Publications by authors named "S Skellett"
Background: The association between chest compression (CC) pause duration and pediatric in-hospital cardiac arrest survival outcomes is unknown. The American Heart Association has recommended minimizing pauses in CC in children to <10 seconds, without supportive evidence. We hypothesized that longer maximum CC pause durations are associated with worse survival and neurological outcomes.
View Article and Find Full Text PDFBackground Current pediatric cardiac arrest guidelines recommend depressing the chest by one-third anterior-posterior diameter (APD), which is presumed to equate to absolute age-specific chest compression depth targets (4 cm for infants and 5 cm for children). However, no clinical studies during pediatric cardiac arrest have validated this presumption. We aimed to study the concordance of measured one-third APD with absolute age-specific chest compression depth targets in a cohort of pediatric patients with cardiac arrest.
View Article and Find Full Text PDFBackground: Convulsive status epilepticus (CSE) is the most common neurological emergency in children. It is a frequent cause of admission to pediatric intensive care units and is associated with significant short- and long-term morbidity. Management of CSE is a step-wise approach: first-line antiseizure agents (typically benzodiazepines) followed by a second-line agent before deeper anesthesia usually accompanied by intubation and ventilation.
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- A study analyzed children with multisystem inflammatory syndrome linked to COVID-19 and compared them to those with Kawasaki disease based on referrals at a children's hospital between 2019 and 2020.
- There was a significant increase in cases in early 2020, with the 2020 cohort being older and more diverse, as well as requiring more intensive treatment than the 2019 cohort.
- Despite some children showing reduced heart function, most recovered fully within 10 days, and the overall risk of lasting heart problems was low, suggesting similarities and differences between these two conditions.
Introduction: Pediatric quality improvement (QI) collaboratives are multisite clinical networks that support cooperative learning. Our goal is to identify the contextual facilitators and barriers to implementing QI resuscitation interventions within a multicenter resuscitation collaborative.
Methods: A mixed-methods evaluation of the contextual facilitators and barriers to implementation of a resuscitation QI bundle.