
Rebecca Hay
@RebeccaEHay
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ππ¬π§ Fellow @Bham_Childrens & MSc (c) @UniofOxford #PedsICU Fellowship @CHEO / #Peds & Med @UCalgaryMed / @NeuroCarleton Alum Post-PICU & neuroICU research π§
United Kingdom
Joined January 2021
VERY proud to share our meta-analysis of prevalence and population-level risk factors for #PTSD in #PedsICU survivors in @PedCritCareMed π. We found:.π¨1 in 3 survivors had PTSD at 6mo.β€οΈCardiac surg pts had β¬οΈPTSD.πTime & type of assess changed prevalence -implication for f/u
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RT @Dr_Hari_Krishna: @aakashdeeparora @ESPNIC_Society @brierl_jb @PierreTissieres @PICSociety @SCCM @WFPICCS well done all. ππππππburied amβ¦.
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Happy to share our latest in @PedCritCareMed. Creation of #PedsICU outcome database by recruiting a global team at @WFPICCS & machine learning. 16,055 citations β‘οΈ 1,301 full text in 2mo, sensitivity 98%. @zorkosaurus & I equal effort aka dream team, w/ an incredible group π
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RT @A_MacLullich: NEW delirium tool validation study:. π§ The #4AT is now validated for monitoring delirium recovery. β 94-96% sensitivity aβ¦.
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RT @eddyjoemd: Cardiac surgery-related vasoplegia occurs in 5-20% of patients. The VANCS trial conducted in 2017 demonstrated the superioriβ¦.
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RT @ESPNIC_Society: Seats are selling fast for the #ESPNIC #MechanicalVentilation Courses! Don't miss out and register today!. π
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RT @NEJM: "A generation of trainees are encountering a system in which discontinuity is the norm and the associated harms remain hidden β oβ¦.
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On #sepsis with @LucaMarchetto4. #PedsICU patients have altered pharmacology. π Time-dependent antibiotics like beta-lactams subtherapeutic in 95% of patients with standard dosing. π Next steps could be continuous infusions & better therapeutic drug monitoring.#ESPNIC2025
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Theme of #ESPNIC2025 - moving beyond #PedsICU syndromes, which are increasingly recognized as very heterogenous - to endotypes, with more precision on mgmt . Slide from Dr. Mark Peters
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Great takeaways from #ESPNIC2025 Pharmacology session w/ @LRSorce. πWe have not looked at sedation and delirium with precision - flat dosing in studies when in reality very heterogenous. βΌοΈ#PedsICU needs head to head comparisons of meds with IWS & #delirium as outcomes.
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Steroids in septic shock: .π Heterogeneity in response; independent predictor of mortality in some patients. "Steroids are killing patients with the SRS 2 endotype". π§βπ€βπ§ consider individual risk for HPA axis dysfunction . Dr. Kusum Menon & Dr. Michael Carter.#ESPNIC2025 #PedsICU
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Question asked by @Dr_Hari_Krishna and and answered by the arbitrator of truth ChatGPT, the most important job in #PedsICU #GuardiansoftheGrey
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By adapting, clinical trial designs now reflecting qualitative methodology - iterative recruitment and simultaneous analysis responding to the data . Love this diagram describing the physiology of analysis from Dr. Mark Peters #ESPNIC2025 with re-evaluation of each throughout
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Are 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
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