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Pediatrics
One-Hour Concurrent Session

The Delicate Dance Between the PICU and the Ward: Keeping the Patient Safe While Utilizing Resources Wisely

Tuesday, February 25, 2025
2:30pm – 3:30pm Eastern Time
Location: W311E
CE: 1

Pediatric cardiac arrests outside the PICU have become rare. But children get sick on the ward and are transferred to the PICU, and some of these children could be recognized earlier and perhaps avoid PICU admission. There is no single standard definition for clinical deterioration on the ward; this has significant research implications. There are also patients who are transferred to the PICU following a rapid response but never receive ICU interventions. How can these patients be identified and perhaps kept out of the ICU? This session will explore the interface between the PICU and the ward and the role of the pediatric intensivist.

Learning Objectives:

  • Discuss published clinical deterioration criteria for pediatric patients transferred to the PICU from the ward
  • Describe the challenges and burdens of transferring patients to the PICU who do not receive PICU-level care
  • Elaborate on the necessity of specific therapies applied in the PICU versus the ward, such as high-flow nasal cannula, continuous albuterol, and heparin

Presentations:

  • 2:35pm – 2:50pm Eastern Time
    Honestly, This One Didn't Need to Come: Identifying Predictors of Need for ICU-Level Interventions From the Floor

    Priti Jani, MD, MPH – Comer Children's Hospital

  • 2:50pm – 3:05pm Eastern Time
    Please, This Kid Is Too Much for the Floor

    Aarti Bavare, MD, MPH – Texas Childrens Hospital

  • 3:05pm – 3:20pm Eastern Time
    Sure, the Docs Agree, but What About the People at the Bedside?

    Jennifer Murphy, CCRN, MSN (she/her/hers) – Upstate Golisano Children's Hospital - Upstate University