Publications by authors named "Philomena M Costabile"
Introduction: Little is known about cardiopulmonary resuscitation (CPR) quality during pediatric interhospital transport; hence, our aim was to investigate its feasibility.
Methods: After implementing an institutional education curriculum on pediatric resuscitation during ambulance transport, we conducted a 4-year prospective observational study involving simulation events. Simulated scenarios were (1) interhospital transport of a child retrieved in cardiac arrest (Sim1) and (2) unanticipated cardiac arrest of a child during transport (Sim2).
Article Synopsis
- The study focused on analyzing differences in diagnostic classifications for critically ill/injured children transferred to a pediatric care center and the potential impacts of these discrepancies on patient outcomes.
- A review of medical records revealed that out of 643 children, 7.2% experienced diagnostic discordance between the referring and accepting institutions, with respiratory issues being the most common admission diagnosis.
- The discordant group required more medical interventions, had longer ICU and hospital stays, and showed higher rates of respiratory support needs and invasive procedures upon admission compared to those with concordant diagnoses.
Objectives: To ascertain the national experience regarding which physician trainees are allowed to participate in pediatric interfacility transports and what is considered adequate education and training for physician trainees prior to participating in the transport of children.
Design: Self-administered electronic survey.
Setting: Pediatric transport teams listed with the American Academy of Pediatrics Section on Transport Medicine.
Objectives: To describe the disposition of infants and young children with isolated mild traumatic brain injury and neuroimaging findings evaluated at a level 1 pediatric trauma center, and identify factors associated with their need for ICU admission.
Design: Retrospective cohort.
Setting: Single center.
Objectives: We developed a Pediatric Transport Triage Tool (PT3) to objectively guide selection of team composition and transport mode, thereby standardizing transport planning. Previously, modified Pediatric Early Warning Score for transport has been used to assess illness severity but not to guide transport decision making.
Methods: The PT3 was created for pediatric transport by combining objective evaluations of neurologic, cardiovascular, and respiratory systems with a systems-based medical condition list to identify diagnoses requiring expedited transport and/or advanced team composition not captured by neurologic, cardiovascular, and respiratory systems alone.
Objectives: To describe the U.S. experience with interhospital transport of children in cardiac arrest undergoing cardiopulmonary resuscitation.
View Article and Find Full Text PDFObjectives: To analyze the impact of an intervention of using telemedicine during interhospital transport on time to surgery in children with operative intracranial hemorrhage.
Design: We performed a retrospective chart review of children with intracranial hemorrhage transferred for emergent neurosurgical intervention between January 1, 2011 and December 31, 2016. We identified those patients whose neuroimaging was transmitted via telemedicine to the neurosurgical team prior to arrival at our center and then compared the telemedicine and nontelemedicine groups.
Objectives: To discuss risks and benefits of interhospital transport of children in cardiac arrest undergoing cardiopulmonary resuscitation.
Design: Narrative review.
Results: Not applicable.
Objectives: To present our single-center's experience with three palliative critical care transports home from the PICU for terminal extubation.
Design: We performed a retrospective chart review of patients transported between January 1, 2012, and December 31, 2014.
Setting: All cases were identified from our institutional pediatric transport database.