A Survey Demonstrating Lack of Consensus on the Sequence of Medications for Treatment of Hyperkalemia Among Pediatric Critical Care Providers*

2015 ◽  
Vol 16 (5) ◽  
pp. 404-409 ◽  
Author(s):  
Nnenna O. Chime ◽  
Xun Luo ◽  
LeAnn McNamara ◽  
Akira Nishisaki ◽  
Elizabeth A. Hunt
Keyword(s):  
Critical Care ◽  
Care Providers ◽  
Pediatric Critical Care

Pediatric Triage and Allocation of Critical Care Resources During Disaster: Northwest Provider Opinion

2014 ◽  
Vol 29 (5) ◽  
pp. 455-460 ◽  
Author(s):  
Erin Margaret Johnson ◽  
Douglas S. Diekema ◽  
Mithya Lewis-Newby ◽  
Mary A. King
Keyword(s):  
Critical Care ◽  
Hurricane Katrina ◽  
Health Care Providers ◽  
Health Workers ◽  
Cognitive Outcome ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Publication Type ◽  
Pediatric Critical Care ◽  
Pediatric Hospitals

AbstractIntroductionFollowing Hurricane Katrina and the 2009 H1N1 epidemic, pediatric critical care clinicians recognized the urgent need for a standardized pediatric triage/allocation system. This study collected regional provider opinion on issues of care allocation and pediatric triage in a disaster/pandemic setting.MethodsThis study was a cross-sectional survey of United States (US) health care providers and public health workers who demonstrated interest in critical care and/or disaster care medicine by attending a Northwest regional pediatric critical care symposium on disaster preparation, held in 2012 at Seattle Children's Hospital in Seattle, Washington (USA). The survey employed an electronic audience response system and included demographic, ethical, and logistical questions. Differences in opinions between respondents grouped by professions and work locations were evaluated using a chi-square test.ResultsOne hundred and twelve (97%) of 116 total attendees responded to at least one question; however, four of these responders failed to answer every question. Sixty-two (55%) responders were nurses, 29 (26%) physicians, and 21 (19%) other occupations. Fifty-five (51%) responders worked in pediatric hospitals vs 53 (49%) in other locations. Sixty-three (58%) of 108 successful responses prioritized children predicted to have a good neuro-cognitive outcome. Seventy-one (68%) agreed that no pediatric age group should be prioritized. Twenty-two (43%) of providers working in non-pediatric hospital locations preferred a triage system based on an objective score alone vs 14 (26%) of those in pediatric hospitals (P = .038).JohnsonEM, DiekemaDS, Lewis-NewbyM, KingMA. Pediatric triage and allocation of critical care resources during disaster: Northwest provider opinion. Prehosp Disaster Med. 2014;29(5):1-6.

scholarly journals A Survey of Pediatric Critical Care Providers on the Presence, Severity, and Assessment of Capillary Leak in Critically Ill Children

2016 ◽  
Vol 06 (03) ◽  
pp. 145-151 ◽  
Author(s):  
Peter Luckett ◽  
Edward Faustino ◽  
Richard Pierce
Keyword(s):  
Critical Care ◽  
Cardiopulmonary Bypass ◽  
Critically Ill ◽  
Critically Ill Children ◽  
Care Providers ◽  
Capillary Leak ◽  
Multiple Choice Questions ◽  
Pediatric Critical Care ◽  
Electronic Survey ◽  
Patient Factor

Purpose To determine provider opinions on factors most commonly used to assess the presence and severity of pathologic capillary leak in critically ill children. Methods We conducted an electronic survey of pediatric critical care providers. Patient scenarios were presented to assess opinions on the risk, presence, and clinical significance of capillary leak. Responses were obtained using Likert scales and multiple-choice questions. Results A total of 160 responses were analyzed. Respondents agreed that capillary leak is present in the scenario with septic shock while respondents somewhat agreed that it is also present with poly-trauma, cardiac arrest, or cardiopulmonary bypass. They agreed that physical exam, but neither agreed nor disagreed that laboratory tests, can be used to assess and follow the severity of capillary leak in these children. Generalized edema, increase in weight, and pulmonary crackles were commonly identified parameters for assessing capillary leak. The patient factor most commonly identified with capillary leak was presence of infection, while treatment factors most commonly identified were cardiopulmonary bypass and general anesthesia. Conclusion There is agreement that capillary leak is common in critically ill children and exacerbates disease. The parameters identified in this study may facilitate a more standardized clinical evaluation of pathologic capillary leak for future studies.

scholarly journals Standardized Extubation and High Flow Nasal Cannula Training Program for Pediatric Critical Care Providers in Lima, Peru

MedEdPORTAL ◽  
2020 ◽  
Vol 16 (1) ◽  
pp. 10937
Author(s):  
Laura E. Ellington ◽  
Rosario Becerra Velásquez ◽  
José Tantaleán da Fieno ◽  
Gabriela Mallma Arrescurrenaga ◽  
Katie R. Nielsen
Keyword(s):  
Critical Care ◽  
Training Program ◽  
High Flow ◽  
Nasal Cannula ◽  
Care Providers ◽  
High Flow Nasal Cannula ◽  
Pediatric Critical Care

scholarly journals Simulation Education to Advance Emergency Medicine and Pediatric Critical Care in Nepal

2020 ◽  
Author(s):  
Roshana Shrestha ◽  
Lisa Alianiello ◽  
Shaza Aouthmany ◽  
Fenil Kholwadwala ◽  
Nicholas Deluga ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Critical Care ◽  
Emergency Care ◽  
The United States ◽  
Healthcare Systems ◽  
Care Providers ◽  
Pediatric Critical Care ◽  
Subjective Data ◽  
Simulation Education ◽  
Hands On

Abstract Background: Internationally emergency medicine is a relatively young specialty that is increasingly recognized for its potential for growth. In low middle-income countries (LMICs) like Nepal resources are quite limited and the development of new specialties such as emergency medicine can be slow to evolve. Specific areas of emergency care, including pediatric critical care have significant challenges due to clinical and educational limitations in countries like Nepal. Countries with robust healthcare systems like the United States can play a significant role in bridging this education and clinical divide in LMICs. In 2018 and 2019 the University of Toledo Medical Center in collaboration with Dhulikhel Hospital-Kathmandu University Hospital School of Medicine developed adult and pediatric critical emergency care workshops and educational sessions in an effort to improve the development of emergency medicine in Nepal. These sessions included hands-on workshops, educational lectures, and simulation participation environments in critical care procedures and decision making for both adult and pediatric emergencies. In these two workshops a total of 71 participants, including Nepalese emergency care providers ranging from pre-hospital personnel to faculty, engaged in these sessions. Results: Pre and post-workshop surveys were provided and this subjective data showed significant improvement in confidence levels along with procedural skills technique and knowledge as a result of the educational sessions provided. Conclusion: Multidisciplinary education and workshops to LMIC are necessary for development of emergency medicine and pediatric critical care. Simulation education and workshop training are highly valuable “hands on” methods to educate these healthcare providers. Highly developed healthcare systems in emergency and critical care must assist in the world wide development acute care management in these poorly resourced countries

Sign in / Sign up

Export Citation Format

Share Document