Duration

4 weeks

Location

Ochsner Clinic Foundation

Objectives

This rotation focuses on the art and science of pediatric critical care. It will provide the foundation for understanding the pathophysiology of acute life-threatening diseases and advanced life support. It will introduce the medical student to the experience of taking care of a critically ill child and providing support for the family.

This will involve understanding:

  • Pediatric airway and respiratory distress
  • Respiratory failure and ventilatory support
  • Hemodynamic monitoring and support
  • Circulatory shock; diagnosis and management including vascular access sites and techniques
  • Invasive monitoring and interpretation
  • Cardiac evaluation and arrhythmia in PICU; identification and management
  • Fluid and electrolytes in the acute setting
  • Neurological emergencies and pathophysiology
  • Sedation and analgesia in PICU
  • Multi-organ system failure and management
  • Renal failure and renal replacement therapy
  • Liver failure
  • Transplant patient management pre and posttransplant and special needs with immunosupression and infection
  • Sepsis, life threatening infections
  • Postoperative surgical patients from all different subspecialties and the unique needs of each group
  • Transport of seriously ill children and initial stabilization
  • Interacting will all different subspecialities, medical and surgical, and formulating a plan of care for these patients
  • Oncology patients and emergencies
  • End-of-life care and understanding the ethical, social, legal, and economical issues involved in their care

Course Outline

  • Morning daily rounds 7:30 a.m.
  • Staff attending rounds in both the mornings and afternoons
  • Attendance at daily pediatric noon didactic conference
  • On call 6 times during rotation
  • Night call with house officers every 4th night
  • No weekend duties

Method of Evaluation

Daily observation of performance.