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Timely issues facing Pediatric Critical Care Medicine
Dellinger RP, Levy MM, Rhodes A, Annane D, Gerlach H, Opal SM, Sevransky JE, Sprung CL, Douglas IS, Jaeschke R, Osborn TM, Nunnally ME, Townsend SR, Reinhart K, Kleinpell RM, Angus DC, Deutschman CS, Machado FR, Rubenfeld GD, Webb SA, Beale RJ, Vincent JL, Moreno R; and the Surviving Sepsis Campaign Guidelines Committee including the Pediatric Subgroup. Surviving Sepsis Campaign: International Guidelines for Management of Severe Sepsis and Septic Shock: 2012. Crit Care Med. 2013 Feb;41(2):580-637. [abstract] [abstract] The ARDS definition task force. Acute Respiratory Distress Syndrome: The Berlin Definition. JAMA. 2012;307(23):doi:10.1001/jama.2012.5669 [abstract] Nakagawa TA, Ashwal S, Mathur M, Mysore MR, Bruce D, Conway EE Jr, Duthie SE, Hamrick S, Harrison R, Kline AM, Lebovitz DJ, Madden MA, Montgomery VL, Perlman JM, Rollins N, Shemie SD, Vohra A, Williams-Phillips JA; Society of Critical Care Medicine; the Section on Critical Care and Section on Neurology of the American Academy of Pediatrics; the Child Neurology Society. Guidelines for the determination of brain death in infants and children: An update of the 1987 Task Force recommendations. Crit Care Med. 2011 Sep;39(9):2139-2155. [abstract] Kissoon N, Carcillo JA, Espinosa V, Argent A, Devictor D, Madden M, Singhi S, van der Voort E, Latour J; the Global Sepsis Initiative Vanguard Center Contributors. World Federation of Pediatric Intensive Care and Critical Care Societies: Global Sepsis Initiative. Pediatr Crit Care Med. 2011 Sep;12(5):494-503. [abstract; full-text (1.2MB)] Pediatric Basic and Advanced Life Support: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations Monica E. Kleinman, Allan R. de Caen, Leon Chameides, Dianne L. Atkins, Robert A. Berg, Marc D. Berg, Farhan Bhanji, Dominique Biarent, Robert Bingham, Ashraf H. Coovadia, Mary Fran Hazinski, Robert W. Hickey, Vinay M. Nadkarni, Amelia G. Reis, Antonio Rodriguez-Nunez, James Tibballs, Arno L. Zaritsky, David Zideman, and on behalf of the PEDIATRIC BASIC AND ADVANCED LIFE SUPPORT CHAPTER COLLABORATORS Pediatrics 2010;126 e1261-e1318 Bazelon E. Shaken-Baby Syndrome Faces New Questions in Court, New York Times Magazine, February 6, 2011. Carcillo JA, Orr R, Bell M, Joffe A, Maffei FA, Sullivan J, Han YY, Thomas J. A call for full public disclosure and moratorium on donation after cardiac death in children. Pediatr Crit Care Med. 2010 Sep;11(5):641-3. [citation]. With author replies: Webster PA. Pediatr Crit Care Med. 2010 Sep;11(5):643-4. [citation] and Mathur M, Abd-Allah S, Orr RD. Pediatr Crit Care Med. 2010 Sep;11(5):644-5. [citation] Two interesting point-counterpoint editorials regarding 24/7 in-house intensivist staffing:Burnham El, Mass M, Geraci MW. The Case for 24/7 In-House Intensivist Coverage Am. J. Respir. Crit. Care Med. 2010;181 1159-1160 [full-text], and Kahn JM, Hall JB. More Doctors to the Rescue in the Intensive Care Unit: A Cautionary Note. Am. J. Respir. Crit. Care Med. 2010;181 1160-1161 [full-text] Brierley J, Carcillo J, Choong K, et al. 2007 American College of Critical Care Medicine clinical practice parameters for hemodynamic support of pediatric and neonatal septic shock* Crit Care Med. 2009; 37(2):666-688 [abstract] Newth CJ, Venkataraman S, Willson DF, Meert KL, Harrison R, Dean JM, Pollack