Turkish Society of Pediatric Emergency and Intensive Care Medicine PCCM Curriculum

Turkish Society of Pediatric Emergency and Intensive Care Medicine PCCM Curriculum

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This curriculum is geared toward pediatric residents at Turkish university hospitals who are completing their Pediatric Intensive Care Unit or Pediatric Emergency Department rotation as well as fellows who are just starting their Pediatric Intensive Care Medicine or Pediatric Emergency Medicine training. This is a self-paced, open-enrollment course that may be started and completed at any time.

Learning Objectives

  • Demonstrate how to recognize clinical features of common pediatric respiratory problems
  • Identify the infection control and bundles for central line insertion, ventilator-associated pneumonia, and urinary tract prevention
  • Describe the basics of the sterile field, surgical scrubbing, and the gowning and gloving process
  • Identify the features and proper usage of non-rebreather masks and manual ventilator bags to provide oxygen to patients
  • Demonstrate the techniques for proper airway positioning, obtaining a tight seal, and usage of basic airway adjuncts in bag-mask ventilation
  • Identify the equipment and supplies necessary for intubating a patient
  • Describe how to assess the pediatric airway prior to intubation
  • Describe the pre-intubation checklist
  • Explain the indications, contraindications, and specific steps in performing rapid sequence induction for emergent intubation
  • Identify medication options for providing sedation, analgesia, and neuromuscular blockade before endotracheal intubation
  • Describe the use of vagolytic medications in preparation for intubation
  • Identify the terminology, modes of ventilation, ARDS, lung protective strategies and extubation readiness of mechanical ventilation
  • Explain how to choose the appropriate mode of ventilation and ventilator settings, and apply these concepts with a sample case
  • Identify the modes of ventilation, including volume-controlled pressure, assist control, SIMV, and pressure support ventilation
  • Demonstrate how to titrate ventilator settings and how to assess for extubation readiness
  • Describe the principles and goals of sedation and analgesics, including medication choices, and the transition to extubation
  • Outline the approach to interpreting chest x-rays including lung parenchyma and vasculature, airway and mediastinum, heart, and bony abnormalities
  • Describe the uses of capnography, phases of carbon dioxide waveforms, and interpreting capnograms
  • Demonstrate how to use the pressure, volume and flow of waveforms in troubleshooting mechanical ventilation issues
  • Define and identify hypovolemic, cardiogenic, obstructive, distributive, and septic shock
  • Explain how to recognize septic shock and outline treatment strategies
  • Describe nutritional therapy, including how to perscribe nutrition, the optimal route for delivery, and how to maintain delivery

Suggested Audience

  • Physicians (Pediatric Residents and Pediatric Intensive Care Fellows)

Curriculum Director

Tolga Köroğlu, MD 

Contributors

Deb Morrow, RN, BSN, CCRN; Hiep Nguyen, MD; Monica Kleinman, MD; Robert Pascucci, MD; Traci Wolbrink, MD, MPH; Tonya Miller, MD, FAAP; Gerhard Wolf, MD; Brian Walsh, PhD, RRT-NPS, RRT-ACCS, RPFT, AE-C; Barry Grenier, RRT-NPS; Geroge Taylor, MD; Craig Smallwood, RRT; Anthony Olivero, MD; Nilesh Mehta, MD

Release Date

  • June 7, 2018