Pediatric Critical Care
The Division of Pediatric Critical Care at the University of Utah provides intensive care services for patients with critical illnesses admitted to Primary Children’s Medical Center. Division faculty members attend both a 28-bed Pediatric Intensive Care Unit (PICU) and a 16-bed Cardiac Intensive Care Unit (CICU). There are over 2,000 PICU and 600 CICU admissions annually. The units are staffed with pediatric residents, nurse practitioners, PICU fellows, and Board certified critical care pediatricians. The clinical services provided span all modalities of life-sustaining therapy, including mechanical ventilation, hemodynamic monitoring and support, post-operative cardiac and neurosurgical care, trauma management, continuous renal replacement therapy and extracorporeal membrane oxygenation.
In addition to providing clinical care, the Division faculty is very active in research, education, and quality improvement projects. Ongoing areas of clinical investigation include local and multicenter studies of traumatic brain injury, cardiac arrest, diabetic ketoacidosis, and sedation. Current topics of epidemiological study include injury prevention, prehospital care, and delivery patterns of pediatric critical care services. Translational and laboratory research endeavors include a preclinical model of pediatric traumatic brain injury and application of novel hemodynamic monitoring techniques. The Division includes the Intermountain Injury Control Research Center (IICRC) with investigators conducting research in all facets of injury prevention and control. The Division also provides data coordinating center services for several pediatric research networks, including the Pediatric Emergency Care Applied Research Network (PECARN), the NICHD Collaborative Pediatric Critical Care Research Network (CPCCRN), the Hydrocephalus Clinical Research Network (HCRN), the Network of Pediatric Multiple Sclerosis Centers, and the NHLBI Therapeutic Hypothermia after Pediatric Cardiac Arrest (THAPCA) Trials. Current education efforts are largely focused on the application of medical simulation to improve delivery of urgent care and resuscitation efforts. Finally, active quality improvement projects involve refining care for pediatric sepsis, traumatic brain injury, and prevention of nosocomial infections.