• Vascular Access in Critically Ill Pediatric Patients With Obesity*

    10 monthes ago - By Pediatric Critical Care Medicine

    Objectives:
    Pediatric obesity is highly prevalent and has been associated with poor outcomes for hospitalized children. Vascular access is essential in critically ill patients. The aim of this study was to evaluate whether critically ill children with obesity are more likely to undergo vascular device insertion and develop related complications.
    Design:
    Multi-institutional retrospective observational cohort study.
    Setting:
    Ninety-four U.S. PICUs included in the Virtual Pediatric Systems, LLC database.
    Patients:
    120,272 unique patients 2 to less than 18 years old admitted between January...
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  • Pediatric Critical Care Medicine Training: 2004-2016*

    Pediatric Critical Care Medicine Training: 2004-2016*

    10 monthes ago - By Pediatric Critical Care Medicine

    Objectives:
    To describe growth trends in the number of programs, positions, and applicants in pediatric critical care medicine fellowship training as part of the Pediatric Critical Care Medicine Training Study.
    Design:
    Descriptive study.
    Settings:
    Available archived Match data through the National Resident Matching Program and training data from the Accreditation Council for Graduate Medical Education.
    Patients:
    None.
    Interventions:
    None.
    Measurements and Main Results:
    We analyzed all data on programs, positions, and applicants through the National Resident Matching Program Specialties...
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  • A Survey of Return Visits to the Pediatric Emergency Department: The Caretakers' Perspective

    A Survey of Return Visits to the Pediatric Emergency Department: The Caretakers' Perspective

    10 monthes ago - By Pediatric Emergency Care

    Objective
    Approximately 5% of children return to the emergency department within 72 hours of a first evaluation. Previous literature has focused on healthcare utilization and the use of return visits as a quality metric. The goal of this study was to quantify reasons for return visits from the caretaker perspective.
    Methods
    Caretaker surveys were developed based on previously identified themes from focus groups. When considering reasons for return, multiple answers were allowed. Surveys were administered to a convenience sample of eligible caretakers who returned to the emergency...
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  • Improving Pediatric Preparedness in Critical Access Hospital Emergency Departments: Impact of a Longitudinal In Situ Simulation Program

    Improving Pediatric Preparedness in Critical Access Hospital Emergency Departments: Impact of a Longitudinal In Situ Simulation Program

    10 monthes ago - By Pediatric Emergency Care

    Objectives
    Critical access hospitals see few pediatric patients. Many of these hospitals do not have access to physicians with pediatric training. We sought to evaluate the impact of an in situ pediatric simulation program in the CAH emergency department setting on care team performance during resuscitation scenarios.
    Methods
    Five CAHs conducted 6 high-fidelity pediatric simulations over a 12-month period. Team performance was evaluated using a validated 35-item checklist representing commonly expected resuscitation team interventions. Checklists were scored by assigning zero point for...
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