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Is prehospital transfusion associated with better outcomes in pediatric trauma? This Concise Critical Appraisal reviews a retrospective study of children who sustained trauma that found that pediatric patients were likely to benefit from early hemostatic resuscitation with blood transfusion.
Although the variety of noninvasive interfaces for pediatric patients has grown in the past 10 years, they are still limited. Donald S. Prough, MD, FCCM, was joined by Natalie Napolitano, MPH, RRT-NPS, during the 2023 Critical Care Congress to discuss how clinicians’ need to have the right equipment for their patients led to a device development project using 3D imaging that obtained sample sizes from various age groups to bridge the fit gap and lessen pressure point injury among pediatric patients.
The contribution of adverse events to the deaths of patients in the pediatric ICU (PICU) who die despite a low predicted mortality risk is unknown. Elizabeth H. Mack, MD, MS, FCCM, is joined by Carin W. Verlaat, MD, to discuss adverse events in low-risk nonsurvivors compared with low-risk survivors and high-risk PICU survivors and nonsurvivors and the contribution of adverse events to mortality.
Is there an association between fluid accumulation (FA) and adverse outcomes in critically ill pediatric patients, and is there a threshold FA associated with these outcomes? This Concise Critical Appraisal explores a retrospective cohort study of PICU patients over a 5-year period that found that FA was common among critically ill mechanically ventilated children within the first 7 days of admittance. Higher FA was associated with adverse outcomes; however; only greater than 20% FA was associated with worse outcomes.
The American Heart Association’s cardiopulmonary resuscitation guidelines recommend against the routine administration of IV calcium during pediatric cardiopulmonary arrest; however, IV calcium is routinely used. Learn more in this discussion of “Calcium Administration During Cardiopulmonary Resuscitation for In-Hospital Cardiac Arrest in Children With Heart Disease is Associated With Worse Survival—A Report From the American Heart Association’s Get With the Guidelines-Resuscitation (GWTG-R) Registry."
This podcast discusses a novel machine learning model that identifies ICU transfers in hospitalized children more accurately than current tools. The discussion centers on the article “Development and External Validation of a Machine Learning Model for Prediction of Potential Transfer to the PICU,” published in the July 2022 issue of Pediatric Critical Care Medicine.
SCCM’s COVID-19 Rapid Resource Center now links to pertinent content from the Centers for Disease Control and Prevention (CDC). These resources are categorized as Neurology
This podcast will examine a retrospective, observational cohort study that found an association between excessive oxygen supplementation in the first day of mechanical ventilation with multiple organ dysfunction syndrome on day 7 of admission and in-hospital mortality in critically ill children. Host Elizabeth H. Mack, MD, MS, FCCM, is joined by L. Nelson Sanchez-Pinto, MD, MBI, to discuss the study’s findings. (Sanchez-Pinto LN, et al. Pediatr Crit Care Med. 2022;23:89-98). Dr. Sanchez-Pinto is a pediatric critical care physician, data scientist, clinical informaticist, and healthcare technologist at the Ann and Robert H. Lurie Children's Hospital in Chicago, IL.
Arno Zaritsky, MD, discusses an article he and Dr. Ikram Haque published in the March 2007 issue of Pediatric Critical Care Medicine titled "Analysis of the Evidence for Lower Limit of Systolic and Mean Arterial Pressure in Children."
Christopher Carroll, MD, discusses an article published in Pediatric Critical Care Medicine titled, "Childhood Obesity Increases Duration Of Therapy During Severe Asthma Exacerbations."
Douglas Willson, MD, discusses an article he published in the July 2006 issue of Pediatric Critical Care Medicine, "The Collaborative Pediatric Critical Care Research Network."
Folafoluwa O. Odetola, MD, MPH, discusses an article published in the January 2008 issue of Pediatric Critical Care Medicine, "Do Outcomes Vary According to the Source of Admission to the Pediatric Intensive Care Unit?"
Elaine Meyer, RN, PhD, discusses a paper published recently in Pediatric Critical Care Medicine, titled “Difficult Conversations: Improving Communication Skills and Relational Abilities in Healthcare.”
Niranjan Kissoon, MD, FCCM, discusses his article published in the September 2009 issue of Pediatric Critical Care Medicine, titled “World Federation of Pediatric Intensive and Critical Care Societies: Its Global Agenda.”
