Recombinant activated protein C administration has not been identified as a useful tool in managing pediatric patients in refractory shock. It’s unclear what the effects are of nitric oxide in refractory shock. Glycemic control in pediatric patients may not be as critical as in adult patients.
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ACEP17 Monday Daily NewsFamily-centered care of the sick pediatric child is essential to a good management approach, Dr. Walthall stressed. Parents should be able to observe, as much as they want to, the care being performed by the resuscitation team. A trained nurse, social worker, or chaplain helps to translate what the parents see so they gain a rapid understanding of what’s happening to their child. This level of interaction facilitates the communication between the physician and care team with the family, and does not impact outcomes or errors in treatment. “When a child passes away at the end of the resuscitation process, putting my arm around a mom that I have known for that period of time is much better for her, and for me, than walking into a quiet room and introducing myself to a stranger,” Dr. Walthall concluded.
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