Criteria for Critical Care Infants and Children: PICU Admission, Discharge, and Triage Practice Statement and Levels of Care Guidance
Pediatric Critical Care Medicine
Frankel, L. R., Hsu, B. S., et al. (2019).
Pediatric Critical Care Medicine, 20(9), 847-887.
<div>This updated guideline provides recommendations for the admission, discharge, and transfer of children in the Pediatric Intensive Care Unit (PICU).</div>
Society of Critical Care Medicine; American Academy of Pediatrics
<div>This guideline was reviewed with the following supporting document:</div>
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<li>Hsu, B. S., Hill, V., et al. (2019). Executive Summary: Criteria for Critical Care of Infants and Children: PICU Admission, Discharge, and Triage Practice Statement and Levels of Care Guidance. <em>Pediatrics, 144</em>(4), e20192433. <a title="https://doi.org/10.1542/peds.2019-2433" href="https://doi.org/10.1542/peds.2019-2433" target="_blank" rel="noopener">https://doi.org/10.1542/peds.2019-2433</a></li>
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<div>PICUs should have a transfer plan in place to assist in the referral to a specialized facility such as a rehabilitation facility. Following discharge from the PICU careful care coordination with outpatient services should take place to address ongoing rehabilitation needs including speech-language pathology. </div>
<div>Rehabilitation services including speech-language therapy were recommended to be available on a consultation bases, with speech-language pathologists as an essential member of the quaternary/specialized, tertiary, or community PICU. Support service personnel including speech-language pathologists should have expertise in providing care to the patient and family.</div>