Amy Creel, MD, served as lead author on an article published in the May 2009 issue of Pediatric Critical Care Medicine, titled “Severe Invasive Community-Associated Methicillin-Resistant Staphylococcus aureus (CA-MRSA) Infections in Previously Healthy Children.”
Christopher L. Carroll, MD, FCCM, lead author of an article published in the May 2010 issue of Pediatric Critical Care Medicine, “Emergent Endotracheal Intubations in Children: Be Careful if it's Late When You Intubate,” which discusses the risks of emergent tracheal intubations in children.
Steven B. Leder, PhD, discusses his article, “Dysphagia Testing and Aspiration Status in Medically Stable Infants Requiring Mechanical Ventilation Via Tracheotomy,” published in the July 2010 Pediatric Critical Care Medicine.
Alan R. Schroeder, MD, discusses his article, “A Continuous Heparin Infusion Does Not Prevent Catheter-Related Thrombosis in Infants After Cardiac Surgery," published in the July Pediatric Critical Care Medicine.
Jerry J. Zimmerman, MD, PhD, FCCM, discusses his article published in the January Pediatric Critical Care Medicine, titled “Adjunctive Corticosteroid Therapy in Pediatric Severe Sepsis: Observations From the RESOLVE.”
Graeme MacLaren, MD, FCCM, is the lead author on an article published in the March Pediatric Critical Care Medicine titled, “Central Extracorporeal Membrane Oxygenation for Refractory Pediatric Septic Shock.”
Ramya Srinivasan, MD, discusses her article published in the January Pediatric Critical Care Medicine titled, “Plasminogen Activation Inhibitor Concentrations in Bronchoalveolar Lavage Fluid Distinguishes Ventilator-Associated Pneumonia from Colonization in Mechanically Ventilated Pediatric Patients.”
Jill M. Cholette, MD, is the lead author of an article published in the January Pediatric Critical Care Medicine titled, “Children with Single-Ventricle Physiology Do Not Benefit From Higher Hemoglobin Levels Post Cavopulmonary Connection: Results of a Prospective, Randomized, Controlled Trial of a Restrictive Versus Liberal Red-Cell Transfusion Strategy.”
Ericka L. Fink, MD, discusses her latest article published in Pediatric Critical Care Medicine, titled "Intensive Care for Infants and Children in Haiti in April 2010."
Margaret Parker, MD, FCCM, associate podcast editor, speaks with Nana Coleman, MD, EdM, about her editorial published in the July Pediatric Critical Care Medicine, “Health-Related Outcomes in Children After Critical Illness.”
Margaret Parker, MD, FCCM, associate podcast editor, speaks with Denise M. Goodman, MD, MS, about her article published in the July Pediatric Critical Care Medicine, “Defining Pediatric Sepsis by Different Criteria: Discrepancies in Populations and Implications for Clinical Practice.”
Margaret Parker, MD, FCCM, associate podcast editor, speaks with Susan L. Bratton, MD, MPH, about her paper published in the July Pediatric Critical Care Medicine, “Critical Care for Pediatric Asthma: Wide Care Variability and Challenges for Study."
Jeffrey Guy, MD, MSc, MMHC, speaks with Nilesh Mehta, MD, about his article published in the July 2012 Critical Care Medicine, “Nutritional Practices and Their Relationship to Clinical Outcomes in Critically Ill Children: An International Multicenter Cohort Study.”
Margaret Parker, MD, FCCM, speaks with Carl O. Eriksson, MD, MPH, lead author on an article published in the November Pediatric Critical Care Medicine.
Margaret Parker, MD, FCCM, speaks with Eliotte L. Hirshberg, MD, about her article “Clinical Equipoise Regarding Glycemic Control: A Survey of Pediatric Intensivist Perceptions,” which was published in the February 2013 issue of Pediatric Critical Care Medicine.
Margaret Parker, MD, FCCM, speaks with Christine N. Duncan, MD, lead author on an article titled “Clinical Outcomes of Children Receiving Intensive Cardiopulmonary Support During Hematopoietic Stem Cell Transplant,” published in the March issue of Pediatric Critical Care Medicine.
Margaret Parker, MD, FCCM, speaks with John T. Berger, MD, FCCM, about his article “Critical Pertussis Illness in Children, A Multicenter Prospective Cohort Study” which was published in the May 2013 Pediatric Critical Care Medicine.
