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The Use of Remote Learning Techniques for Pediatric Cardiopulmonary Resuscitation Simulation Highlighting the Intersection Between Pediatric Advanced Life Support (PALS) and Advanced Cardiac Life Support (ACLS) Pathways.
Cureus
December 2024
Department of Pediatrics/Division of Hospital Medicine, Children's National Hospital, Washington, DC, USA.
Article Synopsis
- Medical simulation education has expanded to remote learning, enabling engagement for pediatric clinicians to treat adult patients using advanced techniques like ACLS.
- The curriculum included online training sessions focusing on critical cases such as narcotic overdose and pulmonary embolism, and utilized assessments to measure knowledge retention and comfort levels over time.
- Results showed high participant satisfaction and significant improvements in clinical knowledge related to ACLS and PALS, highlighting the effectiveness of tele-simulation for enhancing medical education.
Am I a Survivor?
JAMA
January 2025
Ohio State University College of Medicine, Nationwide Children's Hospital, Columbus, Ohio.
Decision fatigue in hospital settings: A scoping review.
J Hosp Med
November 2024
Division of General Internal Medicine and Geriatrics, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Background: "Decision Fatigue" (DF) describes the impaired ability to make decisions because of repeated acts of decision-making.
Objectives: We conducted a scoping review to describe DF in inpatient settings.
Methods: To be included, studies should have explored a clinical decision, included a mechanism to account for the order of decision making, and be published in English in or after the year 2000.
Economic Evaluations of Health Care Interventions in Pediatric Hospital Care.
Hosp Pediatr
December 2024
Institute of Health Policy, Management and Evaluation.
The hospital medicine movement thrives in a health care environment committed to providing high-quality, safe, and value-based care. Hospitalists and hospitals continually grapple with many decisions regarding adopting new interventions and deadopting established ones. These decisions span the gamut from tests, treatments, and supportive care, to care models.
View Article and Find Full Text PDFClinical Risk Factors for High-Dose Methotrexate-Induced Oral Mucositis Following Individualized Dosing.
Cancer Med
November 2024
Department of Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.
Background: Oral mucositis affects about 20% of children undergoing high-dose methotrexate (HDMTX) for acute lymphoblastic leukemia (ALL), despite existing management strategies. Personalized HDMTX dosing, adjusted by pharmacokinetics and leukemia risk, has reduced mucositis incidence, but variations still occur with similar 24-h methotrexate levels.
Methods: This retrospective study investigated risk factors for oral mucositis under individualized methotrexate protocols.
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