The multidisciplinary and practical resource for Pediatric Critical Care on the Internet Peer reviewed original content integrated with links to selected web resources ... now 17 years old... thanks to everyone for your great support!..
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PedsCCM: The Pediatric Critical Care Website: The multidisciplinary and practical resource for Pediatric Critical Care on the Internet Peer reviewed original content integrated with links to selected web resources ... now 17 years old... thanks to everyone for your great support!.. |
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Timely issues facing Pediatric Critical Care Medicine
Nakagawa TA, Ashwal S, Mathur M, Mysore MR, Bruce D, Conway EE Jr, Duthie SE, Hamrick S, Harrison R, Kline AM, Lebovitz DJ, Madden MA, Montgomery VL, Perlman JM, Rollins N, Shemie SD, Vohra A, Williams-Phillips JA; Society of Critical Care Medicine; the Section on Critical Care and Section on Neurology of the American Academy of Pediatrics; the Child Neurology Society. Guidelines for the determination of brain death in infants and children: An update of the 1987 Task Force recommendations. Crit Care Med. 2011 Sep;39(9):2139-2155. [abstract] Kissoon N, Carcillo JA, Espinosa V, Argent A, Devictor D, Madden M, Singhi S, van der Voort E, Latour J; the Global Sepsis Initiative Vanguard Center Contributors. World Federation of Pediatric Intensive Care and Critical Care Societies: Global Sepsis Initiative. Pediatr Crit Care Med. 2011 Sep;12(5):494-503. [abstract; full-text (1.2MB)] Pediatric Basic and Advanced Life Support: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations Monica E. Kleinman, Allan R. de Caen, Leon Chameides, Dianne L. Atkins, Robert A. Berg, Marc D. Berg, Farhan Bhanji, Dominique Biarent, Robert Bingham, Ashraf H. Coovadia, Mary Fran Hazinski, Robert W. Hickey, Vinay M. Nadkarni, Amelia G. Reis, Antonio Rodriguez-Nunez, James Tibballs, Arno L. Zaritsky, David Zideman, and on behalf of the PEDIATRIC BASIC AND ADVANCED LIFE SUPPORT CHAPTER COLLABORATORS Pediatrics 2010;126 e1261-e1318 Bazelon E. Shaken-Baby Syndrome Faces New Questions in Court, New York Times Magazine, February 6, 2011. Carcillo JA, Orr R, Bell M, Joffe A, Maffei FA, Sullivan J, Han YY, Thomas J. A call for full public disclosure and moratorium on donation after cardiac death in children. Pediatr Crit Care Med. 2010 Sep;11(5):641-3. [citation]. With author replies: Webster PA. Pediatr Crit Care Med. 2010 Sep;11(5):643-4. [citation] and Mathur M, Abd-Allah S, Orr RD. Pediatr Crit Care Med. 2010 Sep;11(5):644-5. [citation] Two interesting point-counterpoint editorials regarding 24/7 in-house intensivist staffing:Burnham El, Mass M, Geraci MW. The Case for 24/7 In-House Intensivist Coverage Am. J. Respir. Crit. Care Med. 2010;181 1159-1160 [full-text], and Kahn JM, Hall JB. More Doctors to the Rescue in the Intensive Care Unit: A Cautionary Note. Am. J. Respir. Crit. Care Med. 2010;181 1160-1161 [full-text] Brierley J, Carcillo J, Choong K, et al. 2007 American College of Critical Care Medicine clinical practice parameters for hemodynamic support of pediatric and neonatal septic shock* Crit Care Med. 2009; 37(2):666-688 [abstract] Newth CJ, Venkataraman S, Willson DF, Meert KL, Harrison R, Dean JM, Pollack M, Zimmerman J, Anand KJ, Carcillo JA, Nicholson CE; Eunice Shriver Kennedy National Institute of Child Health and Human Development Collaborative Pediatric Critical Care Research Network. Weaning and extubation readiness in pediatric patients. Pediatr Crit Care Med. 2009 Jan;10(1):1-11. [abstract; full-text (pdf; 730K)] Angus DC, Mira JP, Vincent JL. Improving clinical trials in the critically ill. Crit Care Med. 2010 Feb;38(2):527-32. [abstract] Boucek MM, Mashburn C, Dunn SM, et al. Pediatric Heart Transplantation after Declaration of Cardiocirculatory Death. New Engl J Med 2008; 359:709-714. [full-text]. This issue includes several relevant and thought-provoking commentaries, including: Truog RD, Miller FG. The Dead Donor Rule