Margaret Parker, MD, FCCM, speaks with Murray M. Pollack, MD, lead author on the article “The Ideal Time Interval for Critical Care Severity-of-Illness Assessment,” which was published in the June 2013 Pediatric Critical Care Medicine.
Margaret Parker, MD, FCCM, speaks with Andrew Argent, MD, about his article published in the January Pediatric Critical Care Medicine titled, “Pediatric Intensive Care in South Africa: Making Optimum Use of Limited Resources at the Red Cross War Memorial Children’s Hospital.”
Margaret Parker, MD, MCCM, speaks with Jacques R. Lacroix, MD, about the article, "Survey on Stated Transfusion Practices in Pediatric Intensive Care Units," published in Pediatric Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks with James L. Wynn, MD, about the article, “Time for a Neonatal-Specific Consensus Definition for Sepsis,” published in Pediatric Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks with Jason W. Custer, MD, about the article, “Diagnostic Errors in the Pediatric and Neonatal ICU: A Systematic Review,” published in the January 2015 issue of Pediatric Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks with Nicole O’Brien, MD, about the article, “The Epidemiology of Vasospasm in Children with Moderate-to-Severe Traumatic Brain Injury,” published in the March 2015 issue of Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks with Chani Traube, MD, about the article, “Pediatric Delirium and Associated Risk Factors: A Single-Center Prospective Observational Study,” published in the May 2015 issue of Pediatric Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks with Andrea Wolfler, MD, about the article, “Evolution of Non-Invasive Mechanical Ventilation Use: A Cohort Study Among Italian Pediatric Intensive Care Units,” published in the June 2015 issue of Pediatric Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks with Nnenna O. Chime, MD, MPH, about the article, “A Survey Demonstrating Lack of Consensus on the Sequence of Medications for Treatment of Hyperkalemia among Pediatric Critical Care Providers,” published in the June 2015 issue of Pediatric Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks with Robert T. Mansfield, MD, about the article, “The Use of Pediatric Ventricular Assist Devices in Children’s Hospitals from 2000 to 2010: Morbidity, Mortality, and Hospital Charges*,” published in the July 2015 issue of Pediatric Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks with Donald D. Vernon, MD, FAAP, about the article, “Practice Patterns in Pediatric Critical Care Medicine: Results of a Workforce Survey,” published in the October 2015 issue of Pediatric Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks with Mirjana Cvetkovic, FRCA, about the article, “Timing of Death in Children Referred for Intensive Care with Severe Sepsis: Implications for Interventional Studies,” published in the June 2015 issue of Pediatric Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks with Ann-Marie Brown, ACNP, PhD, RN, FCCM, Assistant Professor of Nursing at the University of Akron and Advanced Practice Nurse in the Pediatric Intensive Care Unit at Akron Children’s Hospital in Akron, Ohio.
Margaret Parker, MD, MCCM, speaks with Steven L. Shein, MD, about the article, “Effectiveness of Pharmacological Therapies for Intracranial Hypertension in Children With Severe Traumatic Brain Injury—Results From an Automated Data Collection System Time-Synched to Drug Administration,” published in the March 2016 issue of Pediatric Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks with Neethi Pinto, MD, about her talk, “Learning from Others: What We Can All Take from the Pediatrics Experience,” presented at the 45th Critical Care Congress in Orlando, Florida.
