Critically ill children up to age 18 are cared for 24/7 by the CCS team of highly specialized physicians and nurse practitioners with advanced training in pediatric intensive care. Through comprehensive evaluation, diagnosis and treatment, our goal is to provide the very best care during hospitalization. Coastal Children’s Services medical staff provides pediatric intensive care at the Betty H. Cameron Women's and Chidren's Hospital in Wilmington, NC and at Columbus Regional Health System in Whiteville, NC.
A 17-bed Pediatric Unit provides care for children recovering from serious illness, injury or surgery. Every room on the unit is private, and designed to enable the child and parent to be together during a stressful time.
With the region’s only Level II Pediatric Intensive Care Unit (PICU) our team of highly trained professionals provides advanced care for critically injured or ill children. The 6-bed private room unit is equipped with the latest technology and our caring staff is dedicated to improving survival
and facilitating the recovery of our patients using an interdisciplinary family-centered approach.
A 9-bed Critical Care Unit (CCU) possesses the most modern technology available for the constant monitoring and care of critically ill patients. This special unit is staffed with highly skilled nurses who specialize in caring for the critically ill and will administer close observation to each patient, while catering to their unique condition or situation.
Pediatric Fiberoptic Bronchoscopy
Pediatric intensivist Dr. Tom Paulson, hired to open the PICU, brought another first for our area bringing the additional expertise of performing pediatric fiberoptic bronchoscopy. Children with problems such as severe pneumonias or other breathing problems can require this study in order to better treat or further categorize their problem. This service is available for both inpatients as well as outpatients.
With a full complement of appropriately sized pediatric bronchoscopes children from the size of premature babies through adolescents can be studied. Local ability to perform bronchoscopy can more appropriately determine who can be cared for here and who might need further specialized referrals.
For care providers who feel they may have a child who would benefit from bronchoscopy you may call our pediatric floor anytime at 910-667-7294 and ask to speak to our on call physician.
Pediatric Sedation Services
Children undergoing lengthy or painful or highly anxious procedures of various sorts typically do not tolerate these to near the degree that an adult would. Having a pediatric sedation service is therefore universal amongst all children’s hospitals to accomplish a wide variety of inpatient and outpatient studies. Pediatric intensivists are trained in their fellowship to perform sedations and commonly are an integral part of these services.
All of our pediatric intensivists participate in this service. Like bronchoscopy, this service is offered for inpatient or outpatients. For care providers who feel they may have a child undergoing an outpatient procedure that might require sedation, you may feel free to call our pediatric floor anytime at 910-667-7294 and ask to speak to our on call physician.
Pediatric PICC Lines
Peripherally inserted central catheters or PICCs for short can be very helpful when a child needs a long term intravenous line to give medications or nutrition. Standard central lines only are reliable for about one week. PICCs can last a month or more and can also allow for home therapy. Most recently our intensivists and pediatric nurse practitioners have teamed up to begin a pediatric PICC service.
For care providers who feel they have a potential candidate for a PICC, feel free to call the pediatric floor
at 910-667-7294 and ask to speak to our on call physician.
PICU Medical Team
||Michael Stoiko, MD – Medical Director, Pediatric ICU, Pediatric Intensivist
Dr. Stoiko has extensive clinical experience caring for critically ill and injured infants and children in the PICU setting and has also provided anesthesia and sedation services for thousands of children. He has expertise in obtaining central venous access, including Ports, Broviacs, PIC and dialysis catheters. Dr. Stoiko has taught attending and resident physicians, nurses, respiratory therapists, hospital administrators, and paramedics in national, state wide and local lectures and won several teaching awards. He has been involved in research and teaching about non-accidental head trauma for the past 25 years and was a founding member of PEDIBIRN (PEDIatric Brain Injury Network). He has also been very involved in Biomedical Ethics providing ethics consultations and serving as Chair, Co-chair or member of the Biomedical Ethics Committee since 1989. Community work has included serving on and chairing several boards of trustees for churches, schools and a non-profit child care organization.
||Thomas Paulson, MD – Pediatric Intensivist
Before coming to Wilmington 6 years ago, Dr. Paulson served as Chairman of the Department of Pediatrics and co-director of the PICU at Sutter Children’s center. Since coming to Wilmington he initially led the effort to develop the region's first PICU. He has special clinical interest in pulmonary medicine and has started the region's first pediatric fiber optic bronchoscopy service. He maintains board certification in Pediatrics and Pediatric Critical Care medicine.
Bradley Podd, MD, PhD - Pediatric Intensivist
Bradley Podd, MD, PhD is originally from Greenwich, CT. He received his undergraduate degree with the highest distinction in Biology from the University of Virginia. He continued on at the University of Virginia in the Medical Scientist Training Program and graduated with an MD and a PhD in physiology, studying immune cells called T lymphocytes. His internship and residency in Pediatrics was completed at Boston Children’s Hospital and Boston Medical Center, where he was a Pediatric Chief Resident and a Pediatric Hospitalist.
He joins CCS from the Pediatric Critical Care Medicine fellowship program at Children’s Hospital of Pittsburgh, PA. In Pittsburgh, he served as a member of several quality improvement committees including the Ultrasound Education Committee, and was the Pediatric Critical Care Transport fellow liaison. His research during fellowship focused on designing blood tests to evaluate immune cells in pediatric patients with sepsis.
Dr. Podd's main areas of interest as a pediatric intensivist are in the diagnosis and management of pediatric sepsis and in the diagnosis and management of pediatric severe sepsis-associated multiple organ failure syndromes. Dr. Podd has published scientific articles and reviews in the immunology and pediatric sepsis literature. He chose Wilmington NC to help grow the pediatric critical care medicine service and to be a part of the excellent group of pediatricians at CCS. Outside of the hospital, Dr. Podd enjoys spending time with his wife , Courtney, also a physician, and their daughter Olivia.