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The Impact of Critical Care Nursing Certification on Pediatric Patient Outcomes*
Conclusions: Bachelor of Science in Nursing education and Critical Care Registered Nurse certification significantly impact pediatric patient outcomes. Recognition of nursing and organizational characteristics that are associated with improved pediatric patient outcomes is important to patients, their families, and society. Clinical leaders must commit to facilitating pathways for hiring candidates with Bachelor of Science in Nursing as a minimum to practice in PICUs and supporting a culture of professional certification.
Source: Pediatric Critical Care Medicine - August 1, 2018 Category: Pediatrics Tags: Cardiac Intensive Care Source Type: research

Transcranial Doppler Ultrasound During Critical Illness in Children: Survey of Practices in Pediatric Neurocritical Care Centers*
Conclusions: At least 27 pediatric neurocritical care centers use transcranial Doppler during clinical care. In the majority of centers, studies are performed and interpreted by credentialed personnel, and findings are used to guide clinical management. Further studies are needed to standardize these practices.
Source: Pediatric Critical Care Medicine - January 1, 2020 Category: Pediatrics Tags: Neurocritical Care Source Type: research

Beyond Survival: Pediatric Critical Care Interventional Trial Outcome Measure Preferences of Families and Healthcare Professionals*
Conclusions: In addition to survival, long-term quality of life/functional status and duration of organ dysfunction represent important interventional trial outcome measures for both families of critically ill children, as well as the multidisciplinary team who provides critical care.
Source: Pediatric Critical Care Medicine - February 1, 2018 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Validation of the Complexity Assessment and Monitoring to Ensure Optimal Outcomes (CAMEO II) Acuity Tool for Pediatric Critical Care Nursing.
DISCUSSION: Utilization of CAMEO II across ICUs provides an opportunity to validate the current complexity of pediatric critical care nursing in a large children's hospital. PMID: 30946124 [PubMed - in process]
Source: Dimensions in Critical Care Nursing - April 6, 2019 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research

Pediatric Neurocritical Care: Evolution of a New Clinical Service in PICUs Across the United States
Objectives: Pediatric neurocritical care as a conceptual service is relatively new, and implementation of such specialized services may improve outcomes for children with disorders of the brain or spinal cord. How many pediatric neurocritical care services currently exist in the United States, and attitudes about such a service are unknown. Design: Web-based survey, distributed by e-mail. Setting: Survey was sent to PICU Medical Directors and Program Directors of Pediatric Neurosurgery fellowship and Child Neurology residency programs. Patients: None. Interventions: None. Measurements and Main Results: A t...
Source: Pediatric Critical Care Medicine - November 1, 2018 Category: Pediatrics Tags: Neurocritical Care Source Type: research

A Case for Change in Adult Critical Care Training for Physicians in the United States: A White Paper Developed by the Critical Care as a Specialty Task Force of the Society of Critical Care Medicine*
Conclusions: 1) Changing the current Critical Care Medicine training paradigms may benefit trainees and patient care. 2) Multiple pathways into critical care training for all interested trainees are desirable for meeting future intensivist workforce demands. 3) The current subspecialties within separate boards are not “distinct and well-defined field[s] of medical practice” per the American Board of Medical Specialties. Recommendations for first steps are as follows: 1) as the society representing multidisciplinary critical care, the Society of Critical Care Medicine has an opportunity to organize a meeting of all st...
Source: Critical Care Medicine - September 15, 2018 Category: Emergency Medicine Tags: Feature Articles Source Type: research

Early Protocolized Versus Usual Care Rehabilitation for Pediatric Neurocritical Care Patients: A Randomized Controlled Trial
Objective s: Few feasibility, safety, and efficacy data exist regarding ICU-based rehabilitative services for children. We hypothesized that early protocolized assessment and therapy would be feasible and safe versus usual care in pediatric neurocritical care patients. Design: Randomized controlled trial. Setting: Three tertiary care PICUs in the United States. Patients: Fifty-eight children between the ages of 3–17 years with new traumatic or nontraumatic brain insult and expected ICU admission greater than 48 hours. Interventions: Early protocolized (consultation of physical therapy, occupational therapy,...
Source: Pediatric Critical Care Medicine - June 1, 2019 Category: Pediatrics Tags: Neurocritical Care Source Type: research

