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Evaluation of Pediatric Cardiac Intensive Care Advanced Practice Provider's Leadership Education and Experience During Emergencies
This study was a cross-sectional descriptive studying using survey responses. The self-administered survey was administered to APP and attending physician members of the Pediatric Cardiac Intensive Care Society. Survey results were analyzed.RESULTS: One hundred seven pediatric cardiac intensive care unit APPs (n = 53) and attending physicians (n = 54) responded to the survey. Half of APPs felt that attendings allowed APPs to lead emergent events, and 50.9% had never functioned in the team leader role. Most respondents (77.5%) rated their comfort functioning in the role during emergent situations as moderate or lower. Incre...
Source: Dimensions in Critical Care Nursing - May 26, 2022 Category: Nursing Authors: Amy R Florez Christine M Riley Jill E Zender David S Cooper Brandon M Henry Lindsey B Justice Source Type: research

A survey on the resources and practices in pediatric critical care of resource-rich and resource-limited countries
Conclusions Although differences exist in access to both trained providers and equipment, the survey results were more striking in their similarity. It is essential that centers from LMICs be included in multinational studies, to generate results applicable to all children worldwide.
Source: Journal of Intensive Care - October 9, 2015 Category: Intensive Care Source Type: research

Pediatric neurocritical care in the 21st century: from empiricism to evidence
Purpose of review: Approximately one in five children admitted to a pediatric ICU have a new central nervous system injury or a neurological complication of their critical illness. The spectrum of neurologic insults in children is diverse and clinical practice is largely empirical, as few randomized, controlled trials have been reported. This lack of data poses a substantial challenge to the practice of pediatric neurocritical care (PNCC). PNCC has emerged as a novel subspecialty, and its presence is expanding within tertiary care centers. This review highlights the recent advances in the field, with a focus on traumatic b...
Source: Current Opinion in Critical Care - March 6, 2016 Category: Nursing Tags: NEUROSCIENCE: Edited by J. Claude Hemphill Source Type: research

Does Simulation Improve Recognition and Management of Pediatric Septic Shock, and If One Simulation Is Good, Is More Simulation Better?*
Objectives: Determine whether serial simulation training sessions improve resident recognition and initial septic shock management in a critically ill simulated septic shock patient, and to determine whether serial simulations further improve resident task performance when compared with a single simulation session. Design: Prospective observational cohort study with a live expert review of trainee simulation performance. Expert reviewers blinded to prior trainee performance. Setting: A PICU room in a quaternary-care children’s hospital, featuring a hi-fidelity pediatric patient simulator. Subjects: Postgraduate year-2...
Source: Pediatric Critical Care Medicine - July 1, 2016 Category: Pediatrics Tags: Feature Articles Source Type: research

Improved Clinical Performance and Teamwork of Pediatric Interprofessional Resuscitation Teams With a Simulation-Based Educational Intervention*
Objectives: To measure the effect of a 1-day team training course for pediatric interprofessional resuscitation team members on adherence to Pediatric Advanced Life Support guidelines, team efficiency, and teamwork in a simulated clinical environment. Design: Multicenter prospective interventional study. Setting: Four tertiary-care children’s hospitals in Canada from June 2011 to January 2015. Subjects: Interprofessional pediatric resuscitation teams including resident physicians, ICU nurse practitioners, registered nurses, and registered respiratory therapists (n = 300; 51 teams). Interventions: A 1-day simulation-b...
Source: Pediatric Critical Care Medicine - February 1, 2017 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Physician training in critical care in the United States: Update 2018
Critical care fellowship training in the United States differs based on specific specialty and includes medicine, surgery, anesthesiology, pediatrics, emergency medicine, and neurocritical care training pathways. We provide an update regarding the number and growth of US critical care fellowship training programs, on-duty residents and certified diplomates, and review the different critical care physician training pathways available to residents interested in pursuing a fellowship in critical care. Data were obtained from the Accreditation Council for Graduate Medical Education and specialty boards (American Board of Inter...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - June 1, 2018 Category: Orthopaedics Tags: Review Articles Source Type: research

Rapid Cycle Deliberate Practice Versus Reflective Debriefing for Pediatric Septic Shock Training*
Objectives: Rapid cycle deliberate practice is a simulation training method that cycles between deliberate practice and directed feedback to create perfect practice; in contrast to reflective debriefing where learners are asked to reflect on their performance to create change. The aim of this study is to compare the impact of rapid cycle deliberate practice versus reflective debriefing training on resident application and retention of the pediatric sepsis algorithm. Design: Prospective, randomized-control study. Setting: A tertiary care university children’s hospital simulation room, featuring a high-fidelity ped...
Source: Pediatric Critical Care Medicine - May 1, 2019 Category: Pediatrics Tags: Education Source Type: research