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Pediatric transport team

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https://www.readbyqxmd.com/read/27801708/pediatric-critical-care-transport-as-a-conduit-to-terminal-extubation-at-home-a-case-series
#1
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...
October 28, 2016: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/27705983/outcome-comparison-in-children-undergoing-extracorporeal-life-support-initiated-at-a-local-hospital-by-a-mobile-cardiorespiratory-assistance-unit-or-at-a-referral-center
#2
Erwan d'Aranda, Bruno Pastene, Fabrice Ughetto, Jean Cotte, Pierre Esnault, Virginie Fouilloux, Cécilia Mazzeo, Julien Mancini, Stéphane Lebel, Olivier Paut
PURPOSE: To compare characteristics and outcome in children undergoing extracorporeal life support initiated in an extracorporeal life support center or at the patient's bedside in a local hospital, by means of a mobile cardiorespiratory assistance unit. METHODS: A retrospective study in a single PICU during 6 years. Extracorporeal life support was started either in our center (control group) or in the local hospital (mobile cardiorespiratory assistance unit group)...
October 2016: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/27697396/pediatric-and-neonatal-transport-in-spain-portugal-and-latin-america
#3
S de la Mata, M Escobar, M Cabrerizo, M Gómez, R González, J López-Herce Cid
OBJECTIVE: To study the organization of inter-hospital transport of pediatric and neonatal patients in Spain, Portugal and Latin America. DESIGN: An observational study was performed. An on-line survey was sent by email including questions about characteristics of national, regional and local health transport systems, vehicles, material, and composition of the transport team and their training. SETTING: Hospital pediatric healthcare professionals treating children in Spain, Portugal and Latin America RESULTS: A total of 117 surveys from 15 countries were analyzed...
September 30, 2016: Medicina Intensiva
https://www.readbyqxmd.com/read/27636186/do-pediatric-teams-affect-outcomes-of-injured-children-requiring-inter-hospital-transport
#4
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/27590633/international-aircraft-ecmo-transportation-first-french-pediatric-experience
#5
Jerome Rambaud, Pierre L Léger, Ludovic Porlier, Michelle Larroquet, Herve Raffin, Charlotte Pierron, Herve Walti, Ricardo Carbajal
Refractory severe hemodynamic or respiratory failure may require extracorporeal membrane oxygenation (ECMO). Since some patients are too sick to be transported safely to a referral ECMO center on conventional transportation, mobile ECMO transport teams have been developed. The experiences of some ECMO transport teams have already been reported, including air and international transport. We report the first French pediatric international ECMO transport by aircraft. This case shows that a long distance intervention of the pediatric ECMO transport team is feasible, even in an international setting...
September 1, 2016: Perfusion
https://www.readbyqxmd.com/read/27552170/handover-and-transport-of-critically-ill-children-an-integrative-review
#6
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/27548743/cross-sectional-survey-of-canadian-pediatric-critical-care-transport
#7
Atsushi Kawaguchi, Anna Gunz, Allan de Caen
OBJECTIVES: This study aimed to better understand the unique aspects of pediatric critical care transport programs across Canada by characterizing the current workforce of each transport program. METHODS: A cross-sectional questionnaire was sent to the 13 medical directors of Canada's pediatric critical care transport teams, and to 2 nonhospital-affiliated transport services. If a children's hospital did not have a dedicated team for pediatric transport, the regional transport team providing this service was identified...
August 20, 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/27509915/effect-of-transition-from-a-unit-based-team-to-external-transport-team-for-a-pediatric-critical-care-unit
#8
Brian M Cummings, Kanakaraju Kaliannan, Phoebe H Yager, Natan Noviski
OBJECTIVE: Pediatric hospitals must consider staff, training, and direct costs required to maintain a pediatric specialized transport team, balanced with indirect potential benefits of marketing and referral volume. The effect of transitioning a unit-based transport team to an external service on the pediatric intensive care unit (PICU) is unknown, but information is needed as hospital systems focus on population management. We examined the impact on PICU transports after transition to an external transport vendor...
August 10, 2016: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/27456509/management-of-pediatric-trauma
#9
(no author information available yet)
Injury is still the number 1 killer of children ages 1 to 18 years in the United States (http://www.cdc.gov/nchs/fastats/children.htm). Children who sustain injuries with resulting disabilities incur significant costs not only for their health care but also for productivity lost to the economy. The families of children who survive childhood injury with disability face years of emotional and financial hardship, along with a significant societal burden. The entire process of managing childhood injury is enormously complex and varies by region...
