A5044476055- Cardiac Arrest and Resuscitation
- Emergency and Acute Care Studies
- Family and Patient Care in Intensive Care Units
- Child and Adolescent Health
- Respiratory Support and Mechanisms
- Cardiovascular and Diving-Related Complications
- Sepsis Diagnosis and Treatment
- Childhood Cancer Survivors' Quality of Life
- Ultrasound in Clinical Applications
- Trauma Management and Diagnosis
- Mechanical Circulatory Support Devices
- Amoebic Infections and Treatments
- Ethics and Legal Issues in Pediatric Healthcare
- Hemodynamic Monitoring and Therapy
- Infectious Disease Case Reports and Treatments
- Infant Development and Preterm Care
- Palliative Care and End-of-Life Issues
- Neonatal Respiratory Health Research
- Vaccine Coverage and Hesitancy
- Appendicitis Diagnosis and Management
Seattle Children's Hospital
2021
Alberta Children's Hospital
2018-2020
McMaster University Medical Centre
2014
Hamilton Health Sciences
2014
McMaster University
2010-2013
McMaster Children's Hospital
2010-2011
This is the first large multicenter study to examine effectiveness of a pediatric rapid response system (PRRS). The primary objective was determine effect PRRS using physician-led team on rate actual cardiopulmonary arrests, defined as an event requiring chest compressions, epinephrine, or positive pressure ventilation. secondary objectives were PRRSs PICU readmission within 48 hours discharge and mortality after urgent admission.A developed, implemented, evaluated in standardized manner...
To characterize chest compression (CC) pause duration during the last 5 minutes of pediatric cardiopulmonary resuscitation (CPR) prior to extracorporeal-CPR (E-CPR) cannulation and association with survival outcomes.Cohort study from a quality collaborative including E-CPR cardiac arrest events ≥ 10 min CPR data. We characterized CC interruptions defibrillator-electrode recorded (prior cannulation) assessed between longest outcomes using multivariable logistic regression.Of 49 events, median...
Objective The goal of this study was to identify barriers and facilitators the optimal management critically ill children who present initially community hospitals how best support needs front-line healthcare providers in these settings prior transfer regional academic paediatric health sciences centre. Methods A qualitative assessment performed five targeting leadership roles could discuss their experiences managing that had presented institutions. Focused individual focus group interviews...
To describe practical considerations related to discussions about death or possible of a critically ill child.Personal experience and reflection. Published English language literature.Selected illustrative studies.Not available.Narrative experiential review were used the following areas benefits potential adverse consequences conversations risk timing of, preparation for, conduct death.Timely as outcome PICU care are an important part high-quality ICU care. Not all patients "require" these...
Purpose To determine the feasibility of using Ultrasound Cardiac Output Monitor (USCOM) as an adjunct during hemodynamic assessments by a pediatric medical emergency team (PMET). Methods Pediatric in-patients at McMaster Children's Hospital aged under 18 years requiring urgent PMET consultation, were eligible. Patients with known cardiac outflow valve defects, Critical Care Unit in-patients, and those in cardiorespiratory arrest, excluded. The primary outcome was feasibility, ease USCOM...
Background Delays to definitive treatment for time-sensitive acute paediatric illnesses continue be a cause of death and disability in the Canadian healthcare system. Our aim was develop SIGNS-for-Kids illness recognition tool empower parents other community caregivers recognise signs symptoms severe infants children. The goal is improved detection reduced time conditions that require emergent medical attention. Methods A single-day consensus workshop consisting 17-member panel...
Introduction: AHA recommends titrating chest compressions (CC) to achieve end-tidal carbon dioxide (ETCO2)>20mmHg, based on laboratory, adult, and very limited pediatric IHCA data. Hypothesis: ETCO2>20mmHg averaged during the first 10 min of recorded CPR is associated with 1) compliance CC depth quality targets, 2) survival hospital discharge. Methods: All 2015-2019 events reported by 4 pediRES-Q sites simultaneous ETCO2 metrics (ZOLL R-Series defibrillator) measured. Analysis included...