Becca Hay @rebeccaelisehay.bsky.social · 28/01/2026New AHA Stroke 2026 guidelines Peds EVT recommended when: >/=6 yrs and: 🕐 <6 hours from symptom onset or 🧠 6-24hr from symptom onset + suspected salvageable tissue 28 days-6 years: 🧑⚕️new symptoms, <24hrs, and peds neurointerventionalist #PedsICU #NCC www.ahajournals.org/doi/10.1161/... 011
Becca Hay @rebeccaelisehay.bsky.social · 05/09/2025🚨 Attn #PedsICU HCPs headed to Belfast for #pccs2025 @pccsociety.bsky.social We'd love to hear your perspective on TCD use in PICU for a @ox.ac.uk study Refreshments & education will be provided (along with the joy of contributing to research!) Info & RSVP: forms.office.com/e/b7z27AQL5C 040
Becca Hay @rebeccaelisehay.bsky.social · 03/08/2025"...a pivotal sexual assault trial has left some observers in Canada shocked but unsurprised – not only by a judge who seemed to scrutinize the female accuser more harshly than the five ice hockey players..missed opportunity for a reckoning in the macho culture of a major professional sport."theguardian.comCanada’s hockey case raised questions about toxic culture – so why did the accuser end up on trial?Judge seemed to scrutinize female accuser more harshly than the five hockey players who were charged with sexual assault but ultimately walked free 030
Becca Hay @rebeccaelisehay.bsky.social · 28/07/2025Very proud to share this work- conceptualizing a framework for #PTSD after #PedsICU admission Connecting neurophysiology to clinical correlates & aiming to help frame PICU-PTSD to identify modifiable factors & help early recognition www.frontiersin.org/journals/ped...frontiersin.orgFrontiers | Posttraumatic stress disorder neurophysiology and clinical correlates in pediatric critical care: conceptualizing a PICU-PTSD frameworkPosttraumatic stress disorder (PTSD) is common in child and parent survivors of critical illness, with significant negative impact on life after survival. Un... 031
Becca Hay @rebeccaelisehay.bsky.social · 04/07/2025Happy to share our latest in PedCritCareMed 🎉 Creation of #PedsICU outcome database by recruiting a global team at WFPICCS & machine learning 16,055 citations ➡️ 1,301 full text in 2mo, sensitivity 98% @zorkosaurus.bsky.social & I equal effort aka dream team, w/ an incredible group 🙌 043
Becca Hay @rebeccaelisehay.bsky.social · 27/06/2025Are adaptive clinical trials a reflection of a shift in epistemology of quantitative research? From positivism to a relativist recognition of true variation in how individuals experience disease and respond to treatment? Reflections during #ESPNIC2025 Platform Trial session @markpicu.bsky.social 030
Becca Hay @rebeccaelisehay.bsky.social · 27/06/2025Global #PedsICU collaboration through the PICU-CONNECT Network to help bring research & clinical care forward w/ more coordination, efficiency and benefit globally 🙌 Presented by Dr. Kusum Menon & Dr. Luregn Schlapbach #ESPNIC2025 040
Becca Hay @rebeccaelisehay.bsky.social · 26/06/2025Excellent reminder of cognitive biases when implementing changes in our clinical practice to set the tone for the #OxyPICU session with @markpicu.bsky.social #ESPNIC2025 #PICUSky 040
Becca Hay @rebeccaelisehay.bsky.social · 06/05/2025🚨🚨 New AARC and PALISI guidelines for critical pediatric asthma #PedsICU Consensus suggests: 🫁 Cont inh SABA > intermittent; IV SABA adj 💉 Dex or Methylpred; IV MgSo4 💨 NIV if persistent hypoxemia /resp distress; unclear if NIV > HFNC www.liebertpub.com/doi/10.1089/...liebertpub.comAARC and PALISI Clinical Practice Guideline: Pediatric Critical Asthma | Respiratory CareTo address the lack of guidance for clinicians in their care of children with critical asthma, a multidisciplinary team of medical providers used Grading of Recommendations, Assessment, Development, a... 012
Becca Hay @rebeccaelisehay.bsky.social · 29/04/2025"For researchers who believe that knowledge cannot be objective, but is always shaped by the purposes, perspective and activities of those who create it." Came across this quote from Yardley in her 2000 paper on quality in qualitative health research that resonated with my journey in embracing QM 100
Reposted by Becca HayEuropean Society of Paediatric and Neonatal Intensive Care @espnic.bsky.social · 17/04/2025We invite you to the #ESPNIC2025 Networking Dinner on Friday, 27 June. For just €50, take part in an evening designed to spark new conversations, strengthen professional connections, and celebrate the ESPNIC community in a relaxed and elegant setting. Register here☑️ : bit.ly/ESPNIC-REGIS... 011