August 2016: Pediatrics
https://www.readbyqxmd.com/read/27206274/shock-index-values-and-trends-in-pediatric-sepsis-predictors-or-therapeutic-targets-a-retrospective-observational-study
#10
Samiran Ray, Mirjana Cvetkovic, Joe Brierley, Daniel H Lutman, Nazima Pathan, Padmanabhan Ramnarayan, David P Inwald, Mark J Peters
BACKGROUND: Shock index (SI) (heart rate [HR]/systolic blood pressure [SBP]) has been used to predict outcome in both adult and pediatric sepsis within the intensive care unit (ICU). We aimed to evaluate the utility of SI before pediatric ICU (PICU) admission. PATIENTS AND METHODS: We conducted a retrospective observational study of children referred to a pediatric intensive care transport service (PICTS) between 2005 and 2011. The predictive value of SI, HR, and blood pressure at three prespecified time points (at referral to PICTS, at PICTS arrival at the referring hospital, and at PICU admission) and changes in SI between the time points were evaluated...
September 2016: Shock
https://www.readbyqxmd.com/read/27057583/the-creation-of-a-biocontainment-unit-at-a-tertiary-care-hospital-the-johns-hopkins-medicine-experience
#11
Brian T Garibaldi, Gabor D Kelen, Roy G Brower, Gregory Bova, Neysa Ernst, Mallory Reimers, Ronald Langlotz, Anatoly Gimburg, Michael Iati, Christopher Smith, Sally MacConnell, Hailey James, John J Lewin, Polly Trexler, Meredith A Black, Chelsea Lynch, William Clarke, Mark A Marzinke, Lori J Sokoll, Karen C Carroll, Nicole M Parish, Kim Dionne, Elizabeth L D Biddison, Howard S Gwon, Lauren Sauer, Peter Hill, Scott M Newton, Margaret R Garrett, Redonda G Miller, Trish M Perl, Lisa L Maragakis
In response to the 2014-2015 Ebola virus disease outbreak in West Africa, Johns Hopkins Medicine created a biocontainment unit to care for patients infected with Ebola virus and other high-consequence pathogens. The unit team examined published literature and guidelines, visited two existing U.S. biocontainment units, and contacted national and international experts to inform the design of the physical structure and patient care activities of the unit. The resulting four-bed unit allows for unidirectional flow of providers and materials and has ample space for donning and doffing personal protective equipment...
May 2016: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/27043094/use-of-simulation-to-gauge-preparedness-for-ebola-at-a-free-standing-children-s-hospital
#12
Elizabeth A Biddell, Brian L Vandersall, Stephanie A Bailes, Stephanie A Estephan, Lori A Ferrara, Kristine M Nagy, Joyce L O'Connell, Mary D Patterson
On October 10, 2014, a health care worker exposed to Ebola traveled to Akron, OH, where she became symptomatic. The resulting local public health agencies and health care organization response was unequalled in our region. The day this information was announced, the emergency disaster response was activated at our hospital. The simulation center had 12 hours to prepare simulations to evaluate hospital preparedness should a patient screen positive for Ebola exposure. The team developed hybrid simulation scenarios using standardized patients, mannequin simulators, and task trainers to assess hospital preparedness in the emergency department, transport team, pediatric intensive care unit, and for interdepartmental transfers...
April 2016: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/27021672/pediatric-specialty-transport-teams-are-not-associated-with-decreased-48-hour-pediatric-intensive-care-unit-mortality-a-propensity-analysis-of-the-vps-llc-database
#13
Michael T Meyer, Theresa A Mikhailov, Evelyn M Kuhn, Maureen M Collins, Matthew C Scanlon
OBJECTIVE: The purpose of this study was to determine if pediatric specialty pediatric team (SPT) interfacility-transported children from community emergency departments to a pediatric intensive care unit (PICU) have improved 48-hour mortality. METHODS: This is a multicenter, historic cohort analysis of the VPS, LLC PICU clinical database (VPS, LLC, Los Angeles, CA) for all PICU directly admitted pediatric patients ≤ 18 years of age from January 1, 2007, to March 31, 2009...
March 2016: Air Medical Journal
https://www.readbyqxmd.com/read/26876121/perinatal-and-delivery-management-of-infants-with-congenital-heart-disease
#14
REVIEW
Laura Sanapo, Anita J Moon-Grady, Mary T Donofrio
Advances in fetal echocardiography have improved prenatal diagnosis of congenital heart disease (CHD) and allowed better delivery and perinatal management. Some newborns with CHD require urgent intervention after delivery. In these cases, delivery close to a pediatric cardiac center may be considered, and the presence of a specialized cardiac team in the delivery room or urgent transport of the infant should be planned in advance. Delivery planning, monitoring in labor, rapid intervention at birth if needed, and avoidance of iatrogenic preterm delivery have the potential to improve outcomes for infants with prenatally diagnosed CHD...
