Today, I review, embed, and add notes to The Cribsiders‘ “#98: Rapid Responses – What Can the PICU Do For You? (Part 2)“* and link to additional resources on Rapid Response Systems.
*Shanklin A, Hodges Z, Masur S, Mallick M, Berk J. “#98: Rapid Responses: What can the PICU do for you (Part 2)?”. The Cribsiders Pediatric Podcast. https:/www.thecribsiders.com/ November 20, 2023.
All that follows is from the above resource.
Rapid heart rate at a rapid response? Not to worry, this collaboration with PedsCrit will give you the confidence you need to take step right in. Join Dr. Nada Mallick as she takes us through Part 2 of our Rapid Response Series, highlighting calls for tachycardia in high risk patients!
The show notes of Part 2 are simply a repeat of Part 1 show notes, so I have made my own notes for Part 2.
Note: this case discussion [Case 2 Post-op hypotension] is concluded in #98: Rapid Responses – What Can the PICU Do For You? (Part 2) from 5:00 – 11:00. November 22, 2023 | By Sam Masur.
Case 3 is a 4 yr old with acute lymphoblastic leukemia currently in consolidation therapy who just got addmitted for febrile neutropenia, from 11:00 – 21:00. “You see a crying 4 year old who looks like she is pain.”
21:10 – 21:59: The speakers discuss the Pediatric Early Warning Score*, which is for previously healthy patients with one system of pathology involvement. It doesn’t cover the increasingly complex patients that we see.
*Phillips Pediatric Early Warning System: Bringing Pediatric Early Warning Scores (PEWS) to your hospital. [PDF]. Nov 2018. Accessed 8-07-2-2024.
*Pediatric Early Warning Score (PEWS)
Identifies pediatric patients at risk for clinical deterioration. From MD+Calc. Accessed 8-07-2024.
*A Quality Improvement Initiative to Reduce Unnecessary Rapid Responses Using Early Warning Scores. [PubMed Abstract] [Full-Text HTML] [Full-Text PDF]. Pediatrics. 2021 Mar;147(3):e20191947. doi: 10.1542/peds.2019-1947. Epub 2021 Feb
5.22:03 – xx:xx: And it doesn’t cover the two two big broad patient populations that I see in my large academic center which is congenital heart patients [The Cardiac Children’s Hospital Early Warning Score (C-CHEWS)]* and patients with hematologic and oncologic concerns.**
*The Cardiac Children’s Hospital Early Warning Score (C-CHEWS) [PubMed Abstract] [Full-Text HTML and PDF are behind a paywall]. J Pediatr Nurs. 2013 Apr;28(2):171-8. doi: 10.1016/j.pedn.2012.07.009. Epub 2012 Aug 15.
**Validation of a modified bedside Pediatric Early Warning System score for detection of clinical deterioration in hospitalized pediatric oncology patients: A prospective cohort study. [PubMed Abstract] [Full-Text HTML] [Full-Text PDF]. Pediatr Blood Cancer. 2023 Jan;70(1):e30036. doi: 10.1002/pbc.30036. Epub 2022 Oct 31.
