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Total 233615 results found since Jan 2013.

Optimizing Team Dynamics: An Assessment of Physician Trainees and Advanced Practice Providers Collaborative Practice*
Conclusions: Several articles were identified describing the utilization of advanced practice providers in the ICU and the impact of models of care on patient outcomes. Limited data exist describing the impact of advanced practice providers on resident and fellow education and training experience. In addition, there are minimal data describing methods to enhance collaboration between providers. Future research should focus on determining the optimal ICU team structure to improve patient outcomes, education of trainees, and job satisfaction of team members and methods to promote collaboration between advanced practice provi...
Source: Pediatric Critical Care Medicine - September 1, 2016 Category: Pediatrics Tags: Online Review Article Source Type: research

Does Specialty Training and Practice Setting Affect Adherence to the Pediatric Emergency Care Applied Research Network Criteria for Pediatric Head Trauma?
Objective The goal was to determine the effects of specialty training and practice settings on the adherence to the Pediatric Emergency Care Applied Research Network (PECARN) criteria. Methods A retrospective study was conducted on a 2-campus hospital. Chart documentation was used to determine adherence to PECARN criteria. Inclusion criteria were any traumatic head injury within 24 hours in patients younger than 18 years over a 1-year period. Specialty training was subdivided into 3 groups: pediatric emergency medicine, emergency medicine (EM), and general pediatrics. The 2 hospital campuses are distinctly different p...
Source: Pediatric Emergency Care - August 1, 2020 Category: Emergency Medicine Tags: Original Articles Source Type: research

Just-in-Time Simulation to Guide Workflow Design for Coronavirus Disease 2019 Difficult Airway Management*
Conclusions: Integration of tabletop planning, in situ simulations, and debriefing of real coronavirus disease 2019 cases can enhance planning, training, job aids, and feasible policies/procedures that address human factors, team communication, equipment choice, and patient/provider safety in the coronavirus disease 2019 pandemic era.
Source: Pediatric Critical Care Medicine - August 1, 2020 Category: Pediatrics Tags: Feature Article Source Type: research

Establishing Pulmonary and Critical Care Medicine As a Subspecialty in China: Joint Statement of the Chinese Thoracic Society and the American College of Chest Physicians.
Abstract This commentary heralds the recognition in China of a new subspecialty, Pulmonary and Critical Care Medicine, and the first national fellowship-training pathway in any medical specialty. Because of striking environmental healthcare similarities that existed in the US, the Chinese medical community decided to model the specialty after that in the US. Because of its expertise in educating pulmonary and critical care physicians in the US, the ACCP was chosen by the Chinese Thoracic Society with the approval of the Chinese government, to help with the transformation of this new specialty. A work group represe...
Source: Chest - September 12, 2013 Category: Respiratory Medicine Authors: Qiao R, Rosen MJ, Chen R, Wu S, Marciniuk D, Wang C Tags: Chest Source Type: research

Entrustable Professional Activities and Curricular Milestones for Fellowship Training in Pulmonary and Critical Care Medicine: Report of a multi-society working group.
Abstract Abstract: This paper describes the Curricular Milestones and Entrustable Professional Activities for trainees in Pulmonary, Critical Care, or combined fellowship programs. Under the Next Accreditation System of the Accreditation Council of Graduate Medical Education (ACGME), curricular milestones comprise the curriculum or learning objectives for training in these fields. Entrustable professional activities represent the outcomes of training, the activities that society and professional peers can expect fellowship graduates to be able to perform unsupervised. These curricular milestones and entrustable pr...
Source: Chest - June 19, 2014 Category: Respiratory Medicine Authors: Fessler HE, Addrizzo-Harris D, Beck JM, Buckley JD, Pastores SM, Piquette CA, Rowley JA, Spevetz A Tags: Chest Source Type: research

The Morbidity and Mortality Conference in PICUs in the United States: A National Survey*
Conclusions: Morbidity and mortality conferences varied widely in structure and process across PICUs in the United States. There was marked disagreement as to whether the morbidity and mortality conference conforms to key elements of medical incident analysis, which might itself be revealing a lack of morbidity and mortality conference structure and consistency. Future research is needed to identify barriers to the use of the morbidity and mortality conference as a patient safety improvement tool and to test strategies for effective implementation linked to improved patient outcomes.
Source: Critical Care Medicine - October 1, 2014 Category: Emergency Medicine Tags: Pediatric Critical Care Source Type: research

Retention of Pediatric Resuscitation Performance After a Simulation-Based Mastery Learning Session: A Multicenter Randomized Trial
Conclusions: Residents displayed significant improvements in resuscitation performance after a single simulation-based mastery learning session, but performance declined over time, with less than 60% retaining mastery-level performance at 6 months. Our results suggest that relatively frequent refresher training is needed after a single simulation-based mastery learning session. Additional research is needed to determine the duration of performance retention following any specific simulation-based mastery learning intervention.
Source: Pediatric Critical Care Medicine - February 1, 2015 Category: Pediatrics Tags: Feature Articles Source Type: research

