About Us

About Us

Pediatric Critical Care Medicine

The Division of Pediatric Critical Care Medicine coordinates the critical care services of Kosair Children's Hospital, the regional referral center for critically ill and injured infants, children and adolescents.

The multi-disciplinary "Just for Kids" Critical Care Center treats children with severe medical illnesses and supports a variety of programs, such as the Pediatric Trauma, Cardiovascular Surgery and Organ Transplantation.

A variety of medical and surgical conditions that require intensive monitoring are cared for daily in a family oriented atmosphere. Diagnoses frequently encountered include shock, trauma, traumatic brain injuries, ingestions/poisonings, status epilepticus, status asthmaticus, diabetic ketoacidosis, pediatric respiratory failure, congenital heart disease, metabolic abnormalities and cardiac dysrhythmias.   Patients with complex surgical needs, including cardiovascular and neurosurgical operations, are also cared for in the Critical Care Center.

One member of the division serves as Director of Transport.  We serve as medical control  providing air (fixed wing and helicopter) and ground transportation of infants and children by  a critical care neonatal/pediatric team through our Just for Kids Transport Service.

The Kosair Children’s Hospital Pediatric Intensive Care Unit currently has 26 beds. We make every effort to provide family centered care including a sleeping room for parents, dedicated critical care waiting room, and a meditation room.  We strive to include our parents in our rounding process and make family satisfaction a priority.

The Division of Critical Care Medicine provides procedural sedation services through the University Children's Sedation Service. Services are provided to both inpatients and Hematology-Oncology patients at Kosair Children's Hospital. The service safely sedates around 1,100 patients annually.

One member of the Division directs the palliative care medicine services at Kosair Children's Hospital through the Hearts and Hands Palliative Care Program.

Research interests of the division include patient safety, procedural sedation and analgesia, pharmacokinetics, education, patient simulation and pediatric acupuncture. Members of the Division of Critical Care Medicine participate in research through the KCPCRU.

A robust Simulation Program enhances the academic experience for the entire health care team.  By providing a high-fidelity, true-to-life experience using mannequins with real-time computerized and personal feedback, our clinicians, nurses, and therapists can refine their skills, develop improved team dynamics, and proactively work to continue to provide world-class care.

Two physicians evaluate patients and perform all acupuncture and alternative therapy treatments.

The division has an accredited Pediatric Critical Care Medicine fellowship training program. For 2012, our Pediatric Critical Care fellows had a 100% critical care board pass rate.

 

Clinical and Scholarly Fast FactsTotals for 2013

Just For Kids Critical Care Center Admissions

2,061
Just For Kids Critical Care Center Patient Days
7,929
Hearts and Hands Palliative Care Service Consultations289
Hearts and Hands Palliative Care Service End of Life care
51
Acupuncture Service Pediatric Outpatient Visits
474
Acupuncture Service Pediatric Inpatient Consultations
12

Simulation Training Outreach 2013; UofL Adult ED Residency Program, UofL 4th Year Medical Students (Practical Pediatrics), Bellarmine Nursing School, Jewish South ED, Jewish East ED, Jewish Southwest ED, Glasghow EMS, Bowling Green EMS, Norton Audubon ED, Kentucky High School students vis the PEPP program, Boy Scouts of America (Camp Philmont), Kentucky State Trauma Providers Consortium, Frazier Rehabilitation Center, Manuel High School, Children and Youth Project

91 hours
Quality

PICU Overall Press Ganey Average Score
94.95 %
PICU Standardized Mortality rate using PRISM 3 data from 2009 (Values less than 1 indicate observed mortality is less than predicted mortality.)
0.93

Blood Stream Infection rate:

2.16/1000 catheter days
Ventilator-Associated Pneumonia Rate
0.36/1000 ventilator days
Urinary Catheter Infection Rate        
3.41/1000 catheter days
Continue to participate in the Children's Hospital Association PICU focus group with active clinical research participation in unplanned extubations, ventilator associated pneumonia, nutrition, staff resilience, delirium in the PICU and implementing transfusion thresholds

Peer-reviewed publications containing original data

6
Invited national lectures
6
Abstract presentations
3
Unfunded Medical Student Projects3
Unfunded Resident Projects1
Unfunded Collaboratives4
Funded (NIH subcontracts)6
Funded (Other) Investigator Initiated1