A resident of Miami, Florida, Dr. Ramesh Sachdeva is an accomplished medical professional with experience spanning critical pediatric care, sleep medicine, and healthcare administration. Over the last three decades, he has worked in various intensive care units. Dr. Ramesh Sachdeva serves as a pediatric critical care medicine physician at Children's Hospital of Michigan.
The Children's Hospital of Michigan offers treatment for congenital heart diseases. These diseases, which are present at birth, can cause symptoms in the first few months of life, during childhood, or in adulthood. Signs and symptoms like cyanosis and heart murmurs are commonly associated with congenital diseases. Cyanosis is the bluish discoloration of nails, skin, and mucous membranes.
Many adults first learn about their congenital heart disease when they develop life-threatening complications. For example, ventricular septal defect (VSD), the most common congenital heart disease, typically causes breathlessness, blood-stained sputum, heart failure, or cyanosis - when any of these symptoms appear it is an emergency. Treatment of congenital heart disease often focuses on managing the symptoms of the disease and preventing serious complications.
Based in Detroit, Dr. Ramesh Sachdeva practices pediatric critical care medicine at the Children's Hospital of Michigan. Among the responsibilities of critical care practitioners such as Dr. Ramesh Sachdeva is diagnosing and stabilizing children who experience liver failure.
One cause of liver failure in children is an inherited alpha-1 antitrypsin (A1AT) deficiency. This involves inadequate release of the protein A1AT from the liver into the bloodstream. Since A1AT is tasked with blocking proteins associated with inflammation and tissue breakdown, a lack of A1AT may cause tissue inflammation and extensive tissue damage, with the lungs being particularly vulnerable.
Another liver issue children may experience centers on tumors and malformations. Care for these requires distinguishing between benign and malignant growths, both through imaging and an examination of medical records. In cases where a malignant tumor is identified, pediatric oncologists and surgeons may be called upon to pursue treatment regimens that include surgical removal, liver transplantation, radiation, and embolization.
Dr. Ramesh Sachdeva is a pediatric critical care physician who practices at Children's Hospital of Michigan in Detroit. Among the topics Dr. Ramesh Sachdeva has presented on across a distinguished career is “Creating the healthiest pediatric population in the nation.”
Far simpler than suddenly changing bad habits in adulthood, setting in place healthy behaviors at a young age is one of the most effective ways of helping people avoid chronic disease. The Centers for Disease Control and Prevention (CDC) feature a multilayered approach to promoting health among children and youth that starts with addressing childhood obesity. With 12 percent of children age two to five obese, the CDC funds early childhood education (ECE) programs at local and state levels.
From ages six to 11, the obesity rate rises to 20 percent, and here the CDC marshals efforts to improve nutrition in school settings. One aspect of this initiative involves helping ensure access to nutritious and appealing school meals in breakfast and lunch settings. With only a quarter of teens attaining the 60 minutes of daily recommended exercise, another focus is on encouraging youth to be more physically active, both in school and after school, through cycling and walking programs, as well as competitive sports and physical activity clubs.
Unfortunately, 90 percent of adults who develop tobacco smoking habits tried their first cigarette before reaching age 18. This makes CDC Office on Smoking and Health efforts, which span community and family dialogue and education programs, as well as surveys that help monitor teen tobacco use, vitally important.
Dr. Ramesh Sachdeva is a pediatric physician at Detroit’s Children's Hospital of Michigan with more than 30 years of clinical experience and degrees in law and medicine. As a pediatric critical care faculty physician in many children's hospitals and pediatric clinics within adult healthcare systems, Dr. Ramesh Sachdeva is responsible for providing crucial care to children suffering from neonatal sepsis.
Sepsis is a potentially fatal medical illness induced by the body's immune reaction to bacterial infections, characterized by abnormalities in many pathobiological processes that may result in broad tissue injury. In infants, sepsis may cause body swelling, organ failure, and death. Risk factors include birth canal and amniotic fluid infection, premature birth, and low birth weight.
Early detection and quick treatment of neonatal sepsis are vital to reduce its risks and prevent mortality in high-risk patients. In newborns, sepsis diagnosis may include conducting blood and urine tests, skin swabs, and a spinal tap procedure to test for meningitis.
After diagnosis, a pediatrician may treat the patient by administering antibiotics, blood pressure or heart medications, or intravenous injections of fluids and electrolytes, or putting a patient on a ventilator for respiratory support, if necessary. Pediatricians can also manage severe sepsis through early initiation of inotropes, frequent reassessment of at-risk patients, and supportive care.
An experienced physician and senior health care administrator, Dr. Ramesh Sachdeva most recently served as an attending critical care physician with the Pediatric Intensive Care Unit at Nicklaus Children’s Hospital in Miami. Among his other licenses and certifications, Dr. Ramesh Sachdeva holds a certificate of added qualifications (CAQ) in sleep medicine through the American Board of Pediatrics (ABP).
The ABP collaborates with numerous medical boards to offer the CAQ in sleep medicine. Candidates for this designation must have a valid and unrestricted allopathic or osteopathic medical license in one of the states or territories of the United States or Canada. They must also hold basic ABP certification in general pediatrics or a pediatric subspecialty.
Candidates must complete a year in an accredited sleep medicine fellowship or residency. Finally, physicians must demonstrate their comprehensive sleep medicine knowledge by passing a certifying examination. As long as holders keep current on continuing certification requirements, a CAQ in sleep medicine is valid for 10 years.
A widely published physician, Dr. Ramesh Sachdeva holds a Ph.D. in epidemiology from the University of Texas and is certified in sleep medicine by the American Board of Pediatrics (ABP).