Margaret Parker, MD, MCCM, speaks with Christine Gall, DrPH, about the article, “Pediatric Triage in a Severe Pandemic: Maximizing Survival by Establishing Triage Thresholds,” published in the September 2016 issue of Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks with Mark C. Dugan, MD, about the article, “Does Simulation Improve Recognition and Management of Pediatric Septic Shock, and If One Simulation Is Good, Is More Simulation Better?” published in the July 2016 issue of Pediatric Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks with Aaron C. Spicer, MD, MAS, about the article, “A Simple and Robust Bedside Model for Mortality Risk in Pediatric Patients With Acute Respiratory Distress Syndrome,” published in the October 2016 issue of Pediatric Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks with Mary Jo C. Grant, APRN, PhD, about the article, “Dexmedetomidine Use in Critically-Ill Children with Acute Respiratory Failure,” published in the December 2016 issue of Pediatric Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks with Ericka L. Fink, MD, MS, about the PANGEA study (Prevalence of Acute Critical Neurological Disease in Children: A Global Epidemiological Assessment), published in the April 2017 issue of Pediatric Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks Mark Duffett, PhD, about the article, “High-Quality Randomized Controlled Trials in Pediatric Critical Care: A Survey of Barriers and Facilitators," published in the May 2017 issue of Pediatric Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks with Chani Traube, MD, about the article, “Delirium in Critically Ill Children: An International Point Prevalence Study,” published in the April 2017 issue of Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks with Scott L. Weiss, MD, MSCE, about the article, “The Epidemiology of Hospital Death Following Pediatric Severe Sepsis: When, Why, and How Children With Sepsis Die,” published in the September 2017 issue of Pediatric Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks with Michael C. McCrory, MD, MS, about the article, “Time of Admission to the PICU and Mortality,” published in the October 2017 issue of Pediatric Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks with Joseph A. Carcillo, MD, about the article, "American College of Critical Care Medicine Clinical Practice Parameters for Hemodynamic Support of Pediatric and Neonatal Septic Shock," published in the June 2017 issue of Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks with Thomas V. Brogan, MD, about the article “Variability in Antibiotic Use Across PICUs,” published in the June 2018 issue of Pediatric Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks with Stefanie G. Ames, MD, about the article “Hospital Variation in Risk-Adjusted Pediatric Sepsis Mortality,” published in the May 2018 issue of Pediatric Critical Care Medicine.
Margaret Parker, MD, MCCM, speaks with Nilesh M. Mehta, MD, about the article, “Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition,” published in the July 2017 issue of Pediatric Critical Care Medicine. Dr. Mehta discusses best practices in nutrition therapy in critically ill children.
Margaret M. Parker, MD, MCCM, and Luregn Schlapbach, MD, FCICM, review a survey of international practice on prevention, diagnosis, and treatment of infections on extracorporeal life support in adults and children published in Pediatric Critical Care Medicine (Farrell, Deborah, et al. Pediatr Crit Care Med. 2019;20:667-671).
Margaret M. Parker, MD, MCCM, and Elizabeth Emrath, MD, discuss Dr. Emrath’s talk on the new pediatric nutritional guidelines (Mehta N, et al. Pediatr. Crit Care Med. 2017;18:675-715) from the 48th Critical Care Congress precourse Current Concepts in Pediatric Critical Care.
Margaret M. Parker, MD, MCCM, and Lorry R. Frankel, MD, FCCM, discuss the updated pediatric critical care admission, discharge, and triage criteria and levels of care guidance published in the September issue of Pediatric Critical Care Medicine (Frankel L, et al. Pediatr Crit Care Med. 2019;20:847-887).
Margaret M. Parker, MD, MCCM, speaks with Rakesh Lodha, MD, on his article titled Polyneuropathy in Critically Ill Mechanically Ventilated Children: Experience from Tertiary Care Hospital in North India, published the September issue of Pediatric Critical Care Medicine (Shubham S, et al. Pediatr Crit Care Med. 2019;20:826-831).
Margaret M. Parker, MD, MCCM, speaks with Danny Hames, MD, on his article titled "Risk Factors for Mortality in Critically Ill Children Requiring Renal Replacement Therapy ," published in the November 2019 issue of Pediatric Critical Care Medicine (Hames D, et al. Pediatr Crit Care Med. 2019;20;1069-1077).
Margaret M. Parker, MD, MCCM, and Jerry J. Zimmerman, MD, PhD, FCCM, talk about the trajectory of long-term mortality and significant health-related quality of life disability among children encountering septic shock.
Gain valuable insight on the clinical management of COVID-19 and its relevance to the pediatric critical care provider (Ong J, et al. Pediatr Crit Care Med. 2020;21:662-666) with host Elizabeth H. Mack, MD, MS, FCCM, and Jacqueline Ong, MB BChir, MMed (Paeds), MRCPCH.
Cystic fibrosis patient care has advanced greatly in recent years and the mortality rate has improved. Explore PICU mortality and the factors associated with death among critically ill children with cystic fibrosis in this iCritical Care podcast.
Mannitol is a commonly used osmotherapy agent in raised intracranial pressure (ICP) but the side effects are significant. An alternative therapy, hypertonic saline, has shown varied results.
When should clinicians intubate preterm infants? This podcast discusses strategies that optimize noninvasive ventilation and when such strategies are appropriate.