and Organ Transplantation. New Engl J Med 2008; 359:674-675. [full-text] Marik PE, Pastores SM, Annane D, et al; American College of Critical Care Medicine. Recommendations for the diagnosis and management of corticosteroid insufficiency in critically ill adult patients: consensus statements from an international task force by the American College of Critical Care Medicine. Crit Care Med. 2008 Jun;36(6):1937-49. [abstract] de Oliveira CF, de Oliveira DS, Gottschald AF, Moura JD, Costa GA, Ventura AC, Fernandes JC, Vaz FA, Carcillo JA, Rivers EP, Troster EJ. ACCM/PALS haemodynamic support guidelines for paediatric septic shock: an outcomes comparison with and without monitoring central venous oxygen saturation. Intensive Care Med. 2008 Mar 28; DOI 10.1007/s00134-008-1085-9. [abstract] Levy MM, Dellinger RP, Townsend SR, Linde-Zwirble WT, Marshall JC, Bion J, Schorr C, Artigas A, Ramsay G, Beale R, Parker MM, Gerlach H, Reinhart K, Silva E, Harvey M, Regan S, Angus DC. The Surviving Sepsis Campaign: results of an international guideline-based performance improvement program targeting severe sepsis. Crit Care Med. 2010; 38:367-374. [abstract] Sharek PJ, Parast LM, Long K, Coombs J, Earnest K, Sullivan J, Frankel LR, Roth SJ. Effect of a Rapid Response Team on Hospital-wide Mortality and Code Rates Outside the ICU in a Children's Hospital. JAMA 2007;298 2267-2274 [abstract] The Robert Wood Johnson Foundation has issued a Special Report on Pediatric Palliative Care. This in response to the Institute of Medicine's 2002 report: When Children Die: Improving Palliative and End-of-Life Care for Children and Their Families1st International Sepsis Forum on Sepsis in Infants and Children. Pediatr Crit Care Med 2005; S1-S164. [table of contents] Rosenberg DI, Moss MM, AAP Section on Critical Care and Committee on Hospital Care. Guidelines and Levels of Care for Pediatric Intensive Care Units. Pediatrics 2004;114 1114-1125. [abstract] American College of Cardiology Foundation/American Heart Association/American College of Physicians, Task Force on Clinical Competence. ACC/AHA/AAP recommendations for training in pediatric cardiology. Pediatrics. 2005; 116:1574-1596. [full-text] Correspondence in response: Baden HP, Zimmerman JJ, Brilli RJ et al. Intensivist-Led Team Approach to Critical Care of Children With Heart Disease. Pediatrics 2006;117 1854-1856 [link] |
Important News... The 19th Pediatric Critical Care Colloquium, sponsored by Critical Care Medicine at Children's Hospital Los Angeles will be held at the Loews Santa Monica Beach Hotel, Santa Monica, California, September 6-9, 2012.
SCCM Pediatric Section News From the 2012 41st Critical Care Congress in Houston: SCCM Pediatric Section Business meeting minutes/presentations are available here... (pdf; 8.8 MB)
Standing opportunities from the The International Children's Heart Foundation (ICHF), which welcomes pediatric cardiologists, perfusionists, respiratory therapists, intensivists and nurses with significant pediatric cardiac experience for 2 week trips to provide direct care and local program development. We are in URGENT need of a Pediatric Intensivist for the following trips. Please let me know as soon as possible if you are available for this mission.
Guayaquil, Ecuador June 23 - July 7
The mission of the International Children's Heart Foundation (ICHF) is to bring the skills, technology and knowledge to cure and care for children with congenital heart disease to developing countries. ICHF does this regardless of country of origin, race, religion or gender. Our goal is to make the need for ICHF obsolete. We work toward this goal through our mission trips where we operate and educate local health care professionals, and provide needed equipment and medications. As a 501(c)3 charitable organization, the ICHF enlists your support to provide hope and life for children throughout the developing world. Let our passion become yours! A full description of needs and the programme is here.... (pdf; 100K), and an updated schedule of trips is here...
