Presented by:
Christopher Parshuram, MBChB, DPhil, FRACP
Staff Physician, Critical Care Medicine, Scientist, Child Health Evaluative Sciences

Goals: 
To describe the scope and consequences of delayed treatment of evolving critical illness in hospitalized children.

Objectives:

1. To understand the consequences of near and actual cardiac arrest in hospitalized children
2. To appreciate that late detection of critical illness is a manifestation of system failure
3. To appreciate that MET-RRT systems increase the availability of ICU expertise in response to identified need To review available identification mechanisms for hospitalized children at risk
4. To understand the concept of the Bedside Paediatric Early Warning System

Dr. Parshuram graduated from Otago University of New Zealand (1990), with prizes in medicine and pharmacology. Following a residency in paediatrics at the Royal Children’s Hospital in Melbourne, Australia, he moved to Canada where he completed specialist fellowship training in pediatric critical care medicine and clinical pharmacology in Toronto and Edmonton. He completed his PhD in Clinical Epidemiology in 2005, on the subject of patient safety.

Dr. Parshuram was appointed as a staff physician in the Department of Critical Care Medicine in The Hospital for Sick Children in 2003, and is a scientist in Child Health Evaluation Sciences in the Research Institute. In addition to formal training in systems of healthcare delivery, Dr. Parshuram has expertise in cardiac arrest prevention, reducing errors that are associated with medications, and preventing fatigue in healthcare workers. He has received peer-reviewed research funding from the Heart and Stroke Foundation of Canada, the Society of Critical Care Medicine, and the Canadian Institutes of Health Research. He is a career scientist of the Ministry of Health and Long Term Care.

Paediatric Outcomes Research Team (PORT) Rounds are a self-approved group learning activity (Section 1) as defined by the Maintenance of Certification program of The Royal College of Physicians and Surgeons of Canada