Thoracic trauma: a case review

Article Abstract:

Teamwork among emergency, nursing, and medical staff may have prevented a pediatric death from heart rupture. An eight-year-old boy was flown to a regional trauma center after an unwitnessed closed chest trauma incident. The boy exhibited pulseless electrical activity (PEA) in the emergency room, and the trauma team performed surgery. A clot that caused fluid buildup in the heart was removed, allowing the heart to resume functioning. The heart atrium was also repaired.

Case studies, Surgery, Pediatric emergencies, Chest, Thoracic surgery

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Managing burnout in pediatric critical care: the human care commitment

Article Abstract:

Pediatric critical care nurses, especially those who care for chronically ill children, are at high risk for burnout. Ways to prevent burnout require attention to the feelings of the nurses. Nurses should be involved in the ethical decisions of patient care. Peer support groups and an environment supportive of the mental, physical, social and spiritual needs of nurses are also useful. Breaks from working in pediatric intensive care units would help prevent burnout.

Psychological aspects, Prevention, Nurses, Burn out (Psychology), Pediatric intensive care, Intensive care nursing

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Trauma critical pathways: a care delivery system that works

Article Abstract:

A case management system was introduced at Robert Packer Hospital in rural Pennsylvania in the fall of 1991 to measure continuous performance improvement. Case management has proven effective in enhancing the care trauma patients and their families receive as evaluated in a three-year study. Transdisciplinary teams are able to ensure consistent, high-quality care, and they have effectively managed consumer costs.

Analysis, Management, Evaluation, Employee performance appraisals, Medical case management, Trauma centers, Performance appraisals

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