M, Zimmerman J, Anand KJ, Carcillo JA, Nicholson CE; Eunice Shriver Kennedy National Institute of Child Health and Human Development Collaborative Pediatric Critical Care Research Network. Weaning and extubation readiness in pediatric patients. Pediatr Crit Care Med. 2009 Jan;10(1):1-11. [abstract; full-text (pdf; 730K)] Angus DC, Mira JP, Vincent JL. Improving clinical trials in the critically ill. Crit Care Med. 2010 Feb;38(2):527-32. [abstract] Boucek MM, Mashburn C, Dunn SM, et al. Pediatric Heart Transplantation after Declaration of Cardiocirculatory Death. New Engl J Med 2008; 359:709-714. [full-text]. This issue includes several relevant and thought-provoking commentaries, including: Truog RD, Miller FG. The Dead Donor Rule and Organ Transplantation. New Engl J Med 2008; 359:674-675. [full-text] Marik PE, Pastores SM, Annane D, et al; American College of Critical Care Medicine. Recommendations for the diagnosis and management of corticosteroid insufficiency in critically ill adult patients: consensus statements from an international task force by the American College of Critical Care Medicine. Crit Care Med. 2008 Jun;36(6):1937-49. [abstract] de Oliveira CF, de Oliveira DS, Gottschald AF, Moura JD, Costa GA, Ventura AC, Fernandes JC, Vaz FA, Carcillo JA, Rivers EP, Troster EJ. ACCM/PALS haemodynamic support guidelines for paediatric septic shock: an outcomes comparison with and without monitoring central venous oxygen saturation. Intensive Care Med. 2008 Mar 28; DOI 10.1007/s00134-008-1085-9. [abstract] Levy MM, Dellinger RP, Townsend SR, Linde-Zwirble WT, Marshall JC, Bion J, Schorr C, Artigas A, Ramsay G, Beale R, Parker MM, Gerlach H, Reinhart K, Silva E, Harvey M, Regan S, Angus DC. The Surviving Sepsis Campaign: results of an international guideline-based performance improvement program targeting severe sepsis. Crit Care Med. 2010; 38:367-374. [abstract] Sharek PJ, Parast LM, Long K, Coombs J, Earnest K, Sullivan J, Frankel LR, Roth SJ. Effect of a Rapid Response Team on Hospital-wide Mortality and Code Rates Outside the ICU in a Children's Hospital. JAMA 2007;298 2267-2274 [abstract] 1st International Sepsis Forum on Sepsis in Infants and Children. Pediatr Crit Care Med 2005; S1-S164. [table of contents] Rosenberg DI, Moss MM, AAP Section on Critical Care and Committee on Hospital Care. Guidelines and Levels of Care for Pediatric Intensive Care Units. Pediatrics 2004;114 1114-1125. [abstract] American College of Cardiology Foundation/American Heart Association/American College of Physicians, Task Force on Clinical Competence. ACC/AHA/AAP recommendations for training in pediatric cardiology. Pediatrics. 2005; 116:1574-1596. [full-text] Correspondence in response: Baden HP, Zimmerman JJ, Brilli RJ et al. Intensivist-Led Team Approach to Critical Care of Children With Heart Disease. Pediatrics 2006;117 1854-1856 [link] |
Important News... The 20th Pediatric Critical Care Colloquium will be at the Fairmont Hotel in Washington DC, November 2-5, 2013. This event is sponsored by Critical Care Medicine at Children's National Medical Center. Abstract deadline is August 9th. Early bird registration is until August 1st. The 7th World Congress on Pediatric Intensive and Critical Care will be held May 4-7, 2014, in Istanbul, Turkey. Abstract deadline is December 15, 2013. The 42nd SCCM Annual Congress was held in San Juan, Puerto Rico, January 19-23, 2013.
