Materials and Methods: We did a retrospective study of 400 patients in Vadilal Sarabhai General Hospital, patients ranging from infancy to 14 years who presented with empyema thoracis.Ĭonclusions: Video assisted thoracoscopic surgery is the preferred modality for the management of paediatric empyema if they present in the early stage as it is minimally invasive. In the paediatric population, parapneumonic effusion is the most frequent aetiology.Īims and Objectives: We undertook a study of all patients admitted between April 2014 to August 2019 with empyema thoracis who required surgical intervention in the form of intercostal drainage tube insertion, thoracotomy, thoracoscopy or a combination thereof. Pleural space infections arise secondary to a subjacent pneumonia or may complicate thoracic injury. Introduction: Empyema thoracis is defined as a collection of suppurative fluid in the pleural space. for example, those patients at risk for cardiopulmonary arrest, readmission, etc.Volume : VIII, Issue : XII, December - 2019 TREATMENT MODALITIES FOR EMPYEMA THORACIS IN PEDIATRIC AGE GROUPĭr. synthesize that information in real time to identify patients with certain diseases-like sepsis, where treatment with antibiotics is time-sensitive, or those who are at risk for adverse events. Clinical informatics has the ability to look for the most salient pieces of information-for instance, specific labs or radiology findings or specific words a clinician/nurse might use through natural language processing, etc. Unless you’re sitting at the EMR or being notified every time something new appears, it’s almost impossible to know what is going on with the patient in real time. labs, vitals, imaging, notes) continuously being generated. Specifically, there is lots of duplicative/repetitive information coupled with new information (e.g. What about it appeals to you? How would you like to apply that knowledge to HM?Ī: I found the EHR to be very valuable, and it’s become difficult to imagine what it was like practicing in the pre-electronic era, but, with it, there definitely is information overload. Q: Clinical informatics is clearly a growing area of interest for many. I think that it’s helpful for all specialties to have understanding about this, so the earlier that this type of training occurs (i.e., medical school), the better. But knowing which IV antibiotics can/should be given in a nursing facility or at home is more nuanced and forces providers to address and think about the financial and social implications of healthcare. For example, knowing which antibiotic to give for a certain infection is pretty easy to figure out. Q: What’s the biggest change you would like to see in hospital medicine?Ī: With information overload, I feel like it’s pretty easy to figure out how to clinically care for a patient. I still have days when I’m not sure if “I can do this.” I was fortunate to have an amazing group of people who inspired me to become a better clinician. What did you like most dislike during the process? Was there a single moment you knew “I can do this”?Īnswer: I really enjoyed the camaraderie of residency, especially when I was on an inpatient service and worked with a team. Question: I have your CV, but tell me a little more about your training in medical school and residency. He also serves as a physician advisor for Parkland Health and Hospital System in Dallas. Shah has become involved in clinical informatics and works with a nonprofit company developing prediction models and surveillance analytics for healthcare systems. That was more than a decade ago at the University of Texas Health Science Center in San Antonio. “Even though we weren’t in an outpatient setting, I really appreciated that holistic approach and knowledge base required to care for inpatients.” what insurance pays for what service, how to facilitate outpatient follow-up appointments, the importance of social factors in preventing a patient from returning to the hospital, etc.,” Dr. “I also liked that had a depth of knowledge outside of clinical care that was still important in managing patients: e.g. For the doctors and the people they treated-respect. Midway through residency, he decided that the best word for it was respect. There was just something about hospitalized patients and the folks who cared for them that drew the attention of Monal Shah, MD.
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