PCCM 2nd-Year Curriculum

PCCM 2nd-Year Curriculum

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This course is geared toward pediatric trainee physicians who are in the process of completing year two of their pediatric critical care medicine fellowship training in pursuit of a subspecialty certification. This is a self-paced, open-enrollment course that may be started and completed at any time.

Learning Objectives

  • Review the importance of treating pediatric cardiopulmonary arrest, new advances in resuscitation medicine and post-resuscitation care, the incorporation of simulation research on cardiac resuscitation research into everyday practice, and ongoing areas of research and development.
  • Describe the pathophysiology and management of post-cardiac arrest syndrome after return of spontaneous circulation and highlight the key management guidelines targeted at improving patient outcomes.
  • Describe and demonstrate the important components of emergency event management, including the utilization of effective interdisciplinary teamwork between doctors, nurses, and other healthcare providers.
  • Review the definitions of sepsis and their origins, the burden of sepsis in children, and the challenges in prevention and treatment of sepsis in children around the world.
  • Discuss ventricular dysfunction and approach to hemodynamic monitoring in sepsis.
  • Review the state of ECMO as it exists in the world today in pediatrics.
  • Discuss ethical considerations in end-of-life care for the pediatric patient and principles for approaching disclosure and apology conversations after a patient-related adverse event or medical error.
  • Discuss recognition and reporting of physical child abuse and abusive head trauma, as well as discuss the medical documentation of non-accidental trauma.
  • Review neuro-critical care for the pediatric patient, including care after cardiac arrest, traumatic brain injury, raised intracranial pressure, and CNS infections.
  • Discuss congenital heart disease and the management of acute and chronic heart failure in the ICU.
  • Review the use of ECMO in the setting of cardiopulmonary resuscitation (ECPR), the use of nitric oxide, and the origins and development of the field of pediatric cardiac intensive care.
  • Identify infectious complications in hematopoietic stem cell transplant (HSCT) patients, focusing on group-specific and patient-specific factors that impact immune system functioning.
  • Establish an approach to graft-versus-host disease (GVHD) and veno-occlusive disease (VOD) in pediatric patients post-hematopoietic stem cell transplantation.
  • Review standard and emerging techniques in time-based and volumetric capnography, literature on mechanical ventilation of the child, and management of the intubated asthmatic patient.
  • Review the history and organization of burn care, how burn care operates in disaster situations, and burn physiology, including the differences between pediatrics and geriatrics and the body’s local and systemic response.
  • Demonstrate how to treat a newly admitted burn patient by reviewing the primary and secondary surveys and decompression procedures.
  • Discuss the initial management of burns by reviewing burn formulas, small and large burn resuscitations, and fluid management.
  • Demonstrate initial excision and closure of acute burns.

Suggested Audience

  • Physician Trainees

Curriculum Director

  • Traci Wolbrink, MD, MPH 
  • Lisa DelSignore, MD
  • Dennis Daniel, MD 
  • Meredith van der Velden, MD

Contributors

Robert Berg, MD, FAAP, FCCM, FAHA; Allan de Caen, MD; Vinay Nadkarni, MD, MS; Annette Imprescia, RN; Adrienne Randolph, MD, MSc; Margaret Parker, MD, MCCM; Niranjan Kissoon, MD; Heidi Dalton, MD; Robert Truog, MD; Celeste Wilson, MD; David Mooney, MD, MPH; Michelle Silvera, MD; Jason Mantagos, MD; Kelly Haynes, RN, JD; Robert Tasker, MB, BS, MD; Sunit Singhi, MBBS, MD, FIAP, FAMS, FISCCM, FICCM, FCCM; Steven Schwartz, MD; Jeffrey Fineman, MD; David Wessel, MD; Leslie Lehmann, MD; Christine Duncan, MD; Steven Margossian, MD, PhD; Ira Cheifetz, MD, FCCM, FAARC; Peter Rimensberger, MD; Gerhard Wolf, MD; Robert Sheridan, MD

Release Date

  • Released: August 1, 2017