ABP Pediatric Critical Care Medicine case studies
ABP Pediatric Critical Care Medicine · Put your knowledge to work in context.
Pediatric critical care medicine (PCCM) certification is the American Board of Pediatrics subspecialty credential for pediatricians who care for critically ill infants, children, and adolescents. Earning it requires both accredited fellowship training and a passing performance on the subspecialty certifying examination; board certification is a voluntary process that goes beyond state medical licensure. The ABP Pediatric Critical Care Medicine case studies are 5 cases and about 3,843 words.
1Day 3 of PARDS: Escalating Beyond the Ventilator
A 4-year-old (14 kg) with adenovirus pneumonia is on day 3 of invasive ventilation in pressure-control mode. Settings: PIP 32 cm H2O, PEEP 14 cm H2O, I:E 1:1, rate 28, FiO2 1.0.
795 words, about 4 min2Cold Shock With a Failing Ventricle: The Case Against More Boluses
A 9-year-old (30 kg) presents on day 3 of a viral illness with cool, mottled extremities, capillary refill of 5 seconds, HR 168, BP 76/48 mmHg, and lactate 6.4 mmol/L. He is anxious and alert, with an enlarged liver and distended neck veins while semi-recumbent.
746 words, about 4 min3Fever, Shock, and a Rash: Sepsis or MIS-C?
A 6-year-old (22 kg) is admitted with 6 days of fever to 39.5 degrees Celsius, bilateral non-exudative conjunctivitis, a polymorphous rash, cracked lips, abdominal pain, and vomiting. HR 148, BP 72/42 mmHg, capillary refill 4 seconds, extremities warm.
722 words, about 4 min4Burn Resuscitation: The Child Who Is Already Full of Fluid
An 8-year-old (30 kg, 120 cm) arrives 3 hours after a house fire with 45% total body surface area partial- and full-thickness burns involving the face and chest. He was intubated at the scene for increasing hoarseness and stridor; soot is visible in the oropharynx.
766 words, about 4 min5Determining Death by Neurologic Criteria When Nothing Is Clean
A 15-year-old (55 kg) suffered an unhelmeted fall while skateboarding. On day 1: GCS 3, pupils 5 mm and fixed, absent corneal and gag reflexes, no spontaneous breathing above the ventilator.
814 words, about 4 min