dressing, and hydrocolloid dressing, and complemented with static air mattress overlay.

The authors recommend that in situations where there is a shortage of healthcare workers, the government should provide pressure-redistribution devices and silicone foam dressings for all critically ill patients to prevent PI development and lighten the workload of healthcare workers.

Delegates at the WCET^® Congress, in Fort Worth, Texas in June, were treated to a very successful scientific programme with diverse, stimulating and high-quality content.

For the benefit of the many members who were unable to attend, here is a sample of what was presented by speakers from around the world.