Bembea presenting clinical arm of Year in Review, MIS-C, ARDS, here the PARDIE study #CCC50 #PedsICU
Bembea: PARK-PICU study looking at physical rehab point prevalence in the US from @SapnaKmd et al #CCC50 #PedsICU
Bembea: Canadian and European versions of PARK-PICU showed some similarities but some noticiable differences #CCC50 #PedsICU
Bembea: Pediatric Emergency and Critical Care Resources are limited worldwide #CCC50 #PedsICU
Bembea: Life after pedatric septic shock from @jerjohzimm et al. as we suspected, long term effects #CCC50 #PedsICU
Bembea: from the life after sepsis, what was associated with worse long term outcomes after sepsis in children? #CCC50 #PedsICU among other things, older age.
Bembea: two additional large post-PICU/PCICU outcomes studies are underway. #CCC50 #PedsICU
Bembea: P-COSCA - core outcome set for cardiac arrest in children #CCC50 #PedsICU

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More from @pccm_doc

2 Feb
Sevransky: rationale for Vitamin C in sepsis and shock #CCC50 #PedsICU ImageImageImage
Sevransky: CITRIS-ALI #CCC50 #PedsICU 167 patients with Sepsis AND ARDS for < 24 hours. Image
Sevransky: it did raise Vitamin C levels but didn't modify SOFA or other scores. But interventional group had a lower mortality (not a primary outcome measure of the study though, one of 46 secondary measures) #CCC50 #PedsICU Billiard analogy of calling your shot - ImageImage
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2 Feb
Next up Joel Feih, PharmD from Froedtert Hospital at MCW in Milwaukee on B12 and Methylene Blue in refractory vasodilatory shock #CCC50 #PedsICU Image
Feih: Methylene Blue #CCC50 #PedsICU Image
Feih: Methylene Blue has been studied for prophylaxis in high risk vasoplegic syndrome following CPB #CCC50 #PedsICU ImageImage
Read 11 tweets
2 Feb
@KhannaAshishCCM reviewing stuff that I knew once upon a time... #CCC50 #PedsICU RAAS ImageImage
Khanna: Is renin the new lactate? #CCC50 #PedsICU ImageImageImage
Khana: case report of high renin vasodilatory shock in a COVID patient on VV ECMO aaa #CCC50 Image
Read 5 tweets
2 Feb
Douglas White (UPMC): ICU triaging both on saving most lives and those with longest life expectancy, even based on SOFA scores invariably will bias against patients of color, or lower SES #CCC50 #PedsICU Image
White: 4 strategies for ICU triage that promote equity ImageImage
White: Arizona as an example, some hospitals were overburdened, others had empty beds. Arizona surgeline addressed this to coordinate and facilitate transfer 5000 patient transfer so they didn't need to triage. #CCC50 #PedsICU Image
Read 10 tweets
2 Feb
Katri Typpo presenting the basic science arm of the Peds Year in Review (it's not all SARS-CoV2) #CCC50 #PedsICU
Typpo: looking at mechanism of Cytokine Release Syndrome in CAR-T therapy #CCC50 #PedsICU by Liu at al Blocking GSDME may prevent CRS
Typpo: an animal model of Inhaled Vitame E Acetate and EVALI-like Lung injury #CCC50 #PedsICU
Read 8 tweets
2 Feb
The legend Ann Thompson, MD, MHCPM, MCCM talking about her career in #PedsICU, including offering herself up as chief at Pittsburgh 6 months out of fellowship. #CCC50 #PedsICU (her caveat was that the division was 2 people with one fellow, 7 nurses, 10 PICU beds)
Dr. Laura Evans, FCCM asking Dr. Thompson about that transition from fellowship to leadership, the growth of the program. Dr. Thompson relying back on her guidance from Drs Raphaelly and Downes at CHOP who mentored her. "Holding on by your fingertips" at times. #CCC50 #PedsICU
Dr. Thompson points out that having a strong team helped them persevere. (A team of course that she built over the years). #CCC50 #PedsICU
Read 15 tweets

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