A5065920975- Cardiac Arrest and Resuscitation
- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Intensive Care Unit Cognitive Disorders
- Anesthesia and Sedative Agents
- Respiratory Support and Mechanisms
- Mechanical Circulatory Support Devices
- Traumatic Brain Injury Research
- Traumatic Brain Injury and Neurovascular Disturbances
- Neonatal and fetal brain pathology
- Disaster Response and Management
- Neonatal Respiratory Health Research
- Anesthesia and Neurotoxicity Research
- Thermal Regulation in Medicine
- Injury Epidemiology and Prevention
- Sepsis Diagnosis and Treatment
- Child and Adolescent Health
- Pediatric Pain Management Techniques
- Central Venous Catheters and Hemodialysis
- Trauma Management and Diagnosis
- Healthcare Policy and Management
- Telemedicine and Telehealth Implementation
- Pleural and Pulmonary Diseases
- Hematological disorders and diagnostics
- Hospital Admissions and Outcomes
Medical College of Wisconsin
2012-2025
Children's Hospital of Wisconsin
2011-2025
University of Wisconsin–Madison
2023
Riley Hospital for Children
2021
Children's Hospital at Westmead
2021
Foundation for Human Potential
2016
University of Arkansas for Medical Sciences
2015
American Academy of Pediatrics
2013
Allgemeiner Deutscher Automobil Club
2013
Universitätsklinikum Erlangen
2013
Therapeutic hypothermia is recommended for comatose adults after witnessed out-of-hospital cardiac arrest, but data about this intervention in children are limited.We conducted trial of two targeted temperature interventions at 38 children's hospitals involving who remained unconscious arrest. Within 6 hours the return circulation, patients were older than 2 days and younger 18 years age randomly assigned to therapeutic (target temperature, 33.0°C) or normothermia 36.8°C). The primary...
Targeted temperature management is recommended for comatose adults and children after out-of-hospital cardiac arrest; however, data on in-hospital arrest are limited.In a trial conducted at 37 children's hospitals, we compared two interventions in who had arrest. Within 6 hours the return of circulation, older than 48 younger 18 years age were randomly assigned to therapeutic hypothermia (target temperature, 33.0°C) or normothermia 36.8°C). The primary efficacy outcome, survival 12 months...
The practice of pediatric/neonatal interfacility transport continues to expand. Transport teams have evolved into mobile ICUs capable delivering state-of-the-art critical care during pediatric and neonatal transport. most recent document regarding the is more than a decade old. following article details changes in over past expresses consensus views leaders field medicine, including American Academy Pediatrics' Section on Medicine.
Objective Recent Pediatric Advanced Life Support (PALS) guidelines have deemphasized the use of advanced airways in short transport. It is unclear if guideline recommendations altered practice. We sought to determine a temporal change exists number prehospital pediatric trauma intubations since 2005 PALS update. Methods This an institutional review board–approved, retrospective, single-center study. Reviewed all activations where patients younger than 19 years were intubated at scene, en...
Families and clinicians have limited validated tools available to assist in estimating long-term outcomes early after pediatric cardiac arrest. Blood-based brain-specific biomarkers may be helpful aid outcome assessment. To analyze the association of blood-based brain injury biomarker concentrations with 1 year The Personalizing Outcomes After Child Cardiac Arrest multicenter prospective cohort study was conducted intensive care units at 14 academic referral centers US between May 16, 2017,...
Critically ill children are treated with opioid medication in an attempt to decrease stress and alleviate pain during prolonged pediatric intensive care. This treatment plan places at risk for dependency. Once dependent, need be weaned or development of a withdrawal syndrome on abrupt cessation medication. We enrolled opioid-dependent into prospective, randomized trial 5- versus 10-day weaning using oral methadone. Children exposed opioids average 3 wk showed no difference the number...
Injury is still the number 1 killer of children ages to 18 years in United States (http://www.cdc.gov/nchs/fastats/children.htm). Children who sustain injuries with resulting disabilities incur significant costs not only for their health care but also productivity lost economy. The families survive childhood injury disability face emotional and financial hardship, along a societal burden. entire process managing enormously complex varies by region. Only comprehensive cooperation broadly...