The presentations at the Pediatric Section Business meeting, January 21, 2013, are here... (pdf; 1.2 MB)
NIH updates: The Pediatric Critical Care Scientist Development Program (PCCSDP) has been successfully reissued by the NICHD. This program is to foster the development of highly promising young faculty in pediatric critical care into physician scientists. Details of the program can be found at www.pccsdp.org Read more here... Be sure to scan the list of fellowships available for those with NIH Training Grant funding for pediatric scientist training... more NIH updates... including announcements regarding changes to the peer review process... Last Updated: 2013-05-15 08:32:28 New PedsCCM Evidence-based Journal Club Reviews Tabbutt S, Ghanayem N, Ravishankar C, Sleeper LA, Cooper DS, Frank DU, Lu M, Pizarro C, Frommelt P, Goldberg CS, Graham EM, Krawczeski CD, Lai WW, Lewis A, Kirsh JA, Mahony L, Ohye RG, Simsic J, Lodge AJ, Spurrier E, Stylianou M, Laussen P; Pediatric Hear Thomas NJ, Guardia CG, Moya FR, Cheifetz IM, Markovitz B, Cruces P, Barton P, Segal R, Simmons P, Randolph AG, for the PALISI Network. Hagihara A, Hasegawa M, Abe T, Nagata T, Wakata Y, Miyazaki S. Marik PE, Flemmer M, Harrison W. Gajic O, Dara SI, Mendez JL, et al. Khemani RG, Thomas NJ, Venkatachalam V, Scimeme JP, Berutti T, Schneider JB, Ross PA, Willson DF, Hall MW, Newth CJ; Pediatric Acute Lung Injury and Sepsis Network Investigators (PALISI). Ricci Z, Garisto C, Favia I, Vitale V, Di Chiara L, Cogo PE. Nishisaki A, Pines JM, Lin R, Helfaer MA, Berg RA, Tenhave T, Nadkarni VM. Tibby SM, Durward A, Goh CT, Thorburn K, Morris K, Broadhead M, Peters MJ. Gupta K, Gupta VK, Jayashree M, Singhi S. [ View All ]
Important News...continued... Giving back... From the International Children's Heart Foundation: To anyone involved in pediatric cardiac critical care, watch this video, and join us... The ICHF is now seeking to expand its team of Staff Intensivists staff to support the development of pediatric cardiac programs in Benghazi Libya, and in Nassiriya Iraq. Read more... (pdf; 268K) We are in urgent need of a Pediatric Intensivist for the following trip. Please let me know as soon as possible if you are available for this mission. June 1 - 15, Guayaquil, Equador Project Medishare: opportunities for medical volunteers in Haiti
The 19th Pediatric Critical Care Colloquium, sponsored by Critical Care Medicine at Children's Hospital Los Angeles was held at the Loews Santa Monica Beach Hotel, Santa Monica, California, September 6-9, 2012.
The new PALISI (Pediatric Acute Lung Injury and Sepsis Investigators) Network website is up and running! Check it out here..... Registration is now open for the spring meeting, March 13-16, 2013, Snowbird, Utah New guidelines for the determination of brain death in infants and children have been published:
Nakagawa TA, Ashwal S, Mathur M, Mysore MR, Bruce D, Conway EE Jr, Duthie SE, Hamrick S, Harrison R, Kline AM, Lebovitz DJ, Madden MA, Montgomery VL, Perlman JM, Rollins N, Shemie SD, Vohra A, Williams-Phillips JA; Society of Critical Care Medicine; the Section on Critical Care and Section on Neurology of the American Academy of Pediatrics; the Child Neurology Society. Guidelines for the determination of brain death in infants and children: An update of the 1987 Task Force recommendations. Crit Care Med. 2011 Sep;39(9):2139-2155. [abstract] An updated version of the 2003 edition: "Guidelines for the Acute Medical Management of Severe Traumatic Brain Injury in Infants, Children, and Adolescents" is now freely available online here... (link to table of contents) (Pediatric Critical Care Medicine. January 2012 - volume 13 - supplement 1_suppl) From the World Federation of Pediatric Intensive and Critical Care Societies: "6th World Congress on Pediatric Critical Care, was held in Sydney, Australia, March 13-17, 2011, and was a resounding success. Also see latest WFPICCS Newsletter: July 15th, 2011/Volume 4 /Number 2 (pdf; 250K) Task Force for Pediatric Emergency Mass Critical Care. Deliberations and Recommendations of The Pediatric Emergency Mass Critical Care Task Force 6. Pediatr Crit Care Med 2011; 12:S103-S179 [full-text]The Global Sepsis Alliance announces its first World Sepsis Day, September 13, 2012. It "aims to increase awareness and recognition of Sepsis and the need to diagnose and treat the illness early." The Patient-Centered Outcomes Research Institute (PCORI) announces its first cycle of Funding Opportunities
AAP Section on Critical Care (SOCC) News:
The AAP Section on Critical Care (SOCC) is pleased to announce availability of two small grants for young investigators for projects devoted to education in Pediatric Critical Care Medicine and outcomes of quality and safety initiatives in the PICU. Read more... What is the Section on Critical Care? Read on... (pdf 2MB) Committee on Hospital Care, Section on Surgery, and Section on Critical Care. Policy statement--pediatric organ donation and transplantation. Pediatrics. 2010 Apr;125(4):822-8. [abstract; full-text (pdf 270K)] The August 2012 issue of the SOCC Newsletter is now available here... (pdf; 2.5MB; AAP membership required) See the SOCC 25th Anniversary Commemorative Booklet here... (pdf; 4.8 MB) PREP® ICU: Critical Care Self-Assessment Program Challenge your knowledge of pediatric critical care, review for examination, and earn Maintenance of Certification (MOC) points with the online self-study program based on subspecialty content specifications from the American Board of Pediatrics. PREP® ICU is an intensely peer-reviewed self-assessment program designed to help pediatric intensivists succeed in the PICU. Click here ( http://www.prepicu.org/ ) for a FREE trial.