March 2016: Clinics in Perinatology
https://www.readbyqxmd.com/read/26854192/predominance-of-dr3-in-somali-children-with-type-1-diabetes-in-the-twin-cities-minnesota
#15
Muna Sunni, Janelle A Noble, Liping Yu, Zahra Mahamed, Julie A Lane, Abdirahman M Dhunkal, Melena D Bellin, Brandon Nathan, Jennifer Kyllo, M Jennifer Abuzzahab, Peter A Gottlieb, Sunanda Babu, Taylor Armstrong, Antoinette Moran
BACKGROUND: Minnesota is home to the largest Somali population in USA, and pediatric diabetes teams are seeing increasing numbers of Somali children with diabetes. OBJECTIVE: To assess the immune basis of diabetes in Somali children in the Twin Cities, Minnesota. METHODS: A total of 31 Somali children ≤19 yr were treated for type 1 diabetes (T1D) at the University of Minnesota Masonic Children's Hospital and Children's Hospitals and Clinics of Minnesota underwent analysis of human leukocyte antigen (HLA) alleles (n = 30) and diabetes autoantibodies [glutamic acid decarboxylase (GAD65), islet antigen 2 (IA-2), zinc transporter 8 (ZnT8); n = 31]...
February 8, 2016: Pediatric Diabetes
https://www.readbyqxmd.com/read/26841111/continuing-medical-education-for-air-medical-providers-the-successes-and-challenges
#16
Jenna O Miller, Satid Thammasitboon, Deborah C Hsu, Manish I Shah, Charles G Minard, Jeanine M Graf
OBJECTIVE: Research has shown that patients transported by nonpediatric teams have higher rates of morbidity and mortality. There is currently a paucity of pediatric standardized ongoing medical education for emergency medical service providers, thus we aimed to develop a model curriculum to increase their knowledge regarding pediatric respiratory distress and failure. METHODS: The curriculum was based on the Kolb Learning Cycle to optimize learning. Target learners were flight nurses (registered nurse) and emergency medical technicians of a private helicopter emergency transport team...
February 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/26673843/impact-of-retrieval-distance-traveled-and-referral-center-on-outcomes-in-unplanned-admissions-to-a-national-picu
#17
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/26572880/ventilation-monitoring-for-severe-pediatric-traumatic-brain-injury-during-interfacility-transport
#18
Gregory Hansen, Jeff K Vallance
BACKGROUND: Ventilation monitoring practice for intubated pediatric patients with severe traumatic brain injury (TBI) during interfacility transport (IFT) has not been well documented. We describe the difference of practices in ventilation monitoring during IFT from the perspective of a level I pediatric trauma center with an enormous catchment area. METHODS: Patients admitted between July 2008 and September 2013 at Winnipeg Health Science Center, Canada, were examined in this retrospective chart review...
December 2015: International Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26543689/simulation-to-assist-in-the-selection-process-of-new-airway-equipment-in-a-children-s-hospital
#19
Joan Roberts, Taylor Sawyer, Donald Foubare, Jennifer Reid, Kimberly Stone, Don Stephanian, Douglas Thompson
INTRODUCTION: To provide an informed choice of equipment purchase, we sought to use simulation to allow medical providers an opportunity to evaluate two potential laryngoscopes. METHODS: The study followed a prospective, blinded comparison design. Participants were blinded to the laryngoscope brands by using alphabetic labels on the handles ("A" and "B"). Participants included a convenience sample of healthcare providers who perform intubation. Participants were allowed to perform intubation with the two laryngoscope brands on neonatal, child, and adolescent/adult airway simulators...
2015: Curēus
https://www.readbyqxmd.com/read/26509727/characteristics-of-children-who-undergo-intraosseous-needle-placement
#20
Karin Reuter-Rice, Dana Patrick, Elizabeth Kantor, Cathy Nolin, Jennifer Foley
Intraosseous (IO) access is a standard of care for pediatric emergencies in the absence of conventional intravenous access. Intraosseous needles provide access for resuscitation fluids and medications and are often placed in the emergency department. However, there are no studies to date that describe the characteristics of pediatric IO needle recipients or their dispositions and outcomes. This study examined the characteristics and disposition of children following IO needle placement by prehospital and emergency room teams before being transported to a children's hospital...
October 2015: Advanced Emergency Nursing Journal
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