critical care articles

[Hayduke]

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Hi-
I am an EM resident attempting to build a library of the 'landmark' papers pertinent to my specialty. I have composed a list with the hits including Rivers, Kellum, etc.
Conspicuously missing from the libraries I have viewed from other programs are the biggies for Peds.

Can you folks help me out with critical care/EM focused articles that have shaped the current specialty of pediatrics? Peds SIRS, Fluid issues, current EGDT guidelines for kids are all topics with which we need to be familiar.
Thanks.
H

 

[J-Rad]

"Clinical practice parameters for hemodynamic support of pediatric
and neonatal patients in septic shock*", Carcillo, et al http://www.sccm.org/professional_resources/guidelines/table_of_contents/Documents/ElectronicCopy.pdf
Carcillo is a god in Peds CCM right now
Note: "up to, and over 60ml/kg within 15minutes" (um, "run over 30 minutes" is not a bolus in septic shock)


"Risk Factors for Cerebral Edema in Children with Diabetic Ketoacidosis"
Glaser et al, NEJM Volume 344:264-269 January 25, 2001 Number 4
Not what we always thought...

"A Randomized Trial of a Single Dose of Oral Dexamethasone for Mild Croup"
Bjornson et al, NEJM Volume 351:1306-1313 September 23, 2004 Number 13
Less sexy than sepsis, but most ED's practice based on this now (I believe)

 

[edmadison]

Check out pedsccm.org Look at the left hand column. The series on traumatic brain injury is pretty dense (it's a critical review) but its important and solid stuff.

Ed

 

[andyh]

From the UChicago Peds Residency website:

http://pediatrics.uchicago.edu/chiefs/PICU/

There are a host of great articles (I think some have already been cited above) which give you the range of detail you want (from the review articles to discussions of the basic science behind our current thinking).

 

[KidDoc29]

I cannot think of the exact reference right now, but the generally regarded expert in pediatric shock and sepsis is Joe Carcillo from University of Pittsburgh. He has published extensively on the topic, including EGDT algorithms (which, by the way differ drastically from those in adults due to sepsis imitators unique to peds such as ductal-dependent cardiac lesions, congenital adrenal hyperplasia, IEMs) Just search PubMed for Carcillo and you will find them. Hope this helps.