Sanjiv Mehta
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View article: Do Emergency Transfers Reflect Hospital Quality? Preventable Harm and the Next 100 000 Lives
Do Emergency Transfers Reflect Hospital Quality? Preventable Harm and the Next 100 000 Lives Open
View article: Comparison of vasopressin to epinephrine during pediatric in-hospital cardiac arrest: survival and physiologic responsiveness
Comparison of vasopressin to epinephrine during pediatric in-hospital cardiac arrest: survival and physiologic responsiveness Open
Aim To compare post-epinephrine vasopressin administration versus epinephrine and time to return of spontaneous circulation (ROSC) during pediatric in-hospital cardiac arrest (IHCA), and explore vasopressin’s physiologic effects. Methods T…
View article: Prearrest vital sign abnormalities are associated with adverse outcomes in pediatric ICU cardiac arrest: a get with the guidelines-resuscitation analysis
Prearrest vital sign abnormalities are associated with adverse outcomes in pediatric ICU cardiac arrest: a get with the guidelines-resuscitation analysis Open
Prearrest vital sign abnormalities are common in pediatric ICU IHCA and independently associated with worse outcomes, emphasizing the need for prompt detection and intervention to improve outcomes.
View article: Early exposure to hemodynamic point-of-care ultrasound during pediatric septic shock resuscitation is associated with decreased fluid overload
Early exposure to hemodynamic point-of-care ultrasound during pediatric septic shock resuscitation is associated with decreased fluid overload Open
Objective Fluid overload (FO) after pediatric septic shock resuscitation increases the risk of secondary organ failure and long-term morbidity. We hypothesized that early hemodynamic point-of-care ultrasound (hPOCUS) use in pediatric septi…
View article: Feedback loops in intensive care unit prognostic models: an under-recognised threat to clinical validity
Feedback loops in intensive care unit prognostic models: an under-recognised threat to clinical validity Open
View article: Geography and age drive racial and ethnic disparities in hospital mortality for paediatric community-acquired pneumonia in the United States: a retrospective population based cohort study of hospitalized patients
Geography and age drive racial and ethnic disparities in hospital mortality for paediatric community-acquired pneumonia in the United States: a retrospective population based cohort study of hospitalized patients Open
View article: Noninvasive Positive Pressure Ventilation Use and In-Hospital Cardiac Arrest in Bronchiolitis
Noninvasive Positive Pressure Ventilation Use and In-Hospital Cardiac Arrest in Bronchiolitis Open
IMPORTANCE: A recent study showed an association between high hospital-level noninvasive positive pressure ventilation (NIPPV) use and in-hospital cardiac arrest (IHCA) in children with bronchiolitis. OBJECTIVES: We aimed to determine if p…
View article: Implementation of a critical care outreach team in a children’s hospital
Implementation of a critical care outreach team in a children’s hospital Open
A successfully implemented CCOT enhanced identification of clinical deterioration not captured by existing RRS resources. Future work will investigate its impact on operational safety and patient-centered outcomes.
View article: Landscape of genetic infantile epileptic spasms syndrome—A multicenter cohort of 124 children from India
Landscape of genetic infantile epileptic spasms syndrome—A multicenter cohort of 124 children from India Open
Objective Literature on the genotypic spectrum of Infantile Epileptic Spasms Syndrome (IESS) in children is scarce in developing countries. This multicentre collaboration evaluated the genotypic and phenotypic landscape of genetic IESS in …
View article: Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit
Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit Open
Background Late recognition of in‐hospital deterioration is a source of preventable harm. Emergency transfers (ET), when hospitalized patients require intensive care unit (ICU) interventions within 1 h of ICU transfer, are a proximal measu…
View article: Decoding ChatGPT: A primer on large language models for clinicians
Decoding ChatGPT: A primer on large language models for clinicians Open
The rapid progress of artificial intelligence (AI) and the adoption of Large Language Models (LLMs) suggests that these technologies will transform healthcare in the coming years. We present a primer on LLMs for clinicians, focusing on Ope…
View article: A Quality Improvement Initiative to Improve Patient Safety Event Reporting by Residents
A Quality Improvement Initiative to Improve Patient Safety Event Reporting by Residents Open
Introduction: Residents play a key role in patient care at academic medical centers and have unique insights into safety improvement opportunities. At our institution, <1% of safety events were reported by resident trainees. The primary ob…
View article: A Resident-driven Initiative to Increase Bedside Teaching on Interdisciplinary Rounds
A Resident-driven Initiative to Increase Bedside Teaching on Interdisciplinary Rounds Open
Introduction: Inpatient rounding serves numerous roles. The American Academy of Pediatrics recommends a family-centered bedside model. Residents identified physical examination teaching during and satisfaction with rounds as areas for impr…
View article: Ventilator-Weaning Pathway Associated With Decreased Ventilator Days in Pediatric Acute Respiratory Distress Syndrome*
Ventilator-Weaning Pathway Associated With Decreased Ventilator Days in Pediatric Acute Respiratory Distress Syndrome* Open
Objectives: There is limited evidence on the impact of protocolized ventilator weaning in pediatric acute respiratory distress syndrome, despite utilization in clinical trials and clinical care. We aimed to determine whether protocolized v…
View article: Improving Disposition Decision-Making for Pediatric Diabetic Ketoacidosis: A Quality Improvement Study
Improving Disposition Decision-Making for Pediatric Diabetic Ketoacidosis: A Quality Improvement Study Open
Introduction: In many centers, children with diabetic ketoacidosis (DKA) receive care either in an endocrinology ward or a pediatric intensive care unit (PICU). We conducted a quality improvement (QI) initiative to reduce potentially avoid…
View article: Integrating Theory, Content, and Method to Foster Critical Consciousness in Medical Students: A Comprehensive Model for Cultural Competence Training
Integrating Theory, Content, and Method to Foster Critical Consciousness in Medical Students: A Comprehensive Model for Cultural Competence Training Open
Many efforts to design introductory “cultural competence” courses for medical students rely on an information delivery (competence) paradigm, which can exoticize patients while obscuring social context, medical culture, and power structure…