Regionalization of Critical Care in the United States: Current State and Proposed Framework From the Academic Leaders in Critical Care Medicine Task Force of the Society of Critical Care Medicine*
Conclusions: Under the value-based paradigm, the goals are operational efficiency and patient outcomes. Health systems that can align strategy and operations to assist the referral hospitals with implementing regionalization will be better positioned to regionalize critical care effectively.
Source: Critical Care Medicine - December 20, 2021 Category: Emergency Medicine Tags: Clinical Investigations Source Type: research

Sharing ICU Patient Data Responsibly Under the Society of Critical Care Medicine/European Society of Intensive Care Medicine Joint Data Science Collaboration: The Amsterdam University Medical Centers Database (AmsterdamUMCdb) Example*
CONCLUSIONS: Technical, legal, ethical, and privacy challenges related to responsible data sharing can be addressed using a multidisciplinary approach. A risk-based deidentification strategy, that complies with both U.S. and European privacy regulations, should be the preferred approach to releasing ICU patient data. This supports the shared Society of Critical Care Medicine and European Society of Intensive Care Medicine vision to improve critical care outcomes through scientific inquiry of vast and combined ICU datasets.
Source: Critical Care Medicine - May 30, 2021 Category: Emergency Medicine Tags: Online Clinical Investigations Source Type: research

Intensive Care Unit Rotations and Predictors of Career Choice in Pulmonary/Critical Care Medicine: A Survey of Internal Medicine Residency Directors.
Conclusions: While numerous differences exist between the ICU rotations at community- and university-sponsored IM residencies, the percentage of graduates specializing in PCCM was similar. Exposure to larger ICUs, serving as code leaders, and higher rates of specialization were predictive of a career choice in PCCM. PMID: 29692932 [PubMed]
Source: Critical Care Research and Practice - April 26, 2018 Category: Intensive Care Tags: Crit Care Res Pract Source Type: research

Models of Peer Support to Remediate Post-Intensive Care Syndrome: A Report Developed by the Society of Critical Care Medicine Thrive International Peer Support Collaborative*
Conclusions: A number of different models of peer support are currently being developed to help patients and families recover and grow in the postcritical care setting.
Source: Critical Care Medicine - December 18, 2018 Category: Emergency Medicine Tags: Online Clinical Investigations Source Type: research

The New Trainee Effect in Tracheal Intubation Procedural Safety Across PICUs in North America: A Report From National Emergency Airway Registry for Children*
Conclusions: The New Trainee Effect in tracheal intubation safety outcomes was not observed in various types of PICUs. There was a significant improvement in pediatric critical care medicine fellows’ first attempt success and a significant decline in tracheal intubation associated event rates, indicating substantial skills acquisition throughout pediatric critical care medicine fellowship.
Source: Pediatric Critical Care Medicine - December 1, 2020 Category: Pediatrics Tags: Feature Articles Source Type: research

Decision-Making in Pediatric Transport Team Dispatch Using Script Concordance Testing*
Conclusions: Our study demonstrates pediatric transport team dispatch decision-making discordance by pediatric critical care physicians of varying levels of expertise and experience. Script Concordance Testing at a local level may better elucidate standards in medical decision-making within pediatric critical care physicians. The development of a curriculum, which provides education and trains our workforce on the logistics of pediatric transport team dispatch, would help standardize practice and evaluate outcomes based on decision-making.
Source: Pediatric Critical Care Medicine - November 1, 2017 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Pediatric Chronic Critical Illness: Validation, Prevalence, and Impact in a Children’s Hospital
CONCLUSIONS: Pediatric chronic critical illness patients occupied more than one third of the ICU beds and have five times longer stay. This mounting load needs to be uniformly defined, addressed at regional and national levels, and considered in the current pandemic planning.
Source: Pediatric Critical Care Medicine - December 1, 2021 Category: Pediatrics Tags: Online Brief Reports Source Type: research

Establishing Entrustable Professional Activities in Pediatric Cardiac Critical Care*
CONCLUSIONS: We generated a set of nine entrustable professional activities, which we believe can be broadly applied to any physician training in pediatric cardiac critical care, irrespective of individual training pathway. Next steps include incorporation of these entrustable professional activities into curriculum design and trainee assessment tools.
Source: Pediatric Critical Care Medicine - January 1, 2022 Category: Pediatrics Tags: Brief Report Source Type: research