Stories about: pediatric ward

Children's and Project Medishare: Reflections from the pediatric wards

Grace Chan, MD, with two patients on the Pediatric floor.
Grace Chan, MD, with two patients on the Pediatric floor.

From April 10 to 18, Children’s Hospital Boston sent a group of 26 clinicians to a field hospital in Haiti. Here, those who staffed the pediatric wards reflect on their experience.

Grace Chan MD, Boston Combined Residency Program

On our first day, a young woman came in with new onset seizures.  She presented with all the signs of increased cranial pressure that I learned about as a medical student – obtunded, signs of cushings triad – bradycardia and hypertension.   We gave mannitol, steroids, hypertonic saline.   I didn’t think she would survive.   Did she have meningitis, cerebral malaria, a tumor?  We don’t know, but several days later she was walking, talking and close to baseline.  Here, diagnosis isn’t as important as management.

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