Becca Hay @rebeccaelisehay.bsky.social · 17/04/2025🚨🚨New trial @nejm.org Endovascular thrombectomy + usual care VS usual care (tPA or tenectaplase with rehabilitation) in 530 adult patients with medium vessel ischemic stroke; with no difference in outcome (death/disability at 90 days) How/Does this apply to #PedsICU #NCC? 010
Becca Hay @rebeccaelisehay.bsky.social · 25/02/2025Beautiful beautiful #Edinburgh Shot with a tilt shift lens for the effect! 010
Reposted by Becca HayM Velia Antonini @foamecmo.bsky.social · 18/02/2025🗺️ Cross-sectional descriptive & statistical analysis of geospatial access to #ECMO capable centers in 🇺🇸 🚧 findings emphasize need for thoughtful implementation of #ECLS systems to ensure equitable access. Novel systems should be developed, increasing access using advanced technology 🔓 bit.ly/41jMk8R 032
Reposted by Becca HayEuropean Society of Paediatric and Neonatal Intensive Care @espnic.bsky.social · 18/02/2025The #ESPNIC 2025 Masterclass Program is your chance to learn from top experts on topics such as #ECMO, #POCUS, #Sepsis Management, Mechanical Ventilation Workshop, Neurocritical Care, and Difficult airway management in children. Register now to advance your expertise☑️ : bit.ly/ESPNIC-REGIS... 022
Becca Hay @rebeccaelisehay.bsky.social · 17/02/2025Happy snow day Ontario ❄️ featuring the very good boy Winnie 000
Reposted by Becca HayM Velia Antonini @foamecmo.bsky.social · 14/02/2025Heart #transplantation & DCD donation in children 🫀 pediatric cardiac donation 🩺 clinical need 📑 history of pediatric DCD heart #Tx 🔧 new technologies: #EVMP & TA #NRP 🚧 (overcomeable) logistics/resource barriers ⚖️ ethical concerns 📢 call to action @esottransplant.bsky.social 🔓 bit.ly/4hwAG06 022
Reposted by Becca HayPaediatric Critical Care Society @pccsociety.bsky.social · 11/02/2025We look forward to welcoming you all to Belfast ICC on September 11th/12th 2025 for the annual #PCCS2025 conference. Abstract submission is now open #pedsICU 👀👇 auth.oxfordabstracts.com?redirect=/st...auth.oxfordabstracts.comOxford Abstracts 0115
Becca Hay @rebeccaelisehay.bsky.social · 11/02/2025VERY proud to share our meta-analysis of prevalence and population-level risk factors for #PTSD in #PedsICU survivors in @sccm-pediatrics.bsky.social 🎉 We found: 🚨1 in 3 survivors had PTSD at 6mo ❤️Cardiac surg pts had ⬇️PTSD 🕜Time & type of assess changed prevalence journals.lww.com/pccmjournal/...journals.lww.comSystematic Review and Meta-Analysis of Prevalence and... : Pediatric Critical Care Medicinestematic review (CRD42022348997; Registered August 2022) using MEDLINE, Embase, CINAHL, and Cochrane Central Register of Controlled Trials (CENTRAL) databases, 2000 to 2022, with no language restricti... 3197
Reposted by Becca HayEuropean Society of Paediatric and Neonatal Intensive Care @espnic.bsky.social · 10/02/2025Not-to-miss Keynote Speakers at #ESPNIC2025! Join us in June for a 4-day discussion with the leading #paediatric and #neonatal #intensivecare community. Register here ☑️: lnkd.in/diX3qPwS #PedsICU #nicu #nicubaby #PICU #NeonatologyConference 053
Becca Hay @rebeccaelisehay.bsky.social · 08/02/2025Great review from adult periop&ICU #PedsICU Approach to protective hemodynamics & permissive hypotension ⚖️ Balancing aggressive MAP targets w/ harm of ⬆️⬆️ pressors Discusses- Individualized MAP Macro+microcirculation decoupling & periph perfusion-targeted resus www.jcvaonline.com/article/S105... 010
Becca Hay @rebeccaelisehay.bsky.social · 06/02/2025🚨🔥 @thelancet.bsky.social #PedsICU #Neurocriticalcare STARSHIP prosp. multi-center obs trial: 🧠 Independ. association of PRx with favourable Neuro outcome @12mo (even if adj for initial disease severity, propensity score matching, and centre specific effects) www.thelancet.com/journals/ecl...thelancet.comStatus of cerebrovascular autoregulation relates to outcome in severe paediatric head injury: STARSHIP, a prospective multicentre validation studyWith STARSHIP, we validate the outcome association of CA derangements as assessed by PRx in pTBI in the first prospective observational multicentre study. This provides additional evidence for the pot... 163