This Concise Critical Appraisal highlights an article in Pediatric Critical Care Medicine that sought to determine the association between invasive mechanical ventilation—a known predictor of adverse outcomes in children—and subsequent new neurodevelopmental and psychiatric disorders after pediatric intensive care unit hospitalization by reviewing Texas Medicaid Analytic eXtract data.
Emphasize importance of continual assessment, nonpharmacologic interventions, and family involvement. The PANDEM guidelines for children and infants were published in the February 2022 issue of Pediatric Critical Care Medicine.
Ped Crit Care Med. 2022;23:e74-e110.
On December 3, 2021, the U.S. Food and Drug Administration revised the emergency use authorization (EUA) of bamlanivimab and etesevimab (previously authorized for pediatric patients 12 years of age and older weighing at least 40 kilograms, or about 88 pounds), to additionally authorize bamlanivimab and etesivimab administered together for the treatment of mild to moderate COVID-19 in all younger pediatric patients, including newborns, who have a positive COVID-19 test and are at high risk for progression to severe COVID-19, including hospitalization or death. This revision also authorizes bamlanivimab and etesevimab, to be administered together, for post-exposure prophylaxis for prevention of COVID-19 in all pediatric patients, including newborns, at high risk of progression to severe COVID-19, including hospitalization or death.
With the rise in cases among children across the country, more healthcare professionals who typically work with adult patients are being tasked with treating pediatric patients. SCCM’s latest blog post summarizes two webcasts SCCM hosted to help smooth this transition.
As pediatric cases of COVID-19 increase, it is vital to prepare for surges that may overwhelm capacity in pediatric intensive care units (ICUs). Pediatric critical care experts will address questions related caring for critically ill pediatric patients and steps to prepare for the next pediatric surge. We know children are not little adults. Whether you are practicing in an adult ICU environment or are a non-ICU clinician who may benefit from critical care training, this webcast will prepare you to treat critically ill pediatric patients. This webinar was held on October 15, 2021.
The average annual incidence of pediatric in-hospital cardiac arrest (IHCA) has recently been estimated at more than 15,000 cases.1 Survival rates for pediatric patients who have had pulseless cardiac arrest have remained below 50% for the past decade.2,3 The American Heart Association currently recommends epinephrine, the cornerstone medication for cardiac arrest, dosed every 3 to 5 minutes in adult and pediatric cardiac arrest, although there is conflicting evidence about whether this is the best interval.4,5 Epinephrine is believed to acutely increase coronary perfusion pressure by increasing diastolic blood pressure (DBP).
As pediatric cases of COVID-19 increase, it is vital to prepare for surges that may overwhelm capacity in pediatric intensive care units (ICUs). During this FREE webcast, pediatric critical care experts will address questions related caring for critically ill pediatric patients and steps to prepare for the next pediatric surge. We know children are not little adults. Whether you are practicing in an adult ICU environment or are a non-ICU clinician who may benefit from critical care training, this webcast will prepare you to treat critically ill pediatric patients. Webcast Recorded on Wednesday, September 22, 2021
SCCM’s COVID-19 Rapid Resource Center now links to pertinent content from the Infectious Diseases Society of America (IDSA) COVID-19 Real-Time Learning Network. These resources are categorized as Pediatrics
From Critical Care Medicine. In this observational, multicenter registry of children with coronavirus disease 2019, the authors found that ICU admission was common. Older age, fever, multisystem inflammatory syndrome in children, and seizure disorder were independently associated with ICU admission, and mortality was lower among children than mortality reported in adults.
With children going back to school, continued outbreaks of respiratory syncytial virus (RSV), and the upcoming flu season, it is important to prepare for potential surges of pediatric patients with COVID-19.
Update on research and evidence in multisystem inflammatory syndrome in children. This is SCCM curated COVID-19 microlearning content. Curriculum Topic: Cardiovascular Complications: Venous Thromboembolism, Myocarditis, and Shock
From Critical Care Medicine. In this article, the authors found that endothelial dysfunction is associated with severe acute respiratory syndrome coronavirus 2–related multisystem inflammatory syndrome in children with shock and may constitute one of the underlying mechanisms.
How can clinical information gleaned from focused cardiac ultrasound (FCU) be used to augment clinical assessments in children with suspected septic shock? This month’s Concise Critical Appraisal analyzes a study published in Pediatric Critical Care Medicine that sought to show how often a clinician’s hemodynamic characterization of a child with septic shock was altered by FCU and to further validate an expert-developed algorithm for these assessments.
