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Training Teams For Timely NICU Evacuation
In late August 2011, a magnitude 5.8 earthquake - the strongest east of the Mississippi since 1944 - shook Washington, D.C., with such force that it cracked the Washington Monument and damaged the National Cathedral.
On the sixth floor of the neonatal intensive care unit (NICU) at Children's National in Washington, D.C., staff felt the hospital swaying from side to side.
After the shaking stopped, they found the natural disaster exposed another fault: The unit's 200-plus staff members were not all equally knowledgeable or confident regarding the unit's plan for evacuating its 66 newborns or their own specific role during an emergency evacuation.
More than 900 very sick children are transferred to Children's National NICU from across the region each year, and a high percentage rely on machines to do the work that their tiny lungs and hearts are not yet strong enough to do on their own.
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Death Rate Of Critically Ill Children Linked To Hospital Preparedness For Pediatric Emergencies
Critically ill children brought to hospital emergency departments that are ill-prepared to care for pediatric emergencies have more than three times the odds of dying compared to those brought to hospitals well-equipped to care for them, according to an analysis led by University of Pittsburgh and University of California-Los Angeles physician-scientists.
The findings, published today in the journal Pediatrics, are the first to provide evidence from multiple states linking the readiness of hospital emergency departments to care for critically ill or injured children with outcomes, and could guide a variety of policy responses.
“Pediatric care requires specialized equipment, training and protocols to provide the best care to children. Obtaining that kind of preparedness is costly and time-consuming,” said senior author Jeremy Kahn, M.D., M.S., professor in the Department of Critical C
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Nine Signs Children May Need An Eye Exam
Back-to-school shopping lists might include school supplies, new clothes and even a haircut, but does it include an eye exam? Physicians with the University of Alabama at Birmingham Department of Ophthalmology think it should.
“More often than not, vision problems go unnoticed until children begin school,” said Associate Professor of Ophthalmology Marcela Frazier, O.D. “Children grow up naturally adapting to vision issues, so when they get into school and start reading and learning, that is when parents and teachers begin to notice certain problems.”
Comprehensive eye exams can detect a variety of eye conditions that, left untreated in a child, could result in partial or complete loss of vision later in life. Common conditions include astigmatism and nearsightedness. Conditions such as amblyopia or convergence insufficiency can cause serious problems if not addressed early in life.
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E-Cigarette Use Spurs Rise In Teens Treated For Respiratory Injuries
The number of teens and young adults treated for severe respiratory injury after e-cigarette use is increasing at Monroe Carell Jr. Children’s Hospital at Vanderbilt, which is consistent with a nationwide trend that led to a recent communication to physicians from the Centers for Disease Control and Prevention (CDC).
There were 94 possible cases of severe lung illness associated with vaping reported in 14 states from June 28, 2019, to August 15, 2019, according to the CDC.
“In the last six months, we have had four cases here,” said Jacob Kaslow, MD, a second-year pediatric pulmonary fellow at Children’s Hospital. “We are seeing patients with symptoms that seem out of the ordinary and appear more severe than a respiratory infection.
“As a pulmonary department, we are beginning to develop more awareness of the impact that e-cigarettes are having,” he said. “These devices are just a coup