Becca Hay @rebeccaelisehay.bsky.social · 06/02/2025Checkout @picujournalwatch.bsky.social for the latest in #PedsICU in Jan, like this paper- ⚡605 cEEGs in 411 CVICU pts 🧠 Seizures detected in 9% 📈 Seizures best predicted by combo of; risk factors, clin sympt & vital signs 🖥️VS changes alone predicted 0% onlinelibrary.wiley.com/doi/10.1111/...onlinelibrary.wiley.comIndications for continuous electroencephalography and frequency of electrographic seizure detection in a pediatric and neonatal cardiovascular intensive care unitObjective Seizures are a recognized complication of critical cardiovascular illness in infants and children. We assessed the diagnostic yield of continuous video-electroencephalography (cEEG) in a p... 011
Reposted by Becca HayCritical Care Reviews @criticalcarereviews.com · 06/02/2025Today's Paper of the Day is diagnosis and management of malaria in the intensive care unit criticalcarereviews.com/latest-evide... Join us to read 1 paper per day and stay up-to-date as we cover the spectrum of critical care across 2025 0104
Reposted by Becca Haytheelso.bsky.social @theelso.bsky.social · 04/02/2025Acute RV failure on temporary MCS 🔍 PLACE international registry study; 644 pts w isolated aRVF treated with tMCS, 2000-2020 🫀 most frequent etiologies: post #LVAD & PC shock ⏱️ mean tMCS duration 9 days, weaning 70.5% 🪦 major cause of death MOF; mortality 45% in-hospital, 48.4% 3 m 🔗 bit.ly/42IMOq9 011
Becca Hay @rebeccaelisehay.bsky.social · 02/02/2025Good morning @ox.ac.uk @kelloggoxford.bsky.social 🌞 001
Reposted by Becca HayCritical Care Reviews @criticalcarereviews.com · 31/01/2025Levosimendan for sepsis-induced myocardial dysfunction: friend or foe? CCR Journal Watch criticalcarereviews.com/latest-evid… Get the latest critical care literature every weekend via the CCR Newsletter - subscribe at criticalcarereviews.com/newsletters… 021
Reposted by Becca HayDr. Maya @drdrmaya.bsky.social · 31/01/2025PLEASE SHARE WIDELY #medsky #IDsky #obgynsky #pedsky CDC STI treatment guidelines have been taken down. They are archived here 👇 web.archive.org/web/20250131...web.archive.orgSite IndexSTIs are common. Many are curable - all are preventable. 15856433130
Becca Hay @rebeccaelisehay.bsky.social · 31/01/2025Recommend this review to anyone looking after septic patients #PedsICU #MedSky 🕣Early ECHO to define patient phenotype 💧Ensure adequate preload 🌊Avoid fluid over-resuscitation ❤️Adrenergic-tachycardia +/- dynamic LVOTO +/- diastolic dysf; ⬇️HR may ⬆️CO www.frontiersin.org/journals/car... 041
Becca Hay @rebeccaelisehay.bsky.social · 31/01/2025@theelso.bsky.social #PedsICU neuromonitoring on #ECMO @neurocritical.bsky.social HUS🔊 pre-ECMO, post daily 3-5 days then prn CT Head🧠 if clin concern for neuro injury or abn HUS NIRS🖥️ consider in all, follow the trend (>20% drop from baseline =w/u) cEEG⚡within 12-24hr, for 24-48hr TCD🩸 TBD 000
Reposted by Becca HayMark Peters @markpicu.bsky.social · 13/01/2025Post-hoc analysis of Oxy-PICU by baseline severity of gas exchange - no detectable heterogeneity of treatment effect. journals.lww.com/pccmjournal/...journals.lww.comSeverity of Impaired Oxygenation and Conservative... : Pediatric Critical Care Medicine2% was associated with a shorter duration of organ support and greater survival, compared with Spo2 greater than 94%, in mechanically ventilated children following unplanned admission to PICU. We inve... 066
Becca Hay @rebeccaelisehay.bsky.social · 27/01/2025In fellowship I worked with a great team of pharmacists, nurses, Palliative Care docs, and intensivists to update our institutions' #SAM protocol based on @sccmcriticalcare.bsky.social PANDEM guidelines One of our flowsheets here ⬇️ Would love to hear what different units use! #PedsICU #MedSky 100
Reposted by Becca HayM Velia Antonini @foamecmo.bsky.social · 26/01/2025Amazing #ELSO2024 session on neuromonitoring for pediatrics & adults, citing 🧠 @theelso.bsky.social guidelines for adults Open on ASAIO Journal at 🔓 bit.ly/4dHxJa9 with accompanying editorial 🔓 bit.ly/3XHWygm 🧠 ELSO guidelines for neo & peds #ECMO #FOAMcc #PedsICU at 🔓 bit.ly/44hZ1Q0 021
Becca Hay @rebeccaelisehay.bsky.social · 26/01/2025🔥🔥 Central vs peripheral #ECMO cannulation in #PedsICU patients with sepsis: 👥1242 patients 📃retrospective analysis of ELSO registry ❤️ not including congenital heart disease ⬇️ Mortality with ⬆️ flow rates @ 4hrs (but not 24hr) ⬆️ Mortality with periph cannulation journals.lww.com/pccmjournal/... 022
Reposted by Becca HayChris Carroll, MD @chriscarrollmd.com · 23/12/2024Time Is Brain: A Narrative Review of #Pediatric Status Epilepticus In the December issue of #journal_CHESTCritCare: www.chestcc.org/article/S294... #MedEd #PedsICU 0132