Doctors’ Real Stories

R Baby’s programs are saving lives.

Dr. Bryan Jordan

Emergency Department Physician, Bridgeport Hospital, Connecticut

The R Baby Foundation Simulation Program came to our hospital and offered their program to anyone who wanted to participate. The program was a fantastic simulation and instructional course for the treatment of critically ill children. But, more importantly, is what happened later that day.

I was working in another Emergency Department when an 18-month-old boy, who had been sick for about a day and a half, was brought in by his mother. He had a very fast heart rate and had a fever. He was not responding appropriately. He appeared ill.

The possibilities for serious illness and life threatening conditions required immediate intervention. In addition
to my previous training, I utilized the information and procedures reviewed in that day’s R Baby class, specifically the administration of fluids, the constant reassessment of vital signs and the supervision of the Emergency Department Team’s care.

After hydration of the patient by protocol, his rapid heart rate spontaneously resolved. A few short seconds after that his eyes opened, he became more responsive and he smiled when he saw his mother.

In life, things happen for a reason. There was a reason I was there that morning attending the R Baby class. And there was a reason I was in that ED that evening at 7 o’clock. This is why I am sharing this story, because I believe in this simulation training. I think it is a great program. I believe it will make differences in the care of critically ill children.”

RBY-SIM-3

Pediatric Fellow

Pediatric Emergency Department

A private pediatrician referred a 3-week-old baby whose heart rate was very fast in the office, but when I evaluated the baby in the emergency department the baby was completely well. We did an EKG which was also normal and which recorded a heart rate of 172.  Honestly, I thought the baby was fine, but because the PEP vital signs insist on a heart rate of less than 168 for a baby in the ED, I consulted Pediatric Cardiology. They did a bedside echocardiogram that showed decreased function and the baby was diagnosed with ectopic atrial tachycardia, an abnormal heart rhythm that can be life-threatening if undetected, and was admitted to the pediatric ICU.”

Experienced Non-Pediatric Physician

Rural Community ER, Upstate New York

I cared for an 8-year-old boy who appeared to be very well. If not for that lecture (on PEP Vital Signs for Children) on any other given day I would have contacted the child’s primary care physician and discharged him to follow-up the next day.  However, because of your vital signs rules I contacted the pediatric intensivist at SUNY Upstate Medical Center and presented the case to him.  He agreed to accept the patient in transfer for observation.  I followed up with him in 36 hours and he informed me that the child’s heart did not decrease.  Cardiac echo showed a modest but definite depression of cardiac function and there were elevations of cardiac enzymes, and the diagnosis was Myocarditis, a life-threatening inflammation of the heart.”

RBY-SIM-5

Intern

General Emergency Department

At an INSPIRE site following training, a report noted two patients with viral meningitis were diagnosed after an intern completed our training and did an effective lumbar puncture. These diagnoses could not have been made if the samples had been filled with blood or not obtained effectively due to failed attempts, and this would have significantly impacted these patients’ lives.”

Faculty Led Interns

Teaching Hospital

At an INSPIRE site following intubation, training, a faculty member noted that they used the checklist right before needing to intubate a patient and credited our checklist with their success in securing a life-support airway in that patient.”

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