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Pediatric critically ill transport

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https://www.readbyqxmd.com/read/28217595/impact-of-pre-hospital-care-on-the-outcome-of-children-arriving-with-agonal-breathing-to-a-pediatric-emergency-service-in-south-india
#1
Debasis Das Adhikari, Krishna Mahathi, Urmi Ghosh, Indira Agarwal, Anila Chacko, Ebor Jacob, Kala Ebenezer
BACKGROUND: Data on the prehospital interventions received by critically ill children at arrival to Paediatric Emergency Services (PES) is limited in developing countries. This study aims to describe the pre-hospital care scenario, transport and their impact on outcome in non-traumatic, acutely ill children presenting in PES with agonal breathing. METHODS: Prospective observational study done on children aged below 15 years arriving in PES with agonal breathing due to non-trauma related causes...
July 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/28197051/benefits-of-and-untoward-events-during-intrahospital-transport-of-pediatric-intensive-care-unit-patients
#2
M M Harish, Suhail Sarwar Siddiqui, Natesh R Prabu, Harish K Chaudhari, Jigeeshu V Divatia, Atul Prabhakar Kulkarni
BACKGROUND AND AIMS: The transport of critically ill patients for procedures or imaging outside the Intensive Care Unit (ICU) is potentially hazardous; hence, the transport process must be organized and efficient. The literature about benefits of and untoward events (UEs) during intrahospital transport of pediatric critically ill patient is scarce. We, therefore, audited the UEs during and benefits of intrahospital transport of critically ill pediatric patients in our ICU. SUBJECTS AND METHODS: Eighty critically ill pediatric (<18 years) cancer patients, transported from the ICU for either diagnostic or therapeutic procedure over a period of 6 months, were included in the study...
January 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28086760/education-of-pediatric-subspecialty-fellows-in-transport-medicine-a-national-survey
#3
Geoffrey E Mickells, Denise M Goodman, Ranna A Rozenfeld
BACKGROUND: The transport of critically ill patients to children's hospitals is essential to current practice. The AAP Section on Transport Medicine has raised concerns about future leadership in the field as trainees receive less exposure to transport medicine. This study identifies the priorities of pediatric subspecialty fellows, fellowship directors and nursing directors in transport medicine education. METHODS: Internet based surveys were distributed to fellows, fellowship directors and nursing directors of transport teams affiliated with ACGME-approved fellowships in Neonatal-Perinatal Medicine (NPM), Pediatric Critical Care Medicine (PCCM), and Pediatric Emergency Medicine (PEM)...
January 13, 2017: BMC Pediatrics
https://www.readbyqxmd.com/read/27806804/-application-of-extracorporeal-membrane-oxygenation-transport-in-critically-ill-pediatric-patients
#4
R S Ge, Z J Lu, B Sun
No abstract text is available yet for this article.
November 2, 2016: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
https://www.readbyqxmd.com/read/27801708/pediatric-critical-care-transport-as-a-conduit-to-terminal-extubation-at-home-a-case-series
#5
Corina Noje, Meghan L Bernier, Philomena M Costabile, Bruce L Klein, Sapna R Kudchadkar
OBJECTIVES: To present our single-center's experience with three palliative critical care transports home from the PICU for terminal extubation. DESIGN: We performed a retrospective chart review of patients transported between January 1, 2012, and December 31, 2014. SETTING: All cases were identified from our institutional pediatric transport database. PATIENTS: Patients were terminally ill children unable to separate from mechanical ventilation in the PICU, who were transported home for terminal extubation and end-of-life care according to their families' wishes...
January 2017: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/27636186/do-pediatric-teams-affect-outcomes-of-injured-children-requiring-inter-hospital-transport
#6
Amanda Calhoun, Martin Keller, Junxin Shi, Celeste Brancato, Kathy Donovan, Diana Kraus, Julie C Leonard
INTRODUCTION: Studies show that pediatric trauma centers produce better outcomes and reduced mortality for injured children. Yet, most children do not have timely access to a pediatric trauma center and require stabilization locally with subsequent transfer. Investigators have demonstrated that pediatric transport teams (PTT) improve outcomes for critically ill children; however, these studies did not differentiate outcomes for injured children. It may be that moderate to severely injured children actually fare worse with PTT due to slower transport times inherent to their remote locations and thus delays in important interventions...
