Mohamed Ramadan Tawfik Gouda

Job description in NICU:

• Treating newborns of premature birth, providing close care and pulmonary intervention to promote health and growth.
• Provided emergency care for critically ill children, stabilizing patients before transferring them to specialized facilities if needed.
• Performed newborn screenings effectively detecting early signs of developmental disorders leading timely intervention and improved prognosis.
• Diagnosed and treated patients suffering from chronic conditions.
• Developed personalized treatment plans for patients with chronic illnesses, promoting long-term wellness.
• Kept up-to-date with the latest research and advancements in pediatrics through regular continuing education courses and conferences.
• Met with new parents and parents-to-be to inform and educate on care of newborns.
• Implemented vaccinations programs, contributing significantly to disease prevention efforts within the community.
• Collaborated with lab and radiology to order necessary services for pediatric care.
• Administered required vaccinations and advocated for adherence to vaccination schedule for best disease prevention.
• Collaborated with multidisciplinary teams for comprehensive patient management, resulting in better overall health outcomes.
• Morning hand-over of admitted cases discussing with professors or consultant.
• Neonatal Resuscitation ( down to 24 weeks gestational age) as follows :
• Taking thorough maternal antenatal, obstetric and family history from relatives and assessing factors of high risk pregnancy to put plan for resuscitation team.
• Receiving cases of prematurity, performing thermoregulation during resuscitation, transport and admission .
• Respiratory support during resuscitation including prophylactic CPAP using Neo-Puff T-piece resuscitator, High flow nasal cannula ,PPV using T-piece resuscitator or bag and face mask or via ETT.
• neonatal jaundice :

Assessing risk factors follow up well-babies by transcutaneous jaundice meter and serum sample if indicated.

- Pathological neonatal hyperbilirubinemea.

Assess either hemolytic or non-hemolytic, reaching level of phototherapy or indicated IVIG or exchange transfusion according updated curves of AAP.

a) Starting accordingly phototherapy with precautions of covering eyes and genitalia, keeping standard distance from the baby, thermoregulation and proper fluid state maintenance .

b) Insertion of UVC ,performing double volume exchange transfusion, using appropriate blood group of FF Plasma and recently donated RBCs considering baby's and mother blood group , with taking care of warming blood , avoiding hypocalcaemia, hypoglycemia and hyperkalemia .

c) Assessment of signs of acute Bilirubin encephalopathy

d) Considering other causes of hemolytic anemia as G6PD ,heridetary spherocytosis, and non-hemolytic jaundice as conjugation enzymes deficiency .

e) Appropriate follow up and discharge plan for Assessment hearing by ABR, developmental mile stones and Brain MRI if indicated.

• Neonatal respiratory distress :

Making differential diagnosis of pulmonary and extra pulmonary causes.

-Assessment of RDS cases by their need for rescue surfactant administration after CPAP trial (preferred than prophylactic) via ETT, ENSURE, LISA techniques.

- Diagnosis of cases of MAS ,congenital pneumonia, TTN , congenital diaphragmatic hernia ,CCAM, ,Choanal atresia, esophageal atresia with or without fistula ,lung hypoplasia .

- Dealing with non-invasive and invasive modalities of ventilation: HHFNC , Bubble CPAP , CPAP , conventional modes :A/C,SIMV ,PS ,pressure controlled and volume targeted modes .Also HFOV mode (SLE 5000) in indicated cases as air-leak ,sever PPHN and non-responders to conventional modes .

- Assessment of risk factors of early onset sepsis, including antenatal status of GBS, fever, UTI. PROM and making decision of admission or discharge using sepsis score calculators.

Management of cases of EOS and LOS using appropriate antibiotics (according to institute protocol), and Assessment of sepsis by appropriate cultures (blood and urine (CSF or aspirate culture when indicated).

- Fluid ,Electrolytes and nutritional management :

Assessment of intravascular status ,management of electrolyte imbalance ,dehydration or overload , strategies of enteral and parenteral nutrition supporting appropriate caloric intake for age and clinical status to maintain appropriate weight gain and avoid catabolic status .

- Surgical conditions :

Early diagnosis and consultation for cases of Choanal atresia, congenital laryngeal malformations, esophageal atresia with or without fistula, hydrocephalus, diaphragmatic hernia, intestinal obstruction (intestinal atresia, mal-rotation with volvulus ,ileus ,complicated NEC or imperforate anus ,septic arthritis ,osteoarthritis etc.

Management of cases of benign and non-benign arrhythmias and -with cardiology consultation - detection and management of critical congenital heart disease .

• Job description in PICU, Ward,Emergency room

· Rotation in 3 years periods between PICU ,ER and general pediatric ward.

· Management of acute conditions in pediatrics such as DLC , RD , Heart failure , Acute kidney injury

, CNS infection , seizures ,hypertension, dehydration DKA and Shock .

· Management of cases of anemia , thrombocytopenia and periodic fevers .

· Management of cases of arrhythmia, Electrolyte imbalance

· Management of acute conditions in pediatrics such as DLC , RD , Heart failure , Acute kidney injury , CNS infection , seizures ,hypertension, dehydration DKA and Shock .

· Management of cases of anemia , thrombocytopenia and periodic fevers .

· Management of cases of arrhythmia, Electrolyte imbalance.

· PICU:

1-pediatric resuscitation of all pediatric ages according to the PALS

2-dealing with mechanical ventilation of all modes

3-dealing with cases of diabetic ketoacidosis even complicated cases with brain edema

4-magement of cases of septic shock and all types of shock

5-managing all cases of arrhythmia and dealing with defibrillator

6-mangement of all electrolyte disturbances and its complication

7-managemet of cases of electrical shock

8-Management of cases of drowning

9-management of traumatic brain injury

10- insertion of chest tube

11- insertion of central lines

12- intubation of all cases even difficult intubation

Pediatrics Department Responsibilities
Since my second year at the hospital, I have been serving as a senior resident in the Pediatrics Department. In this role, I have taken on several responsibilities, including organizing the department’s duty schedule, leading the planning of scientific days, academic workshops, and lectures, and supervising the training of medical interns during their pediatric rotations.

• Training courses:

1-Ultrasound guided central catheter insertion

2-Pediatric advanced life support

3-ECG training course

4-Neonatal rescucitation training course

5-Fundementals of digital Transformation course

6-English language course