From Pediatric Critical Care Medicine. This study delineates significant clinically relevant differences in presentation, explanatory factors, and outcomes among children admitted to PICU with severe acute respiratory syndrome coronavirus 2–related illness stratified by multisystem inflammatory syndrome in children.
This resource details an update on MIS-C during the COVID-19 pandemic. This is SCCM curated COVID-19 microlearning content.
From Critical Care Explorations. The authors describe the nationwide U.K. PICU experience of severe acute respiratory syndrome coronavirus-2 infection during the first wave of the pandemic and compare this with the critical care course of the 2019 influenza cohort.
From Pediatric Critical Care Medicine. The authors analyzed the short-term biochemical improvements and clinical outcomes following treatment of children with postsevere acute respiratory syndrome coronavirus-2 inflammatory syndrome (multisystem inflammatory syndrome in children/pediatric inflammatory multisystem syndrome temporally associated with severe acute respiratory syndrome coronavirus-2) admitted to U.K. PICUs and collated current treatment guidance from U.K. PICUs.
From Pediatric Critical Care Medicine. In this article, the authors found that hybrid rounds employed during pandemic facilitated social distancing while retaining patient-centered multidisciplinary ICU rounds but compromised teaching during rounds.
From Pediatric Critical Care Medicine. The authors of this Editorial sought to assess the evolving discussion surrounding the naming of a novel pediatric hyperinflammatory syndrome – a condition that showed overlapping features of Kawasaki disease and toxic shock syndrome -- through the analysis of its evolution around the Twitter hashtag #PedsICU.
SCCM’s COVID-19 Rapid Resource Center now links to pertinent content from the Centers for Disease Control and Prevention (CDC). These resources are categorized as Pediatrics
From Pediatric Critical Care Medicine Early preparation for the training and education of healthcare providers, as well as the continuation or modification of routine medical education programs, is of great importance in times of the coronavirus disease 2019 pandemic or other public health emergencies; this study aimed to characterize these self-reported efforts by the pediatric simulation community.
This Concise Critical Appraisal delves into a study published in Pediatric Critical Care Medicine that sought to determine whether early hemostatic intervention can prevent the development of DIC and improve outcomes.
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on November 4, 2020.
Children being treated for sepsis stayed in the hospital longer if they lived in low-income ZIP codes compared to those who were from high-income ZIP codes, suggests a large national study being presented at the Society of Critical Care Medicine’s 50th Critical Care Congress.
From Pediatric Critical Care Medicine. In this report, the authors describe the hybrid model implemented at institutions in New York and London and discuss shared experiences, pitfalls, challenges, and adjustments required in caring for both young and older patients.
Dive into a study that evaluates a standardized process of using rapid exome sequencing to help diagnose critically ill children with suspected genetic diseases in this Concise Critical Appraisal.
From Pediatric Critical Care Medicine. In this article, the authors review the current clinical knowledge of coronavirus disease 2019 disease in critically ill children and discuss some specific treatment concepts based mainly on expert opinion based on limited experience and the lack completed controlled trials in children at the time of the paper.
From Pediatric Critical Care Medicine. In this article, the authors report their experience developing a clinical inpatient protocol for the evaluation, management, and follow-up of patients with multisystem inflammatory syndrome.
From Critical Care Explorations. In this case report, the authors describe a pediatric patient with coronavirus disease-19-associated multisystem inflammatory syndrome without robust hyperinflammation and a delayed finding of coronary artery dilatation, which they believe highlights the need for further mechanistic understanding of coronavirus disease-19 disease and subsequent multisystem inflammatory syndrome in children or Kawasaki disease development.
From Critical Care Explorations. In this case report, the authors report a series of four critically ill pediatric patients with acute respiratory failure who received coronavirus disease 2019 convalescent plasma as a treatment strategy for severe disease.
From Pediatric Critical Care Medicine. The authors evaluated the impact of the coronavirus disease 2019 pandemic, considering the physical distancing and schools closing, on the characteristics of admission and epidemiology on Brazilian PICUs.
From Pediatric Critical Care Medicine. In this editorial, the author reviews ""Perspectives on Pediatric Sepsis in Patients with COVID-19"" from the Surviving Sepsis Campaign Pediatric Guidelines Taskforce authors.