Last Updated: 2012-05-16 14:06:13 New PedsCCM Evidence-based Journal Club Reviews Portman MA, Slee A, Olson AK, Cohen G, Karl T, Tong E, Hastings L, Patel H, Reinhartz O, Mott AR, Mainwaring R, Linam J, Danzi S; TRICC Investigators. Domico M, Liao P, Anas N, Mink RB. Zimmerman JJ, Williams MD Hixson ED, Davis S, Morris S, Harrison AM. SAFE Study Investigators, Finfer S, McEvoy S, Bellomo R, McArthur C, Myburgh J, Norton R. [ View All ]
Important News...continued... New guidelines for the determination of brain death in infants and children have been published:
Nakagawa TA, Ashwal S, Mathur M, Mysore MR, Bruce D, Conway EE Jr, Duthie SE, Hamrick S, Harrison R, Kline AM, Lebovitz DJ, Madden MA, Montgomery VL, Perlman JM, Rollins N, Shemie SD, Vohra A, Williams-Phillips JA; Society of Critical Care Medicine; the Section on Critical Care and Section on Neurology of the American Academy of Pediatrics; the Child Neurology Society. Guidelines for the determination of brain death in infants and children: An update of the 1987 Task Force recommendations. Crit Care Med. 2011 Sep;39(9):2139-2155. [abstract] An updated version of the 2003 edition: "Guidelines for the Acute Medical Management of Severe Traumatic Brain Injury in Infants, Children, and Adolescents" is now freely available online here... (link to table of contents) (Pediatric Critical Care Medicine. January 2012 - volume 13 - supplement 1_suppl) The new PALISI (Pediatric Acute Lung Injury and Sepsis Investigators) Network website is up and running! Check it out here.... From the World Federation of Pediatric Intensive and Critical Care Societies: "6th World Congress on Pediatric Critical Care, was held in Sydney, Australia, March 13-17, 2011, and was a resounding success. Also see latest WFPICCS Newsletter: July 15th, 2011/Volume 4 /Number 2 (pdf; 250K) Task Force for Pediatric Emergency Mass Critical Care. Deliberations and Recommendations of The Pediatric Emergency Mass Critical Care Task Force 6. Pediatr Crit Care Med 2011; 12:S103-S179 [full-text]
NIH updates: The Pediatric Critical Care Scientist Development Program (PCCSDP) has been successfully reissued by the NICHD. Read more here... This program is to foster the development of highly promising young faculty in pediatric critical care into physician scientists. Details of the program can be found at www.pccsdp.org
Be sure to scan the list of fellowships available for those with NIH Training Grant funding for pediatric scientist training... The Collaborative Pediatric Critical Care Research Network (CPCCRN): Willson DF, Dean JM, Meert KL, Newth CJ, Anand KJ, Berger J, Harrison R, Zimmerman J, Carcillo J, Pollack M, Holubkov R, Jenkins TL, Nicholson C; for the Eunice Kennedy Shriver National Institute of Child Health, and Human Development Collaborative Pediatric Critical Care Research Network. Collaborative Pediatric Critical Care Research Network: Looking back and moving forward. Pediatr Crit Care Med 2010; 11(1):1-6. [abstract] more NIH updates... including announcements regarding changes to the peer review process... AAP Section on Critical Care (SOCC) News:
American Academy of Pediatrics (AAP) Disaster Preparedness Newsletters are here... Also seee this joint resource from the AAP and the AHRQ: Pediatric Terrorism and Disaster Preparedness: A Resource for Pediatricians New American Heart Association Guidelines for Cardiopulmonary Resuscitation have been published. The new PALS Guidelines are here: Kleinman ME, Chameides L, Schexnayder SM, Samson RA, Hazinski MF, Atkins DL, Berg MD, de Caen AR, Fink EL, Freid EB, Hickey RW, Marino BS, Nadkarni VM, Proctor LT, Qureshi FA, Sartorelli K, Topjian A, van der Jagt EW, Zaritsky AL. Part 14: pediatric advanced life support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2010;122(suppl 3):S876–S908. [full-text pdf (3.7 MB)] The supplement in Circulation with the complete "2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science" is here... "The EMSC National Resource Center has developed an online interactive map designed to provide health care professionals interested in volunteering a resource to identify disaster volunteer agencies in their state." The map is here....
