Pediatric sepsis

Jun 26, 2021 by in CRITICAL CARE Comments Off on Pediatric sepsis

• The typical patient with septic shock has simultaneous derangements of cardiovascular function, intravascular volume status, respiratory function, immune/inflammatory regulation, renal function, coagulation, hepatic function, and/or metabolic function. • The…

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Accidental hypothermia

Jun 26, 2021 by in CRITICAL CARE Comments Off on Accidental hypothermia

• Accidental or unintentional hypothermia is a potentially lethal complication of exposure to cold. It can occur as a result of exposure to cold air, water immersion/submersion, or snow burial….

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Drowning

Jun 26, 2021 by in CRITICAL CARE Comments Off on Drowning

• For drowning victims in cardiac arrest, it is important that cardiopulmonary resuscitation be performed in the traditional airway-breathing-circulation rather than circulation-airway-breathing sequence. • Drowning is a process causing respiratory…

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Multiple-organ dysfunction syndrome

Jun 26, 2021 by in CRITICAL CARE Comments Off on Multiple-organ dysfunction syndrome

• Pediatric multiple-organ dysfunction syndrome (MODS) represents the leading final pathway to death in children who suffer critical illness triggered by acute insults such as sepsis (leading cause of MODS),…

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Hyperthermic injury

Jun 26, 2021 by in CRITICAL CARE Comments Off on Hyperthermic injury

• According to the Centers for Disease Control and Prevention, from 1999 to 2010, 7415 deaths were attributable to excessive heat exposure or hyperthermia in the United States. • With…

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Healthcare-associated infections

Jun 26, 2021 by in CRITICAL CARE Comments Off on Healthcare-associated infections

• Hand hygiene is foundational to infection control in the pediatric intensive care unit (PICU), including the prevention of healthcare-associated infections (HAIs); units should be relentless in pursuing compliance with…

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Pediatric rheumatologic disease

Jun 26, 2021 by in CRITICAL CARE Comments Off on Pediatric rheumatologic disease

• Approximately 1 child in 250 has a rheumatologic disease. • A child may present to the intensive care unit (ICU) with a life-threatening manifestation of an undiagnosed rheumatologic disease…

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Immune balance in critical illness

Jun 26, 2021 by in CRITICAL CARE Comments Off on Immune balance in critical illness

Pearls • The inflammatory response to critical illness is highly dynamic over time, involves both innate and adaptive immunity, and includes both pro- and antiinflammatory features. • These features constitute…

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