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 Vol. 12 No. 1, July 2004
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AAP Grand Rounds 12:9-10 (2004)
© 2004 American Academy of Pediatrics

CRITICAL CARE

Telemedicine and Critical Care

Source: Marcin JP, Nesbitt TS, Kallas HJ, et al. Use of telemedicine to provide pediatric critical care inpatient consultations to under served rural northern California. J Pediatr. 2004;144:375–380.[Medline]

The first 20% of the full text of this article appears below.

To compare the outcome of care when an intensivist was present versus available by telemedicine consultation, investigators from the University of California, Davis (UCD) Children’s Hospital studied critically ill pediatric patients initially treated at Mercy Medical Center (MMC) in Redding, Calif, during 2 periods. This rural hospital is 160 miles north of Sacramento, where the closest California Children’s Service-certified pediatric intensive care unit (PICU) to Redding is located. During October 1997-September 1998, MMC employed a solo pediatric intensivist to care for children in its adult ICU, and during April 2000-April 2002, the medical center had a telemedicine connection to the UCD PICU. The telemedicine connection was made available for consultation to fill the void in rural ICU treatment of children. . . . [Full Text of this Article]

Susan L. Bratton, MD, FAAP
Pediatric Critical Care Medicine, University of Michigan and Mott’s Children’s Hospital, Ann Arbor, MI