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AAP Grand Rounds 12:9-10 (2004)
© 2004 American Academy of Pediatrics
| 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) Childrens 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 Childrens 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.
| Pediatric Critical Care Medicine, University of Michigan and Motts Childrens Hospital, Ann Arbor, MI |
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