The Cribsiders S5 Ep98: Rapid Responses - What Can the PICU Do For You? (Part 2)
Nov 22, 2023
Dr. Nada Malek joins the hosts to discuss the importance of rapid responses in pediatric care. They share personal experiences and highlight the need for proper communication and collaboration between the ICU and the acute care floor. The chapter explores the importance of including the family in ICU care and rapid responses. They discuss the value of teamwork and composure in rapid responses and the need to safely integrate artificial intelligence into medicine.
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Episode notes
Prepare Thoroughly Before Transport
- When preparing to move a critically ill patient during a rapid response, anticipate potential problems and prepare emergency drugs and equipment like an epi drip and monitors.
- Do not hesitate to call a code to get adequate help and make transport safer for the patient.
Never Go Alone to Rapid Response
- Never go alone to a rapid response call; always know who to call for airway, ICU, and nursing help.
- Use hard stops to determine when to escalate care, like using a bag valve mask or requesting code drugs signaling the need for code activation.
Assess Neutropenic Patient Carefully
- Assess perfusion, mental status, lab trends, and therapy phase in a tachycardic neutropenic patient to identify unseen risks.
- Evaluate risk of dehydration, CNS symptoms, and infection signs to determine need for ICU versus floor care.