Practical guideline for setting up a comprehensive pediatric care unit for critical care delivery at district hospitals and medical colleges under ECRP-II

Lokesh Tiwari; Muralidharan Jayashree; Atul Jindal; Daisy Khera; Amrita Banerjee; Girish Chandra Bhatt; Shalu Gupta; Nameet Jerath; Meenu Singh; Prabhat Kumar Singh

doi:10.4103/jpcc.jpcc_12_23

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GUIDELINE

Year : 2023 \| Volume : 10 \| Issue : 2 \| Page : 63-71

Practical guideline for setting up a comprehensive pediatric care unit for critical care delivery at district hospitals and medical colleges under ECRP-II Lokesh Tiwari¹, Muralidharan Jayashree², Atul Jindal³, Daisy Khera⁴, Amrita Banerjee¹, Girish Chandra Bhatt⁵, Shalu Gupta⁶, Nameet Jerath⁷, Meenu Singh⁸, Prabhat Kumar Singh⁹ ¹ Department of Pediatrics, All India Institute of Medical Sciences, Patna, Bihar, India ² Advanced Pediatrics Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India ³ Department of Pediatrics, All India Institute of Medical Sciences, Raipur, Chattisgarh, India ⁴ Department of Pediatrics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India ⁵ Department of Pediatrics, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India ⁶ Department of Pediatrics, Lady Hardinge Medical College, Kalawati Saran Children Hospital, New Delhi, India ⁷ Department of Pediatrics, Indraprastha Apollo Hospital, New Delhi, India ⁸ Executive Director, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India ⁹ Department of Pediatrics, All India Institute of Medical Sciences, Patna, Bihar; Vice Chancellor, Uttar Pradesh University of Medical Sciences, Lucknow, Uttar Pradesh, India Correspondence Address: Dr. Lokesh Tiwari Department of Pediatrics, All India Institute of Medical Sciences, Patna, Bihar India Source of Support: None, Conflict of Interest: None DOI: 10.4103/jpcc.jpcc_12_23

Pediatric critical care is highly sophisticated and precise and is possible only in specialized areas such as pediatric intensive care units (PICUs) or high dependency units equipped with round-the-clock monitoring facilities, skilled and trained staff, and treatment equipment. The need for critical care beds was sharply felt during the COVID-19 pandemic and the Government of India launched the COVID-19 emergency response and health system preparedness package: phase II (ECRP-II) with a hub and spoke model to strengthen pediatric critical care delivery at district level under the skilled supervision of state-level PICUs of the identified center of excellence (CoE). The CoEs will have well-equipped PICUs providing tele-ICU service, mentoring, and technical hand-holding to the district pediatric unit. This model was envisioned to be extended to critically ill children with nonCOVID illnesses after the pandemic abates. For achieving the proposed objectives under the ECRP-II scheme, this guideline aims to provide a practical framework for setting up comprehensive pediatric care units at district hospitals and medical colleges (spoke) well connected with a CoE (hub) for teleconsultation, knowledge exchange, referral, and back referral between hub and spokes.



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