Related Experiment Video
Updated: Jul 2, 2025
09:52
Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
17.2K
Considerations for instituting pediatric pulmonary embolism response teams: A tool kit
Madhvi Rajpurkar1, Rachel P Rosovsky2, Suzan Williams3
1Department of Pediatrics, Division of Pediatric Hematology Oncology, Central Michigan University, Wayne State University, Children's Hospital of Michigan, Detroit, MI, USA.
Thrombosis Research
|February 28, 2024
Summary
Pediatric pulmonary embolism (PE) is rising, often leading to delayed diagnosis and treatment. This study outlines guidelines for establishing pulmonary embolism response teams (PERTs) to improve pediatric PE care.
Area of Science:
- Pediatric critical care medicine
- Cardiovascular medicine
- Pulmonary medicine
Background:
- Pediatric pulmonary embolism (PE) incidence has surged by 200% in the last decade.
- Diagnosis and management of pediatric PE are frequently delayed due to unique epidemiologic features and empiric treatment approaches.
- There is a critical need for standardized, center-specific management protocols for pediatric PE.
Purpose of the Study:
- To address the need for uniform management of pediatric PE patients.
- To provide practical guidelines for establishing institutional pulmonary embolism response teams (PERTs) or critical care pathways for pediatric PE.
- To offer strategies for resource-limited institutions to collaborate with specialized centers for pediatric PE management.
Main Methods:
- Review and summarization of practical practice guidelines for pediatric PE management.
- Exploration of the potential benefits of PERTs and critical pathways, drawing parallels from adult PE management.
- Development of strategies for inter-institutional collaboration.
Main Results:
- While evidence for improved outcomes with pediatric PERTs is lacking, the development of such teams and pathways is recommended.
- Guidelines are provided for the establishment of institutional PERTs or critical pathways.
- Strategies for resource-challenged institutions are outlined, focusing on partnerships with expert centers.
Conclusions:
- Establishing institutional PERTs or critical pathways is a crucial step towards uniform and improved management of pediatric PE.
- Collaboration and resource sharing are vital for centers facing challenges in managing pediatric PE.
- Standardized approaches are necessary to overcome diagnostic and therapeutic delays in pediatric PE.
Related Concept Videos
01:26Flail Chest-II
169
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
169
01:29Acute Respiratory Failure-V
138
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
138
01:25Pulmonary Function Tests
330
Pulmonary Function Tests (PFTs)
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
PFTs involve using a spirometer, a...
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
PFTs involve using a spirometer, a...
330
01:26Pneumothorax-I
204
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
204
01:30Pneumonia V: Nursing management and Prevention
2.0K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
2.0K
01:19Respiratory Assessment: Purpose and Indications
1.1K
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.1K