From Critical Care Explorations. In this Letter to the Editor, the authors describe the process converting half of their 40-bed PICU into a negative-pressure biocontainment ICU dedicated to adult coronavirus disease 2019 patients within a 1,003-bed academic quaternary hospital.
From Pediatric Critical Care Medicine. In this editorial, the author discusses issues emerging from the study by Bhumbra et al. (Clinical features of critical coronavirus disease 2019 in children) that are worthy of discussion and further exploration, including the predilection for racial minorities, similarities and differences to sepsis, wide expression of clinical disease, and the conundrum of providing family centered care.
From Pediatric Critical Care Medicine. In this article, the authors discuss the Surviving Sepsis Campaign International Guidelines for the Management of Septic Shock and Sepsis-associated Organ Dysfunction in Children as they relate to COVID-19.
From Critical Care Medicine. The authors describe the unique perspective of pediatric intensivists caring for critically ill adults during the coronavirus disease 2019 pandemic.
From Pediatric Critical Care Medicine. In this letter to the editor, the authors state that the understanding of the immunopathogenesis of SARS-CoV-2 infection is important not only to understand the epidemiologic and age-related differences in COVID-19, but it is critical for the identification of appropriate treatment, as well as for the development of a highly immunogenic vaccine with low risk of antibody dependent enhancement.
From Pediatric Critical Care Medicine. The authors conducted a survey and found that most U.S. pediatric institutions rapidly adapted their resuscitation systems and practices in response to the coronavirus disease 2019 pandemic.
From Pediatric Critical Care Medicine. In this study, the authors observed a greater proportion of hospitalized children requiring mechanical ventilation than has been reported to date; they state that older children, African-American or Hispanic children, and males may be at greater risk for severe illness requiring hospitalization.
From Pediatric Critical Care Medicine. This study found that patients with coronavirus disease 2019 have a high frequency of comorbidities, require longer stays, more ventilatory support than usual PICU admissions, suggesting several avenues for further exploration.
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on July 8th, 2020.
Montefiore Medical Center in the Bronx, New York, USA, quickly converted a children's hospital to an adult COVID-19 hospital. Hear Margaret M. Parker, MD, MCCM, talk with H. Michael Ushay, MD, PhD, FAAP, FCCM, about the process, challenges with staffing and personal protective equipment, and more.
Can the biomarkers identified in the Pediatric Sepsis Biomarker Risk Model (PERSEVERE II) be used to predict acute kidney injury and renal recovery in pediatric septic shock? This Concise Critical Appraisal explores a study in which Stanski et al (Am J Respir Crit Care Med. 2020;201:848-855) sought to answer this question.
From Pediatric Critical Care Medicine. A foreword from the editors of PCCM about COVID-19 and the journal.
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on June 10th, 2020.
This resource details a pediatric ICU dashboard sample for tracking COVID-19. This is a community developed COVID-19 microlearning resource.
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on May 13th, 2020.
From Pediatric Critical Care Medicine. An editorial in response to an article by Killien et al. on resource "Prediction of Pediatric Critical Care Resource Utilization for Disaster Triage," noting that, although uniform use of the version of PELOD-2 proposed by Killien et al. won’t eliminate all variation from resource allocation strategies, finding any common ground in resource triage schemes is an important first step.
From Pediatric Intensive Care Medicine. In this letter to the editor, the authors explore the role of pediatric intensivists, as highly-skilled professionals, in the care of critically ill adults. With adequate guidance by professional societies and adult intensivists, pediatric critical care physicians can provide valuable assistance in the current pandemic and in potential COVID-19 epidemic waves to come.
From Pediatric Critical Care Medicine. In this letter to the editor, the authors respond to an article by Ong et al. and recommend lung ultrasound in children with COVID-19 as a means of improving outcomes.
This presentation covers treating COVID-19 in pediatric patients. This is SCCM curated COVID-19 microlearning content.
This presentation cover dermatological conditions seen in COVID-19 patients. This is SCCM curated COVID-19 microlearning content.
Clinicians are sharing early findings about an emerging critical illness predominantly affecting school-aged children and young adults. The Centers for Disease Control and Prevention (CDC) has defined criteria, calling it Multisystem Inflammatory Syndrome in Children (MIS-C) Associated with COVID-19.
Questions from social media, blogs and the various discussion forums, including the new SCCM COVID-19 Discussion Group, were answered. This microlearning content was taken from the COVID-19 Critical Care for Non-ICU Clinicians: Expert Panel Series held on May 13, 2020.