American Academy of Pediatrics (AAP) Disaster Preparedness Newsletters are here... Also seee this joint resource from the AAP and the AHRQ: Pediatric Terrorism and Disaster Preparedness: A Resource for Pediatricians New American Heart Association Guidelines for Cardiopulmonary Resuscitation have been published. The new PALS Guidelines are here: Kleinman ME, Chameides L, Schexnayder SM, Samson RA, Hazinski MF, Atkins DL, Berg MD, de Caen AR, Fink EL, Freid EB, Hickey RW, Marino BS, Nadkarni VM, Proctor LT, Qureshi FA, Sartorelli K, Topjian A, van der Jagt EW, Zaritsky AL. Part 14: pediatric advanced life support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2010;122(suppl 3):S876–S908. [full-text pdf (3.7 MB)] The supplement in Circulation with the complete "2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science" is here... "The EMSC National Resource Center has developed an online interactive map designed to provide health care professionals interested in volunteering a resource to identify disaster volunteer agencies in their state." The map is here....
The Pediatric Cardiac Intensive Care Society, PCICS, was formed to provide an optimum forum to promote excellence in pediatric cardiac critical care medicine. We have joined together from diverse backgrounds, organized a professional society, and now launch our inaugural membership campaign. The Society seeks international participation by healthcare professionals dedicated to acquiring knowledge and improving practice for our critically ill patients with congenital and acquired heart disease.
The Pediatric Cardiac Critical Care Society 9th International Conference, Miami Beach, Florida, 12/09/2012 - 12/12/2012The Virtual PICU, in association with the National Association of Children's Hospitals and Related Institutions, and The National Outcomes Center announce the creation of VPS, LLC, the distributor and coordinating center for VPS (Virtual PICU Performance System), PICU database software. Go to My VPS Online to learn more and sign up to participate.