Abstract The authors offer reflections and lessons learned in a single pediatric tertiary center’s experience during mass casualty incident (MCI). MCI occurred at holiday parade the patients were brought to multiple community emergency departments for initial resuscitation prior transfer Pediatric level 1 trauma center. In total, 18 children presented with severe blunt force after motor vehicle entered route. Following triage departments, 10 of injured admitted Intensive Care Unit,...
To demonstrate the efficacy of a 10-day, single daily dose, enteral methadone weaning protocol for prevention opioid withdrawal symptoms in pediatric patients after prolonged fentanyl exposure.Prospective, observational study.Twenty-four-bed medical-surgical intensive care unit within 222-bed teaching hospital.Twenty-nine children, aged 1 day to 19.8 yrs, who received prevent continuous infusion exposure.Institution standardized protocol.All 29 had infusion; duration exposure was 14.5 +/-...
Helicopter emergency medical services (HEMS) provide an important service to decrease interfacility transport times compared with ground ambulances. Although via HEMS is typically faster, the decreased transportation time comes at expense of increased risks patient and flight crew higher costs. Therefore, it balance immediate needs risk transport. Our objective was determine how frequently pediatric patients who are transported a Level 1 trauma center (PTC) receive time-sensitive...
Objectives The interfacility transport of pediatric patients requires a highly skilled and well-trained workforce, which little is known. primary study purpose was to characterize the current state in United States including, but not limited to, team models predominate, what configurations are used, training standards, use quality assurance metrics. Methods A descriptive qualitative Web-based survey questionnaire developed. Potential participants were identified, 1 completed per team....
Abstract Purpose The purpose was to explore nurses' and physicians' recognition of signs deterioration management symptoms. Design Methods This descriptive, cross‐sectional study used an electronic survey with 35 nurses 17 physicians. Results Nurses using the B edside P aediatric E arly W arning S ystem ( PEWS ) were significantly more likely recognize risk for respond appropriate interventions. Physicians incorporating choose reliable indicators reported effective communication from...
Importance Morbidity and mortality after pediatric cardiac arrest are chiefly due to hypoxic-ischemic brain injury. Brain features seen on magnetic resonance imaging (MRI) spectroscopy (MRS) may identify injury aid in outcome assessments. Objective To analyze the association of lesions T2-weighted MRI diffusion-weighted N-acetylaspartate (NAA) lactate concentrations MRS with 1-year outcomes arrest. Design, Setting, Participants This multicenter cohort study took place intensive care units at...
Pediatric emergency care provision in the United States is uneven. Institutional barriers to readiness general department (GED) are known, but little understood about frontline providers. Our objective was explore lived experiences of medicine (EM) providers caring for acutely ill children GED and identify opportunities optimize their pediatric practice.This grounded theory study used theoretical sampling with snowball recruitment enroll EM physicians advanced practice from 25 Wisconsin...
Objectives: Our objective was to compare decision-making in dispatching pediatric transport teams by Medical Directors of (serving as experts) that Pediatric Intensivists and Critical Care fellows who often serve Control physicians. Understanding around team composition dispatch could impact clinical management, cost effectiveness, educational needs. Design: Survey developed using Script Concordance Testing guidelines. The survey contained 15 case vignettes covering 20 scenarios (45...
This paper reports the findings from a pilot study of four patients with medically refractory epilepsy undergoing pre-surgical evaluation ages ranging 5 to 17 years. Video electroencephalography recordings and data near infrared spectroscopy cerebral/somatic oximeter were gathered related electrographic seizure onset offset as determined by paediatric epileptologist. All showed haemodynamic changes associated epileptiform activities. The increased blood flow clearly coincided activity...
Abstract Background Emergency medical services ( EMS ) providers must be able to identify the most appropriate destination facility when treating children with potentially severe illnesses. Currently, no validated tool exists assist in identifying who need transport a hospital higher‐level pediatric care. For such developed, criterion standard needs defined that identifies received Objective The objective was develop consensus‐based for complaint resources. Methods Eleven local and national...