Children's Healthcare of Atlanta Cardiology’s Post

Emergency stroke management is in constant flux and it is imperative that physicians, physician assistants/associates, and nurse practitioners stay on top of the latest advances. Follow the American Stroke Association's Get with the Guidelines®- Stroke program for the most comprehensive warehouse of evidence-based stroke care, and explore how you and your practice can contribute to the future of stroke research and management guidelines. https://lnkd.in/eRFN47Qh

Even though I belong to the wrong end of the age spectrum, I attended this online offering on Emergency in the first 60 days organized by International Federation for Emergency Medicine. It was a useful learning experience with particularly excellent talks on a range of neonatal topics delivered by experienced PEM consultants. The ones I particularly enjoyed was one from experienced PEM consultants on: 1. Unintentional injury: one needs to do the full sent of imaging (21 Xrays and CT and not just a a'babygram'). One should not worry about radiation because if you miss a case they may not live to the getting neoplasm. 2. The talk on Cardiac Emergencies really focussed us on the differentiation between the 'grey baby', the 'blue baby' and the EM management of these condition: essentially starting Prostacyclin on suspicion can be life saving. 3. Another particularly useful one related to abdominal emergencies in the neonate: Gut Malrotation v Volvulus and NEC: surprising to learn that with the later premature babies closer to term may get it sooner and its relation to 'non-human' milk feeds. 4. The talk on neonatal sepsis was also memorable and re-enforced the change from massive iv fluid boluses to earlier commencement of vasopressors. 5. I also enjoyed and learned from the talk on Respiratory emergencies: though treatment of Bronchiolitis is mostly supportive, occasionally a trial of nebulizers can be useful particularly when there is an element of broncho-constriction. I thanks all who contributed to the day. I was pleasantly surprised to see the signature of my friend Saleh Fares Al-Ali, the new president of IFEM.

I'm sorry an article on Clowns reducing LOS and improve patient experience? Yes please! Maya Shimshi-Barash et al report in Scientific Reports the Clowns improve pediatric patient experience. The study evaluated the impact of medical clown interventions on sleep quality and hospital stay duration in pediatric patients. Hospital environments often disrupt sleep in pediatric patients, leading to anxiety and discomfort. Medical clowns have shown potential in reducing stress and anxiety in pediatric care. The study was conducted at The Lady Davis Carmel Medical Center in Israel and involved pediatric patients aged 2-18 years. Participants in the study received standard medical care and a session with a medical clown at bedtime, using relaxation techniques. The study found that medical clown interventions improved sleep quality and shortened hospitalization duration in hospitalized children. Link to the article in the comments.

This is an important problem that needs measures taken today. Pediatric care and maternal care deserts are widening at alarming rates. While there is a growing need for pediatric inpatient beds nationally, especially for those requiring behavioral and mental healthcare, the number of inpatient beds is decreasing. This article highlights some specific measures that could be taken. The cost of medical education needs to be decreased. The years of medical training could be reduced. A society that cares for children upholds themselves to a high moral and ethical standard. The U.S. is not upholding this standard for children. #UsinhWhatWeHaveBetter

Introducing the first intimation for the " 24th Annual Conference of Pediatric Cardiac Society of India " The theme for the conference is " Redefining Pediatric Cardiac Care: Regional Adaptation of Global Perspective"

In the past five years, advancements in concussion care practices have significantly altered return-to-school guidelines. Previous recommendations advocating for complete rest and absence from school until all symptoms resolve are now deemed ineffective and may actually prolong recovery. Instead, a return-to-school strategy that emphasizes the student’s ability to engage in activities safely, rather than strictly monitoring symptoms, is advised. This approach should be tailored to address the individual learning requirements and overall health of the child or adolescent, considering both their pre-injury and current needs. By implementing current and research-supported clinical practice guidelines, we can promote the safest recovery and optimal outcomes for youth following a concussion. The Living Guideline for Pediatric Concussion Care is created by PedsConcussion, a collaboration of over 45 clinicians and researchers from North America. This expert panel continually reviews new research findings to ensure that their clinical practice guidelines remain aligned with the most recent evidence available for healthcare providers. https://lnkd.in/ep-iU-Ha