ABP certifies qualified pediatricians in sleep medicine after completing training and successfully passing an exam. ABP offers this certificate in partnership with the American Board of Internal Medicine, the American Board of Family Medicine, and others.
Candidates for ABP’s sleep medicine exam must have certificates in general pediatrics or a subspecialty. Candidates also must hold an unrestricted osteopathic and/or allopathic medical license valid in a United States jurisdiction or Canada. ABP does not accept temporary or training licenses. Further, candidates must complete a one-year fellowship training program accredited by the US Accreditation Council for Graduate Medical Education or Canada's Royal College of Physicians and Surgeons. Those undertaking a fellowship part-time must finish it within two years.
Candidates should perform their training under the guidance of a program director who will evaluate their clinical competence and rate their ability to interpret the results of diagnostics tests, such as polysomnography (a type of sleep study) and actigraphy (a method of monitoring rest/activity cycles). Program directors also verify that candidates have completed their training. Candidates who complete their fellowship and receive satisfactory evaluations from their directors can fill out training Verification Forms with ABP. Only candidates who have filed these forms with ABP can sit for the certifying exam.
Board-certified in critical care and sleep medicine by the American Board of Pediatrics (ABP), Dr. Ramesh Sachdeva formerly served as associate executive director for the American Academy of Pediatrics (AAP). Dr. Ramesh Sachdeva provided Maintenance of Certification (MOC) guidance to members.
The ABP granted the AAP Portfolio Sponsorship Status in November 2012. As a result of this status, the AAP is able to review MOC projects to determine whether they meet continuing medical education requirements for Part 2 (Lifelong Learning and Self-Assessment) and Part 4 (Improving Professional Practice and Quality Improvement). The status also enables AAP to identify opportunities for collaboration among its groups that are working on quality improvement.
The AAP MOC Portfolio Program offers an opportunity for members to create and participate in quality improvement projects that will benefit children while simultaneously obtaining MOC credits. There is no fee for the application. The program offers guidance regarding ABP standards as well as quality improvement science mentorship. It also gives members opportunities to connect with other Academy groups.
Dr. Ramesh Sachdeva leverages decades of leadership in healthcare quality leadership and pediatrics as associate executive director at the American Academy of Pediatrics (AAP). A graduate of the DBA program at the University of Strathclyde, Dr. Ramesh Sachdeva is responsible for the AAP’s Department of Subspecialty Pediatrics as well as oversight of the organization’s National Committee Appointment Process and Annual Leadership Forum.
Dr. Sachdeva’s presentations include participating in a panel discussion at the international meeting for MetaECHO in New Mexico focusing on new international technologies that impact health of populations. An annual event, the MetaECHO conference brings together project stakeholders including government officials, policy experts, financial experts and philanthropists.
The MetaECHO conference is organized by Project ECHO, which stands for the Extension for Community Healthcare Outcomes (ECHO). The project is a collaborative model of care management and medical education developed at the University of New Mexico. MetaECHO serves individuals and organizations who implement the ECHO model to help improve the availability of healthcare knowledge.
At each conference, Project ECHO stakeholders enjoy networking opportunities, share best practices, and participate in workshops. Moreover, they help advance the democratization of best-practice knowledge to better serve public health. For additional information on the next MetaECHO conference, scheduled for March 13, 2019, in Albuquerque, visit echo.unm.edu.
Since 2012, Dr. Ramesh Sachdeva has served as the director of the American Academy of Pediatrics’ Department of Subspecialty Pediatrics. To remain apprised of professional developments, Dr. Ramesh Sachdeva maintains active membership with several professional organizations, including the American College of Critical Care Medicine (ACCM), of which he is a Fellow.
ACCM Fellows have demonstrated noteworthy contributions in their field at a state, regional, or national level. Each year, applicants submit supporting documentation to prove they qualify for fellowship. The ACCM’s Credentials Committee reviews each potential Fellow’s application. Those who do not qualify receive feedback so they may apply again at another time.
Each applicant must meet specific requirements, including the following:
- Be active within the Society of Critical Care Management for at least two years.
- Hold licensure to practice medicine in the United States or Canada. For those applying as a physician member, they must hold certification from the U.S.
- Contribute significantly to the three areas of leadership, program development, and scholarly contributions.
- Receive sponsorship from at least two people, one of which must be an active ACCM Fellow.
- Devote at least half of his or her time to critical care for at least two years.
For the past 30 years, Dr. Ramesh Sachdeva has utilized his medical expertise in a number of outlets, including education, clinical work, and research. Currently, Dr. Ramesh Sachdeva serves as the associate director of the American Academy of Pediatrics (AAP), a role he has held for the past five years.
In a recent issue of Pediatrics, an AAP peer-reviewed medical journal, researchers looked at the correlation between arrests among youth who are enrolled in Medicaid and the setting in which they receive their medical care. The study, Preventive Care Utilization among Justice-Involved and Non-Justice-Involved Youth, noted that there is a greater use of emergency rooms than primary care facilities among young people who have been arrested at least one time.
Researchers looked at data of nearly 89,000 teenagers in Marion County, Indiana, over a period of seven years. They found that those who had at least one arrest on their record had higher rates of emergency room visits and lower rates of well-child visits when compared to Medicaid-enrolled teens who had never been arrested. In order to help curb this problem, the study researchers suggested school-based initiatives as a possible way to encourage regular medical care among justice-involved youth.
DR. RAMESH SACHDEVA - AMERICAN ACADEMY OF PEDIATRICS EXECUTIVE LEADER