Assuming #Children will be affected more in #COVIDThirdWave. We need to prepare
Uniform Rx approach
Upskilling providers
Better networking of pediatric beds
Capacity building
Leveraging telemedicine
Prioritising more vulnerable
Registry of pediatric covid
Taskforce
Uniform Rx approach
Upskilling providers
Better networking of pediatric beds
Capacity building
Leveraging telemedicine
Prioritising more vulnerable
Registry of pediatric covid
Taskforce
Uniform treatment approach:
@iapindia and @nnfindia already have good protocols in place. We need all practicing pediatricians sign up to it. Any deviation has to be made consciously, discussed with family and peers. Exceptions should be the exception not the rule
@iapindia and @nnfindia already have good protocols in place. We need all practicing pediatricians sign up to it. Any deviation has to be made consciously, discussed with family and peers. Exceptions should be the exception not the rule
Upskilling of GPs and Pediatricians
Triage, systematic approach, early pick up of danger signs, appropriate use of investigations, 1st responder management/stabilisation to ensure good outcome
Case scenario based &
Simulation based learning can be effectively put to use
Triage, systematic approach, early pick up of danger signs, appropriate use of investigations, 1st responder management/stabilisation to ensure good outcome
Case scenario based &
Simulation based learning can be effectively put to use
Better networking of pediatric & neonatal beds
Level of care can be specified
Primary - Secondary -tertiary with scope of services, safe transfer between these three and a regional quaternary facility with ECMO and other advanced facilities. Each layer should unburden the other
Level of care can be specified
Primary - Secondary -tertiary with scope of services, safe transfer between these three and a regional quaternary facility with ECMO and other advanced facilities. Each layer should unburden the other
Capacity building in districts
Tier 2-3 cities and towns are weak spots: delayed access, manpower issues, skill mix and infrastructure.
Urgent audit of how much capacity is needed and how we can match it (PPP may needed) is in order.
Tier 2-3 cities and towns are weak spots: delayed access, manpower issues, skill mix and infrastructure.
Urgent audit of how much capacity is needed and how we can match it (PPP may needed) is in order.
Leveraging telemedicine
Both physicians and the public are now comfortable with teleconsults. Experts from pediatric intensive care, neonatology and Infectious diseases can take virtual rounds for peripheral/district centres, can be on-call 24/7 for clinical input
Both physicians and the public are now comfortable with teleconsults. Experts from pediatric intensive care, neonatology and Infectious diseases can take virtual rounds for peripheral/district centres, can be on-call 24/7 for clinical input
More vulnerable amongst kids should be prioritised (for vaccines & for urgent care)
Socially deprived: urban slums, rural, BPL sections : Malnourished/poor health seeking behaviour/poor access
Medically - from obesity to children with chronic medical conditions
Socially deprived: urban slums, rural, BPL sections : Malnourished/poor health seeking behaviour/poor access
Medically - from obesity to children with chronic medical conditions
Registry for pediatric covid
We need a registry of all children admitted to HDU and ICU, this will help spot trends, learn lessons quickly, share best practices and fine tune our clinical management. It will also help resource planning
We need a registry of all children admitted to HDU and ICU, this will help spot trends, learn lessons quickly, share best practices and fine tune our clinical management. It will also help resource planning
Task force
There are umpteen,but one is needed for newborn +pediatric COVID. To formulate policies, oversee all the above aspects and to manage crisis staying at an arm's length to treating units and doctors.
Lastly, we should aim for affordable and equitable care
There are umpteen,but one is needed for newborn +pediatric COVID. To formulate policies, oversee all the above aspects and to manage crisis staying at an arm's length to treating units and doctors.
Lastly, we should aim for affordable and equitable care
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