The Laura P. and Leland K. Whittier Virtual Pediatric Intensive Care Unit announces the creation of a VPICU Fellowship Program. Read details and application instructions here... (pdf 150K)
The Genomics of Pediatric Sepsis Database is now entering its 9th year of funding by the NIH. The goals of the database have now matured from the initial discovery and exploratory phase, to a translational and clinical application phase. Extensive details regarding the progress and achievements of the database can found at this website. Or read more here here (pdf file, 58K)... Last Updated: 2013-05-17 11:07:46 and also worth noting... Kleinpell R, Ely EW, Williams G, Liolios A, Ward N, Tisherman SA. Web-based resources for critical care education. Crit Care Med. 2011 Mar;39(3):541-53. [abstract]Pediatric Fundamental Critical Care Support Approved U.S. Course Schedule picudoctor.org is a website/smartphone app resource for pediatric cardiac critical care. From Marc Anders, Royal Children's Hospital, Melbourne, Australia. Medical Calculators, from Cornell Critical Care Pediatrics, S. Pon Pandemic Influenza in the Pediatric Population: Just in Time Training, by ORISE - Oak Ridge Institute for Science and Education, for the CDC. Corresponding author Ken Tegtmeyer, MD, FAAP, FCCM A letter from the heart to physicians, from a mom with a child with special needs. A special message worth reading. [pdf; 56K] Critical Care Nursing of Infants and Children. 2nd Edition. Curley MAQ, Moloney-Harmon PA, eds. 2001. (this edition is out of print and now freely available) Program for Maintenance of Certification in Pediatrics update: The Pediatric Critical Care Medicine self-assessment is now available on the ABP Web site Pediatric Critical Care Medicine Board Review questions, from the Board Review Course by Tony Slonim and Heidi Dalton, D.C. Children's, now available for purchase. From Medtext. World Federation of Pediatric and Intensive Care Societies (WFPICCS) Pediatric Sepsis Initiative Database is operational. Read more... Children & Clinical Studies: an NIH-developed website to explain clinical research to children and families - why it is needed, what to expect, how to identify additional reliable resources. The TRIP database (Turning Research Into Practice) now has a special search page for critical care. Pediatric Emergency Meds Drip Sheet Generator, D Hanauer A comprehensive website all about pediatric continuous renal replacement therapy: pcrrt.com. Tim Bunchman, DeVos Children's Hospital, Grand Rapids, MI Scoring Systems for ICU and Surgical Patients, with PRISM, PIM, PELOD, Pediatric Coma Scale, the Rotterdam score for meningococcal septic shock in children, Neonatal TISS, and now updated with PIM 2 and CRIB 2. By Jean-Yves Marandon, Société Française d'Anesthésie et de Réanimation. Isabel Clinical Decision Support System: a online pediatric differential diagnosis tool, with contextual links to reference sources. (now requires paid subscription) Request for Information from the CDC: Acute Encephalopathy Cases in U.S. Children Associated with Influenza Virus Infection. Read more here ... The AAP announces a new area on their website for Children, Terrorism, and Disaster. Also of note: A joint resource from the AAP and the AHRQ is available: Pediatric Terrorism and Disaster Preparedness: A Resource for Pediatricians AHRQ Web M & M; peer-reviewed, online medical journal highlighting patient safety lessons drawn from real cases of medical errors The NIH proposes all NIH-sponsored studies' publications be made publicly available, essentially adopting the call of The Public Library of Science. Read more here.... And add your voice to the public comment page. Read about Open Access here... WWWeb Epidemiology & Evidence-based Medicine Sources for Veterinarians; an incredibly comprehensive list of clinical epidemiology and EBM links for health care practitioners treating all species! Want to publish your clinical trial in JAMA, The New England Journal, or other member journals of the International Committee of Medical Journal Editors? Since July 2005, your trial needs be registered in advance. Read DeAngelis CD, Drazen JM, Frizelle FA et al. Clinical Trial Registration: A Statement From the International Committee of Medical Journal Editors. JAMA 8 September 2004 (10.1001/jama.292.11.1363) [full-text]. Go to www.clinicaltrials.gov to register a trial. An update: Laine C, et al. Clinical Trial Registration: Looking Back and Moving Ahead. New Engl J Med 2007; 10.1056/NEJMe078110 [full-text] Mathews SC, Pronovost PJ. Physician Autonomy and Informed Decision Making: Finding the Balance for Patient Safety and Quality JAMA. 2008;300(24):2913-2915. [extract] Last Updated: 2012-05-08 23:34:53 |
courses & conferences to note... Critical Care Ultrasound Institute (CCUS) 6th Annual Symposium: Challenging Dogma in Pediatric and Adult Critical Care, May 25 - May 26 2013 Montreal, Canada Website... Brochure... International Symposium on the Pediatric Airway, May 31 - June 02 2013 University of Colorado School of Medicine, Aurora CO Website... Pediatric Fundamental Critical Care Support (P-FCCS), June 05 - June 06 2013 Loma Linda University Medical Center, Loma LInda CA Brochure... 24th Annual Meeting of the European Society of Pediatric and Neonatal Intensive Care: ESPNIC 2013, June 12 - June 15 2013 Rotterdam, Netherlands Website... 2013 Pediatric Organ Donation Summit, July 24 - July 25 2013 Fort Worth, TX Website... Brochure... [ view all ] What's new for the month of May on PedsCCM...
Last Updated: 2013-05-17 11:12:00 |
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