Have you encountered the CARE process — an approach used to reduce healthcare-induced distress in pediatric patients? The CARE process, which stands for Choice, Agenda, Resilience, and Emotion, outlines four key principles to deliver emotionally-safe treatment to kids: 1. Choices: Provide power in a powerless environment. 2. Agenda: Let the patient and family know what to expect and what is expected of them. 3. Resilience: Start with strengths and reframe negatives. 4. Emotions: Recognize and normalize common fears and responses. By implementing these principles, we can significantly minimize a child’s healthcare-induced distress. Let's prioritize emotional safety in pediatric care! 🌈👶 [Image Description: White font against a blue background: “As a library, the National Library of Medicine (NLM) provides access to scientific literature. Inclusion in an NLM database does not imply endorsement of, or agreement with, the contents of NLM or the National Institutes of Health.” Below: “PMC PubMed Central.” To the right, there is a photo of a woman smiling over a man’s shoulder as he works at a laptop.] #DaretoBeRare #PatientEmpowerment #HealthcareSolutions #PatientSafety #BeAnythingButOrdinary #LifeWithoutLimits #ChallengeWhatsPossible #PatientEmpowerment #DreamBigWithGusGear #GusGearAcrosstheGlobe #EnteralNutrition #ClinicalNutrition https://bit.ly/4djVRQs

The June 2024 issue of Pediatric Critical Care Medicine is now available online! Read about the latest research in pediatric post-acute care facilities, #sepsis, ARDS, and more: pccmjournal.org #PedsICU #SCCMSoMe

The American Heart Association has set new goals to improve cardiac arrest outcomes, aiming to double the current 10% survival rate to 20% by 2030. Despite advances in research and clinical practice, survival from cardiac arrest remains low, and significant disparities exist in outcomes. The Association emphasizes the need to increase bystander cardiopulmonary resuscitation (CPR) rates to over 50%, enhance defibrillation (AED use) frequency for out-of-hospital cardiac arrest, improve overall survival after cardiac arrest, and promote neurologically intact survival. Equity-focused goals include addressing racial/ethnic and historically marginalized groups with low socioeconomic status. Dr. Raina Merchant, the American Heart Association volunteer chair of the statement's writing committee, highlights the collaborative effort required from healthcare professionals, first responders, and the public to achieve these goals. Currently, 90% of people experiencing cardiac arrest outside the hospital die, emphasizing the importance of increased CPR training, AED use, and immediate response. The Association aims to address disparities in care for Black or Hispanic adults and improve access to lifesaving CPR training in their communities. The focus on education and training has already shown positive results, with increased bystander willingness to provide lifesaving care. #AmericanHeartAssociation #cardiacarrest #CPR #AED #healthgoals #survivalrate #emergencycare #healthdisparities #equity #cardiovascularhealth https://lnkd.in/gUi6qfy7

The American Heart Association has set new goals to improve cardiac arrest outcomes, aiming to double the current 10% survival rate to 20% by 2030. Despite advances in research and clinical practice, survival from cardiac arrest remains low, and significant disparities exist in outcomes. The Association emphasizes the need to increase bystander cardiopulmonary resuscitation (CPR) rates to over 50%, enhance defibrillation (AED use) frequency for out-of-hospital cardiac arrest, improve overall survival after cardiac arrest, and promote neurologically intact survival. Equity-focused goals include addressing racial/ethnic and historically marginalized groups with low socioeconomic status. Dr. Raina Merchant, the American Heart Association volunteer chair of the statement's writing committee, highlights the collaborative effort required from healthcare professionals, first responders, and the public to achieve these goals. Currently, 90% of people experiencing cardiac arrest outside the hospital die, emphasizing the importance of increased CPR training, AED use, and immediate response. The Association aims to address disparities in care for Black or Hispanic adults and improve access to lifesaving CPR training in their communities. The focus on education and training has already shown positive results, with increased bystander willingness to provide lifesaving care. #AmericanHeartAssociation #cardiacarrest #CPR #AED #healthgoals #survivalrate #emergencycare #healthdisparities #equity #cardiovascularhealth https://lnkd.in/gBmqhyk8