4ICU06 Pediatric Intensive Care Unit
Dr. Michael Cannon
Rotation Director: Michael Cannon, M.D.
Program Outline: The objective of this rotation is to expose students to patient care in the Pediatric Intensive Care Unit (PICU) where a multidisciplinary approach to patient care is utilized. The PICU team assists in the management of all patients admitted to the PICU as well as providing primary management of patients admitted to the PICU Service. The rotation emphasis patient management issues, such as differential diagnosis, appropriate laboratory and radiologic testing, acute and chronic management of pediatric patients with multiple medical and surgical problems. Issues such as ventilator management, acute pharmacologic therapy for hemodynamic instability, effective antimicrobial therapy, nutritional support, and multi-system organ dysfunction will be addressed. The student will have the opportunity to learn about extracorporeal life support (ECMO) when patients receiving this therapy are present in the PICU.
Students will participate as an integral part of the PICU team. The students will assume supervised responsibility for patient admission, evaluation, diagnostic testing, initiation and evaluation of therapy, and be exposed to patient-care issues such as End of Life decisions, patient disposition, and family health care dynamics. Exposure to the organ donation process may be gained during the rotation.
Students will be supervised by the PICU attending physician and the PICU house officer. Students will be expected to attend the weekly Department of Anesthesiology Resident Case Conference and Pediatric Anesthesiology/Pediatric Critical Care Subspecialty Conference, as well as weekly Critical Care Grand Rounds. Students will be excused to attend the Anesthesiology Resident Monday Lecture Series and Pediatric Grand Rounds if desired. Informal bedside teaching will occur on a daily basis by the PICU attending, and lectures will be given as often as patient care responsibilities will allow. Students may also spend time in the Patient Simulation Laboratory (PSL), where they will have the opportunity to learn and practice management skills relating to acute cardiovascular, pulmonary, renal and neurologic intensive care. Airway management skills such as mask ventilation, endotracheal intubation, and ventilator management will be emphasized.
Prerequisites: Completion of Years 1-3
Length of Program: 4 weeks
Maximum Number of Students: 2 students per rotation
When Offered: All rotations
Report to: Pediatric Intensive Care Unit, 6th Floor, Brenner Children’s Hospital at 7 am