Division of Pediatric Critical Care Medicine


Critical Care - Pediatrics photo

 

The primary practice site for the Pediatric Critical Care Medicine Faculty is the Children's Hospital of Georgia's PICU.

The PICU at the Augusta University's Children's Hospital of Georgia is a regional tertiary referral center that treats critically ill and injured children in partnership with their families. The PICU is a 14 bed unit dedicated to providing family and patient centered care. A pediatric intensivist is available at all times to address patient care issues and assist the housestaff.

Some PICU facts

- The PICU admits approximately 1,000 children each year.

- The PICU offers training experiences for pediatric residents, emergency medicine residents and fourth year medical students

- Common reasons patients are admitted to the PICU

  • Shock
  • severe infections
  • multiple organ failure
  • breathing and respiratory disorders
  • altered mental status
  • seizures
  • diabetes
  • dehydration

- Many patients are admitted to the PICU following complex surgeries or significant injury

  • The CHOG is a designated Pediatric Trauma Center
  • The CHOG has an active children's heart program which includes a congenital heart surgery program
  • Complex repairs of pediatric airways are performed by the Pediatric Otolyarngology service

- Second year pediatrics residents work with the PICU attending physicians as part of a team that includes

  • PICU nurses
  • Pediatric respiratory therapists
  • Pediatric pharmacists
  • Pediatric dietitians
  • Pediatric social workers
  • Pediatric physical and occupational therapists
  • Pediatric case managers

- Care is evidence based

- The PICU is equipped with advanced technology to provide

  • Bedside physiologic monitoring
  • Cardiac output monitoring using PiCCO
  • NIRS monitoring of regional blood flow
  • Non-invasive ventilation
  • High frequency oscillatory ventilation
  • Renal replacement therapy including dialysis and CVVH
  • A pediatric ECMO program

- One-on-one or one-on-two care is provided by registered nurses specially trained in pediatric intensive care

- Augusta University is one of the pioneers of the concept of Patient and Family Centered Care

  • We encourage family involvement in care
  • Families are invited to participate in the discussion of their child's care
  • The PICU allows 24-hour visitation.

- The pediatric critical care faculty supports the CHOG's Pediatric Evaluation Team

  • The Pediatric Evaluation Team (PET team) is the CHOG's rapid response team
  • When physicians, nurses or parents become concerned that a patient that might be rapidly deteriorating, the PET team is called
  • The PET team is a PICU nurse, a pediatric respiratory therapist and a PICU attending physician
  • Patients are initially evaluated by the PICU nurse and the pediatric RT. The PICU attending is then consulted to discuss the most appropriate disposition of the patient.

- The PICU supports the CHOG Pediatric Transport Team

  • With a PICU attending physician serving as the medical control physician, the Pediatric Transport Team is dispatched to outside hospitals to assist in the evaluation, resuscitation and transfer of sick children who require admission to the CHOG.
  • Most transports are by ground and within 30 miles, but due to the availability of air travel (helicopter) the CHOG Pediatric Transport Team has the ability to travel to any hospital in Georgia, western South Carolina or northern Florida.

- The Division of Pediatric Critical Care Medicine supports a Pediatric Sedation service for children who require painful or radiologic procedures