September 16, 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/27591003/description-and-contribution-of-brain-magnetic-resonance-imaging-in-nontraumatic-critically-ill-children
#7
Guillaume Mortamet, Manoelle Kossorotoff, Amandine Baptiste, Nathalie Boddaert, Martin Castelle, Philippe Hubert, Fabrice Lesage, Sylvain Renolleau, Mehdi Oualha
BACKGROUND: The authors aimed to collect all brain magnetic resonance imaging (MRI) performed in critically ill children in the authors' medical pediatric intensive care unit over a 2-year period (2012-2013) to (1) describe the findings and (2) assess its contribution on practical patient care. METHODS: This is a single-center and retrospective study. All children without traumatic brain injury who underwent a brain MRI during pediatric intensive care unit stays were included...
September 2, 2016: Journal of Child Neurology
https://www.readbyqxmd.com/read/27552170/handover-and-transport-of-critically-ill-children-an-integrative-review
#8
REVIEW
Cynthia Foronda, Brigit VanGraafeiland, Robert Quon, Patricia Davidson
BACKGROUND: The handover and transport of critically ill pediatric patients requires communication amongst multiple disciplines. Poor communication is a leading cause of sentinel events and human factors affect handover and transport. OBJECTIVES: To synthesize published data on pediatric handover and transport and identify gaps to provide direction for future investigation. METHODS: Integrative literature review. RESULTS: Forty research studies were reviewed and revealed the following themes: risk for patient complications, standardized communication, and specialized teams and teamwork were associated with improved outcomes...
October 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/27444883/more-than-a-bus-ride-quality-and-outcomes-of-paediatric-specialty-transport
#9
Michael T Bigham
No abstract text is available yet for this article.
November 2016: Acta Paediatrica
https://www.readbyqxmd.com/read/26835565/pediatric-care-provided-at-urgent-care-centers-in-the-united-states-compliance-with-recommendations-for-emergency-preparedness
#10
Robert Wilkinson, Robert P Olympia, Jennifer Dunnick, Jodi Brady
OBJECTIVES: To describe the compliance of urgent care centers in the United States with pediatric care recommendations for emergency preparedness as set forth by the American Academy of Pediatrics. METHODS: An electronic questionnaire was distributed to urgent care center administrators as identified by the American Academy of Urgent Care Medicine directory. RESULTS: A total of 122 questionnaires of the 872 distributed were available for analysis (14% usable response rate)...
February 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/26717652/-recommendations-for-the-inter-hospital-transport-of-critically-ill-patients-in-tertiary-hospital
#11
(no author information available yet)
No abstract text is available yet for this article.
August 2015: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
https://www.readbyqxmd.com/read/26673843/impact-of-retrieval-distance-traveled-and-referral-center-on-outcomes-in-unplanned-admissions-to-a-national-picu
#12
Katie Moynihan, Brent McSharry, Peter Reed, David Buckley
OBJECTIVES: Centralization of PICUs requires a transport system that delivers patient outcomes equivalent to that of the same institution admissions. Our aim was to evaluate how pediatric critical care retrieval, distance traveled, and referral center level of ICU support impact on outcomes in unplanned admissions. DESIGN: Retrospective cohort study. SETTING: The national PICU in New Zealand. PATIENTS: A total of 5,609 (45% retrieved) unplanned pediatric admissions (< 15 yr) between January 1, 2004, and January 1, 2014...
February 2016: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/26508582/use-of-capnographs-to-assess-quality-of-pediatric-ventilation-with-3-different-airway-modalities
#13
Julia Fuzak Freeman, Christopher Ciarallo, Lara Rappaport, Maria Mandt, Lalit Bajaj
OBJECTIVES: Prehospital pediatric airway management is difficult and controversial. Options include bag-mask ventilation (BMV), endotracheal tube (ETT), and laryngeal mask airway (LMA). Emergency Medical Services personnel report difficulty assessing adequacy of BMV during transport. Capnography, and capnograph tracings in particular, provide a measure of real-time ventilation currently used in prehospital medicine but have not been well studied in pediatric patients or with BMV. Our objective was to compare pediatric capnographs created with 3 airway modalities...
January 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26203917/pediatric-critical-care-telemedicine-program-a-single-institution-review
#14
Maria Hernandez, Nayla Hojman, Candace Sadorra, Madan Dharmar, Thomas S Nesbitt, Rebecca Litman, James P Marcin
BACKGROUND: Rural and community emergency departments (EDs) often receive and treat critically ill children despite limited access to pediatric expertise. Increasingly, pediatric critical care programs at children's hospitals are using telemedicine to provide consultations to these EDs with the goal of increasing the quality of care. MATERIALS AND METHODS: We conducted a retrospective review of a pediatric critical care telemedicine program at a single university children's hospital...
