Pediatr Crit Care Me
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Pediatr Crit Care Me · May 2010
Critical appraisal of: triaging pediatric critical care resources during a pandemic: ethical and medical considerations.
To identify the ethical norms that should govern the allocation of pediatric critical care resources during a pandemic. ⋯ Although research to develop such scoring systems is ongoing, clinicians will need to rely more heavily on individual diagnoses of acute illnesses with high mortality rates and underlying conditions with short life expectancies and on random allocation methods.
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Pediatr Crit Care Me · May 2010
The motor response to stimulation predicts outcome as well as the full Glasgow Coma Scale in children with severe head injury.
To evaluate how well the full Glasgow Coma Scale and the motor response, which is a subscore of the Glasgow Coma Scale, predict the outcome in children who have sustained a traumatic brain injury. The best scores in the first 24 hrs were used. ⋯ Both the full Glasgow Coma Scale score and the motor response provide a useful indication of long-term outcome, although neither score is sufficiently accurate to be used to limit treatment. The full Glasgow Coma Scale does not have a linear relationship with mortality, and there is poor interobserver agreement. The motor response should be used in children in preference to the full Glasgow Coma Scale; the predictive power is equivalent to the full Glasgow Coma Scale, there is a linear relationship to mortality, and it is easier to collect accurately.
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Pediatr Crit Care Me · May 2010
Editorial CommentWhat's new in extracorporeal cardiopulmonary resuscitation?