CA-BSI Collaborative - Phase II Announcement The National Association of Children’s Hospitals and Related Institutions (NACHRI) and a team of PICU clinicians and Improvement Science faculty launched a three-year quality improvement project (Phase I) in October of 2006 that focused on prevention of catheter-associated blood stream infections (CA-BSI) in the 29 pediatric intensive care units (PICU) of 27 children’s institutions. The results of this Phase I collaborative have been remarkable. This Phase I collaborative is now being expanded to additional PICUs that seek to improve the healthcare of children by preventing CA-BSI events. Our initial collaborative progress to date shows: The number of infections has decreased from a pre-collaborative CA-BSI rate of 5.39 per 1,000 catheter days to a sustained rate of 3.19 per 1,000 catheter days. This reduction represents a statistically significant 41 percent decrease in CA-BSI events. The reduced CA-BSI rate can be extrapolated to:
As the Co-Chairs for this project we want to make you aware that we are now enrolling participating sites into the second phase of the project. We hope to enroll an additional 40 - 50 PICUs. In addition, we are happy to answer questions you may have. We are attaching additional information and an enrollment sheet for you. Richard J. Brilli (rich.brilli@cchmc.org ) and Marlene M. Miller (mmiller@nachri.org) From the FDA and CDC: Call for cases of Guillain Barre Syndrome (GBS) following administration of Meningococcal Conjugate Vaccine A, C, Y, and W135 (trade name Menactra)... More details... NACHRI and CHCA PICU Catheter-associated Bloodstream infection initiatives make mainstream press: Landro L. Pediatric ICUs Make Headway Against Infection. Wall Street Journal Online. April 18, 2007. [full-text] The Pediatric Cardiac Intensive Care Society, PCICS, was formed to provide an optimum forum to promote excellence in pediatric cardiac critical care medicine. We have joined together from diverse backgrounds, organized a professional society, and now launch our inaugural membership campaign. The Society seeks international participation by healthcare professionals dedicated to acquiring knowledge and improving practice for our critically ill patients with congenital and acquired heart disease. The Laura P. and Leland K. Whittier Virtual Pediatric Intensive Care Unit announces the creation of a VPICU Fellowship Program. Read details and application instructions here... (pdf 150K)
Dr. Greg Hammer at Stanford University is seeking sites interested in participating in a NICHD funded study of the effects of sodium nitroprusside. Read more... Updated request for participation from Drs. Wong and Shanley at Cincinnati Children's: "... we have a large scale clinical study to conduct microarray analyses in children with septic shock. Specifically, we are proposing to develop a national-level genomic data base (RNA) of children with SIRS and septic shock. The data base will be mined to conduct high throughput microarray analyses to define the genome-level expression profiles in this patient population." More details and contact information is here(pdf file, 52K)... Last Updated: 2012-05-12 15:28:12 and also worth noting... Kleinpell R, Ely EW, Williams G, Liolios A, Ward N, Tisherman SA. Web-based resources for critical care education. Crit Care Med. 2011 Mar;39(3):541-53. [abstract]Pediatric Fundamental Critical Care Support Approved U.S. Course Schedule picudoctor.org is a website/smartphone app resource for pediatric cardiac critical care. From Marc Anders, Royal Children's Hospital, Melbourne, Australia. Medical Calculators, from Cornell Critical Care Pediatrics, S. Pon Pandemic Influenza in the Pediatric Population: Just in Time Training, by ORISE - Oak Ridge Institute for Science and Education, for the CDC. Corresponding author Ken Tegtmeyer, MD, FAAP, FCCM A letter from the heart to physicians, from a mom with a child with special needs. A special message worth reading. [pdf; 56K] Critical Care Nursing of Infants and Children. 