January 2016: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/26080668/-performance-of-pediatric-risk-of-mortality-and-pediatric-index-of-mortality-in-evaluation-of-the-patients-condition
#15
Xiulan Lu, Jun Qiu, Yimin Zhu, Peng Chen, Xiao Liu, Pingping Liu, Chao Zuo, Liang Tang, Zhenghui Xiao
OBJECTIVE: To assess the performance of pediatric risk of mortality (PRISM), pediatric index of mortality 2 (PIM2) in predicting mortality in critically ill pediatric patients via a prospective study. METHOD: The outcome and the variables required to calculate PRISM and PIM2 were collected. The efficiency of PRISM and PIM2 in differentiation between death and survival by calculating the area under the receiver operating characteristic curve (ROC). Calibration across deciles of risk was evaluated using the Hosmer-Lemeshow goodness-of-fit χ(2) test...
May 2015: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
https://www.readbyqxmd.com/read/25891665/parents-experiences-of-pediatric-palliative-transports-a-qualitative-case-series
#16
Harriett Nelson, Sandra Mott, Monica E Kleinman, Richard D Goldstein
CONTEXT: Pediatric palliative transports, the practice of transporting critically ill children home for end-of-life care including extubation, are an option for children requiring high levels of medical support at end of life. Little is known about the experience from the perspective of the children and families. OBJECTIVES: To understand parents' perspectives on the experience of pediatric palliative transports. METHODS: Open-ended interviews were conducted using a qualitative descriptive design...
September 2015: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/25860203/goal-directed-resuscitative-interventions-during-pediatric-interfacility-transport
#17
Michael H Stroud, Ronald C Sanders, M Michele Moss, Janice E Sullivan, Parthak Prodhan, Maria Melguizo-Castro, Todd Nick
OBJECTIVES: This article reports results of the first National Institutes of Health-funded prospective interfacility transport study to determine the effect of goal-directed therapy administered by a specialized pediatric team to critically ill children with the systemic inflammatory response syndrome. We hypothesized that goal-directed therapy during interfacility transport would decrease hospital length of stay, prevent multiple organ dysfunction, and reduce subsequent ICU interventions...
August 2015: Critical Care Medicine
https://www.readbyqxmd.com/read/25822701/investigation-of-the-status-of-interhospital-transport-of-critically-ill-pediatric-patients
#18
Jun Qiu, Xiao-Li Wu, Zheng-Hui Xiao, Xian Hu, Xue-Li Quan, Yi-Min Zhu
BACKGROUND: With the unequal distribution of medical resources in developing countries, critically ill children need to be transferred to tertiary hospitals from primary hospitals with limited resources. Although a large number of critically ill children are transferred each day in China, the standard process of inter-hospital transport is not formulated. METHODS: We retrospectively analyzed the data collected during transport. A total number of 9231 patients (≤14 years) who had been transferred to the Hunan Children's Hospital by a specialized team from primary hospitals from January 1, 2009 to June 30, 2012 were included in the study...
February 2015: World Journal of Pediatrics: WJP
https://www.readbyqxmd.com/read/25697201/-interhospital-pediatric-transport-a-growing-necessity-of-the-chilean-healthcare-network
#19
EDITORIAL
Marie Jesie Carrillo B
No abstract text is available yet for this article.
April 2014: Revista Chilena de Pediatría
https://www.readbyqxmd.com/read/25658967/prehospital-pediatric-care-opportunities-for-training-treatment-and-research
#20
Patrick C Drayna, Lorin R Browne, Clare E Guse, David C Brousseau, E Brooke Lerner
OBJECTIVE: Pediatric transports comprise approximately 10% of emergency medical services (EMS) requests for aid, but little is known about the clinical characteristics of pediatric EMS patients and the interventions they receive. Our objective was to describe the pediatric prehospital patient cohort in a large metropolitan EMS system. METHODS: This retrospective analysis of all pediatric (age <19 years) EMS patients transported from October 2011 to September 2013 was conducted by reviewing a system-wide National EMS Information System (NEMSIS)-compliant database of all EMS patient encounters...
July 2015: Prehospital Emergency Care
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