The Saint Louis University Division of Pediatric Critical Care provides state-of-the-art
medical management for critically ill children while improving the care of future
patients through our multi-profession education and biomedical research efforts. We
also provide community service through the individual specialized interests of our
Pediatric Intensive Care Unit
Faculty members of the division staff the Pediatric Intensive Care Unit (PICU) at
SSM Health Cardinal Glennon Children’s Hospital 24 hours/day with in house coverage. We provide emergency care in other locations
including the emergency room, operating room, cardiac catheterization laboratory and
the transitional care unit.
Intensivists and advanced practice nurses respond to life-threatening emergencies
throughout the hospital through the leadership of the Rapid Response and Code Teams.
The division also provides sedation services for routine outpatient and inpatient
procedures as well as procedural assistance for patients requiring drain placement
or vascular access.
Our role in the PICU centers on the delivery of state-of-the-art respiratory, circulatory
and neurological management of critically ill children. Our service volume is roughly
1,000 patients per year with care provided either as the primary managing service
or by co-management of every patient admitted to the PICU. We establish daily goals
for all patients in the PICU and lead a multi professional team composed of nurses,
advanced practice nurses, respiratory therapists, dieticians, social workers and others
to achieve those goals. The division is fully involved in the Quality Improvement
programs inherent to a well-managed quaternary care PICU at a freestanding children’s
Pediatric Critical Care Training
Our clinical workload helps provide educational opportunities to pediatric residents,
surgery residents, emergency medicine fellows and residents, pediatric cardiology
fellows, nurses, medical students, respiratory therapists and learners from the Air
Force CSTARS program.
Our division offers an ACGME-accredited pediatric critical care fellowship training
program. The division also provides continuing medical education on a local, regional,
national and international basis particularly through instructor work for the Society
of Critical Care Medicine (Pediatric Fundamentals of Critical Care Course), the Society
for Pediatric Sedation (Pediatric Sedation Course) and the American Heart Association
Pediatric Advanced Life Support Course.
Jason A Werner, M.D., and Jeremy S. Garrett, M.D., are involved in research involving
applying the Society of Critical Care Medicine-developed Pediatric Fundamentals for
Critical Care Support to resident education and assessing efficacy.
Robert Ream, M.D., has established a national reputation in pediatric organ donor
Lia Lowrie, M.D., continues to work on multi-institution procedural sedation quality
research and quality improvement techniques and quality outcomes.
Nandini Calamur, M.D., continues her focus on teaching techniques for faculty and
palliative care issues in pediatric critical care.
Teresa Andreone, M.D., is extending her focus from laboratory-based diabetes research
to clinical research about diabetes management and novel education techniques.
Courtney Maguire, M.D., will be initiating a program for post-critical care follow
up and critical care treatment-related delirium.
Anya Freedman, M.D., expores research interests that parallel her training in pediatric
cardiothoracic critical care medicine.
Werner JA. An Integrated, Multimodal Resident Curriculum in Patient Safety and Quality
Improvement. MedEdPORTAL 2017;1310641, https//doi.org/10.15766/mep_2374-8265.10641.
Scherrer P, Mallory M, Cravero J, Lowrie L, Hertzog J, Berkenbosch J and the Pediatric
Sedation Research Consortium. The impact of obesity on sedation-related practice and
outcomes: results from the pediatric sedation research consortium. 2015. Ped. Anesthesia
accepted 1/2/2015. Published online doi:10.1111/pan.12627
Fleming GM et al. for the Education in Pediatric Intensive Care Investigators (including
Werner J). Professionalism and Communication Education in Pediatric Critical Care
medicine; The Learner Perspective. Academic Pediatrics, July-August 2015, Vol. 15,
Andreone, T: St. Louis Magazine's Best Doctors in St. Louis, 2006-2016; Best Doctors
in America, 2007-16; Medical Director, Camp Korelitz, Cincinnati, Ohio August 2015;
Team Nomination for Glennon Ambassadors Award; Individual Award for Excellence in
Medical Care from Glennon Ambassadors
Garrett, J: St. Louis Magazine's Best Doctors in America, 2007-16; Best Doctors in
America, 2007-16; CME Director, Department of Pediatrics, Saint Louis University School
of Medicine; Society of Critical Care Medicine, Question editor & writer Pediatric
Fundamental Critical Care Support; Reviewer, Abstracts, Society for Critical Care
Medicine Annual Conference September 2015; Team Nomination for Glennon Ambassadors
Lowrie, L: Reviewer, Journal of Pediatrics; Reviewer, Abstracts, Society for Critical
Care Medicine Annual Conference September 2015, St. Louis Magazine's Best Doctors
in St. Louis, 2015 - 16; Reviewer, Abstracts, Society for Pediatric Sedation Annual
Conference 2015; Team Nomination for Glennon Ambassadors Award
Ream, R: St. Louis Magazine's Best Doctors in St. Louis, 2005-16; Best Doctors in
Associate Pediatric Medical Director, Mid-America Transplant Services; Projects Committee
of the Organ Donation Research Consortium, Team Nomination for Glennon Ambassadors