2nd Edition. Curley MAQ, Moloney-Harmon PA, eds. 2001. (this edition is out of print and now freely available) Program for Maintenance of Certification in Pediatrics update: The Pediatric Critical Care Medicine self-assessment is now available on the ABP Web site Pediatric Critical Care Medicine Board Review questions, from the Board Review Course by Tony Slonim and Heidi Dalton, D.C. Children's, now available for purchase. From Medtext. World Federation of Pediatric and Intensive Care Societies (WFPICCS) Pediatric Sepsis Initiative Database is operational. Read more... Children & Clinical Studies: an NIH-developed website to explain clinical research to children and families - why it is needed, what to expect, how to identify additional reliable resources. The TRIP database (Turning Research Into Practice) now has a special search page for critical care. Pediatric Emergency Meds Drip Sheet Generator, D Hanauer A comprehensive website all about pediatric continuous renal replacement therapy: pcrrt.com. Tim Bunchman, DeVos Children's Hospital, Grand Rapids, MI Scoring Systems for ICU and Surgical Patients, with PRISM, PIM, PELOD, Pediatric Coma Scale, the Rotterdam score for meningococcal septic shock in children, Neonatal TISS, and now updated with PIM 2 and CRIB 2. By Jean-Yves Marandon, Société Française d'Anesthésie et de Réanimation. Isabel Clinical Decision Support System: a online pediatric differential diagnosis tool, with contextual links to reference sources. (now requires paid subscription) Request for Information from the CDC: Acute Encephalopathy Cases in U.S. Children Associated with Influenza Virus Infection. Read more here ... The AAP announces a new area on their website for Children, Terrorism, and Disaster. Also of note: A joint resource from the AAP and the AHRQ is available: Pediatric Terrorism and Disaster Preparedness: A Resource for Pediatricians AHRQ Web M & M; peer-reviewed, online medical journal highlighting patient safety lessons drawn from real cases of medical errors The NIH proposes all NIH-sponsored studies' publications be made publicly available, essentially adopting the call of The Public Library of Science. Read more here.... And add your voice to the public comment page. Read about Open Access here... WWWeb Epidemiology & Evidence-based Medicine Sources for Veterinarians; an incredibly comprehensive list of clinical epidemiology and EBM links for health care practitioners treating all species! Want to publish your clinical trial in JAMA, The New England Journal, or other member journals of the International Committee of Medical Journal Editors? Since July 2005, your trial needs be registered in advance. Read DeAngelis CD, Drazen JM, Frizelle FA et al. Clinical Trial Registration: A Statement From the International Committee of Medical Journal Editors. JAMA 8 September 2004 (10.1001/jama.292.11.1363) [full-text]. Go to www.clinicaltrials.gov to register a trial. An update: Laine C, et al. Clinical Trial Registration: Looking Back and Moving Ahead. New Engl J Med 2007; 10.1056/NEJMe078110 [full-text] Mathews SC, Pronovost PJ. Physician Autonomy and Informed Decision Making: Finding the Balance for Patient Safety and Quality JAMA. 2008;300(24):2913-2915. [extract] Last Updated: 2012-05-08 23:34:53 |
courses & conferences to note... Pediatric Fundamental Critical Care Support (PFCCS), May 23 - May 24 2012 Loma LInda University Children\'s Hospital, Medical Simulation Center, Loma Linda, CA Brochure... 12° Congresso Brasileiro de Terapia Intensiva Pediatrica & 11° Congresso da Sociedad Latino-Americana de Cuidados Intensivos Pediatricos, June 06 - June 09 2012 Sao Paulo, Brazil Pediatric Fundamental Critical Care Support (P-FCCS) course, September 04 - September 05 2012 Loma LInda University Children\'s Hospital, Medical Simulation Center, Loma Linda, CA Brochure... 19th Pediatric Critical Care Colloquium, September 06 - September 09 2012 Loews Beach Hotel, Santa Monica, CA Website... Brochure... 1st International Symposium on AKI in Children at the 7th International Conference on Pediatric Continuous Renal Replacement Therapy (PCRRT), September 27 - September 30 2012 Cincinnati, OH Website... [ view all ] What's new for the month of May on PedsCCM...
Last Updated: 2012-05-15 07:30:51 |
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