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[Essay] When Children Die, By Perri Klass | Harper s Magazine

Adjust Share The personal tragedy that shaped Joe Biden’s life was essential to the narrative of his 2020 campaign for president, as it had been during his past campaigns and for most of his political life. In January 2020, before the pandemic killed hundreds of thousands of Americans, The New York Review of Books had already described Biden as our “designated mourner.” As deaths from the coronavirus began to rise, National Review suggested that Biden’s empathy might be his most important quality in this “time of national sorrow.” The New York Times hailed Biden as an “emissary of grief,” and the

Pediatric Bronchiolitis ICU Admissions Skyrocket in Past Decade

May 10, 2021 Is overuse of high-flow nasal cannula therapy to blame? From 2010-2019, the proportion of children admitted to the intensive care unit (ICU) for bronchiolitis doubled, an increase that was accompanied by a seven-fold increase in the use of non-invasive ventilation (NIV). Despite these increases, however, the rates of invasive mechanical ventilation did not change during the same period, researchers found. Bronchiolitis is the most common lower respiratory illness in young kids, making up nearly 20% of U.S. hospitalizations in children less than 2 years of age. However, as interest in NIV and particularly high-flow nasal cannula (HFNC) therapy has grown in recent years, care patterns for pediatric bronchiolitis seem to be shifting, with drops in hospitalization rates and simultaneous increases in ICU admission. And, as Jonathan H. Pelletier, MD, of the Department of Pediatric Critical Care Medicine at the UPMC Children’s Hospital of Pittsburgh, Pennsylvania, and coll

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