The Pediatric Clerkship Advocacy project at Dell Medical School (DMS) was designed as an opt-in curriculum to train medical students to become effective advocates through ongoing initiatives.
A large academic hospital with a pediatric burn program recently expanded its services to take adults and create a comprehensive burn center. Prior to the opening of the comprehensive center, proactive training and education for all the nursing staff was designed and implemented, in amalgamation with an existing pediatric education program.
Historically, our pediatric admission population has comprised approximately one-third of all admissions. Periodically, it is beneficial to review demographics and outcomes. This type of review aids in planning, determining needed areas of improvement, efficiency in delivery of care, and it helps develop protocols which could be applicable to our other centers within the burn network.
Through extensive nursing education, utilizing nurse driven protocol for foley removal, increased use of bladder scanning (each unit now has their own bladder scanner) and teaching about de-descalation of central lines/PICC lines as soon as possible, we have been able to reduce our device days overall.
In patients with larger burns, treatment with CEAs have proven to increase survival.1 CEAs, while useful have some disadvantages. If the injury involves burns to posterior surfaces, these fragile sheets are easily sheared, and pressure can cause graft loss. CEA grafting must be managed with specific care and with specialized protocols that help prevent these complications.
As the Hispanic population booms across the United States, Latino students are becoming more represented in science, technology, engineering and mathematics (STEM) disciplines. Simultaneously, many medical students report deficits in their comfort communicating with pediatric patients in their early clinical training.
With the emergence of COVID-19 pandemic, many studies have been published to determine the spectrum of illness, risk factors, prevention, and treatment strategies. Due to relatively fewer pediatric cases as compared to adults, there is a paucity of clinical data available to fully understand the risk factors and disease course in the pediatric population.
Posterior reversible encephalopathy syndrome (PRES) has symptoms of headache, altered mental status, visual changes, and seizures with radiographic evidence of edema in the posterior cerebral hemispheres that is typically benign with complete symptomatic resolution in days-weeks.
Electronic Medical Records (EMR) have been implemented at UTMCK for almost 10 years in both the inpatient and outpatient ambulatory setting. Patients frequently seek medical care from systems outside of UTMCK and the sharing of medical information between systems can be inefficient. This study was undertaken in order to gauge knowledge and utilization of health information exchanges (HIEs) amongst the medical staff at UTMCK.
The leading cause of morbidity and mortality in the pediatric population is unintentional injury. Emergent thoracotomies are rarely performed in pediatric patients, especially in the very young pediatric population. We present a case of a 10-year-old male who survived emergent clamshell thoracotomy for penetrating chest trauma.
Adolescence is a challenging time in a child’s life, and can be even more stressful for those with a chronic medical condition, such as diabetes. Diabetics have been shown to have worsening glycemic control as they enter adulthood.
This case presentation follows a pediatric patient who was initially worked up for constipation, then appendicitis, eventually ruled as an appendiceal neoplasm.
Surgical intervention remains an important treatment modality for the management of Crohn’s disease in the pediatric population. The objective of this study was to perform a comparative analysis of open right hemicolectomy and laparoscopic right hemicolectomy for management of Crohn’s disease in pediatric patients.
The ongoing pandemic of severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) has essentially placed the world into an unparalleled strain of public health demand and inadequacy of health essential resources. This mandated special regulatory strategies across various disciplines including burn.
Inhalation injury is one of the most contributory injury patterns to morbidity and mortality surrounding thermal injury. A significant amount of institutional variability exists in the diagnosis, treatment, and outcomes surrounding this independent predictor of mortality. The optimal management of upper airway and inhalation injury has yet to be described in the literature.
Large burns can lead to extensive catabolism resulting in impaired wound healing. A cornerstone of burn management focuses on adequate nutrition and anabolic therapies, primarily oxandrolone to optimize wound healing. Somatropin, human growth hormone (HGH), is of interest for burn patients due to its anabolic properties and promotion of cellular uptake of amino acids.
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