From Pediatric Critical Care Medicine. The authors outline an approach to practically initiating supportive strategies within the PICU using a well-being approach to improving baseline resilience alongside an acute rescue strategy utilising a peer-support network.
From Pediatric Critical Care Medicine. The authors sought to determine whether currently available pediatric illness severity scores can predict duration of critical care resource use.
From Pediatric Critical Care Medicine. Editorial in response to Ong et al. article ("A comprehensive narrative review on the impact and implications of COVID-19 in children"), focusing on the management of those most severely affected, as well as providing some practical suggestions for pediatric intensive care clinicians to prepare should COVID-19 become more virulent in children.
Gain valuable insight on the clinical management of COVID-19 and its relevance to the pediatric critical care provider (Ong J, et al. Pediatr Crit Care Med. 2020 Apr 7; Epub ahead of print) with host Elizabeth H. Mack, MD, MS, FCCM, and Jacqueline Ong, MB BChir, MMed (Paeds), MRCPCH.
What is the benefit of early versus late nutrition in critically ill children? In this Concise Critical Appraisal, Daniel E. Sloniewsky, MD, FCCM, offers a deep dive on this Pediatric Critical Care Medicine article by Srinivasan et al, which sought to answer this question using data from the Heart and Lung Failure-Pediatric Insulin Titration (HALF-PINT) study.
Researchers seeking to evaluate the causes of PARDS and improve therapy options have been awarded the Discovery Research Grant, making it the first time the full grant has been awarded to a single project because of the strength of the grant.
Most people know Angelica Hale as the tenacious young lady who won hearts with her incredible performances on America’s Got Talent in 2017. But before she became the youngest runner-up in the show’s history, she was a severely ill four-year-old with sepsis and kidney failure. Read ICU Heroes Award winner Angelica Hale's story.
Ped Crit Care Med. 2020 Feb;21(2)e52-e106
This Concise Critical Appraisal discusses how Carcillo et al (Pediatr Crit Care Med. 2019. Epub ahead of print) compared mortality in children with severe sepsis and MOF who present with one of four phenotypes: 1) immunoparalysis-associated MOF (IPMOF), 2) thrombocytopenia-associated MOF (TAMOF), 3) sequential liver failure-associated MOF (SMOF), and 4) MOF without any immunologic phenotype. The study investigated the association between these phenotypes and macrophage activation syndrome, a potential common pathway of uncontrolled inflammation (Carcillo et al. Pediatr Crit Care Med. 2017;18:S32-S45).
Ped Crit Care Med. 2019 Sep;20(9): 847-887
Saini et al (J Pediatr. 2019;209:212-219.e1) sought to evaluate the clinical outcomes in pediatric patients receiving unfractionated heparin while being monitored using anti-factor Xa and to determine the correlation between anti-factor Xa, heparin, and activated partial thromboplastin time.
Killien et al (Pediatr Crit Care Med. 2019;Epub ahead of print) set out to evaluate the prevalence of health-related quality of life (HRQL) decline in pediatric survivors of community-acquired sepsis, severe sepsis, and septic shock and to determine which factors are associated with a failure to return to baseline HRQL.
Jackson et al (Ped Crit Care Med. 2018;19:1033-1038) set out to analyze the impact telemedicine had on time to surgery in children with intracranial hemorrhage (ICH).
The goal of PICUparent is to help parents understand their child's healthcare.
AfterPICU.com offers resources for children and families following a critical illness.
As children leave the pediatric intensive care unit, parents may notice changes. Some children may have additional needs after a stay in the PICU. This video aims to share stories and examples that exemplify challenges after a PICU stay.
Children may experience post-intensive care syndrome (PICS) after a stay in the intensive care unit. Symptoms include learning and attention difficulties, post-traumatic stress disorder, sadness and depression, difficulty sleeping, behavior changes, motor dysfunction, breathing problems, feeding problems and difficulty hearing and seeing. Families may also be impacted by PICS. Help prepare your whole family to identify and treat PICS.
Children may experience post-intensive care syndrome (PICS) after a stay in the intensive care unit.
Pediatr Crit Care Med. 2017;18(7):675–715
iCritical Care Pediatric Critical Care Medicine is a customized podcast feed that offers a portion of the iCritical Care podcasts, delivering only those related to the Society of Critical Care Medicine's leading pediatric journal.