An Audit of Top Citations Published in Pediatric Emergency Care
Conclusions: In reviewing the literature and to our knowledge, this study is the first of its kind in the field of pediatric emergency medicine to determine the influence of articles in a journal by evaluating citation number. It identified the 100 articles with the highest number of citations that were utilized in subsequent journal articles and published in PEC since 1985. The clinical relevance of identifying the most popular article topics cited supports the value to the pediatric emergency medicine readership of emphasizing subjects of core curriculum content for further education. In addition, reviewing the literatur...
Source: Pediatric Emergency Care - May 1, 2016 Category: Emergency Medicine Tags: Original Articles Source Type: research

Aligning guidelines and medical practice: Literature review on pediatric palliative care guidelines.
Abstract OBJECTIVE: Palliative care for children is becoming an important subspecialty of healthcare. Although concurrent administration of curative and palliative care is recommended, timely referral to pediatric palliative care (PPC) services remains problematic. This literature review aims to identify barriers and recommendations for proper implementation of palliative care for children through the looking glass of PPC guidelines. METHOD: To identify studies on PPC guidelines, five databases were searched systematically between 1960 and 2015: Scopus, PubMed, PsycINFO, the Web of Science, and CINAHL. No res...
Source: Palliative and Supportive Care - January 8, 2017 Category: Palliative Care Authors: De Clercq E, Rost M, Pacurari N, Elger BS, Wangmo T Tags: Palliat Support Care Source Type: research

Knowledge, Skills and Experience Managing Tracheostomy Emergencies: A Survey of Critical Care Medicine trainees > .
Knowledge, Skills and Experience Managing Tracheostomy Emergencies: A Survey of Critical Care Medicine trainees >. Ir Med J. 2016 Oct 12;109(9):471 Authors: Nizam AA, Ng SC, Kelleher M, Hayes N, Carton E Abstract Since the development of percutaneous tracheostomy, the number of tracheostomy patients on hospital wards has increased. Problems associated with adequate tracheostomy care on the wards are well documented, particularly the management of tracheostomy-related emergencies. A survey was conducted among non-consultant hospital doctors (NCHDs) starting their Critical Care Medicine training rota...
Source: Ir Med J - October 11, 2016 Category: Journals (General) Authors: Nizam AA, Ng SC, Kelleher M, Hayes N, Carton E Tags: Ir Med J Source Type: research

The ICM research agenda on critical care ultrasonography
ConclusionsThe writing group identified several fields of interest for research and proposed ten research studies that would address important aspects of critical care ultrasonography.
Source: Intensive Care Medicine - March 6, 2017 Category: Intensive Care Source Type: research

Contemporary Review in Critical Care Medicine Simulation Training in the Intensive Care Unit.
Abstract Due to an emphasis on patient safety and recognition of the effectiveness of simulation as an educational modality across multiple medical specialties, use of healthcare simulation (HCS) for medical education has become more prevalent in recent years. In this manuscript, the effectiveness of simulation for areas important to the practice of critical care is reviewed. We examine the evidence base related to domains of procedural mastery, development of communication skills and interprofessional team performance, with specific examples from the literature in which simulation has been used successfully in th...
Source: Chest - July 29, 2019 Category: Respiratory Medicine Authors: Seam N, Lee AJ, Vennero M, Emlet L Tags: Chest Source Type: research

Healthcare Provider Perceptions of Cardiopulmonary Resuscitation Quality During Simulation Training*
Conclusions: Cardiopulmonary resuscitation performance during mock codes does not meet the American Heart Association’s quality recommendations. Healthcare providers have poor insight into the quality of cardiopulmonary resuscitation during mock codes despite access to and familiarity with continuous audiovisual feedback.
Source: Pediatric Critical Care Medicine - October 1, 2019 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Anxiety and stress among anaesthesiology and critical care residents during high-fidelity simulation sessions
Conclusion First-year anaesthesiology and critical care residents had low trait anxiety and FNE. HFS training increased their HR but not their BP. Their state anxiety also remained low. Several differences between individuals were noted, particularly between men and women.
Source: Anaesthesia, Critical Care and Pain Medicine - April 29, 2016 Category: Anesthesiology Source Type: research

Quantification of critical care medicine: an ICU survey
ConclusionsQuantitative description of ICU activities indicates that the majority of the ICU daily practice relies on medical and respiratory interventions, which may explain why PCCM remains popular.This article is protected by copyright. All rights reserved.
Source: The Clinical Respiratory Journal - February 5, 2019 Category: Respiratory Medicine Authors: Yashaswini Yeragunta, Stefan W. Leichtle, Renli Qiao Tags: Original Article Source Type: research