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Pediatric Trauma - Hennepin County Medical Center

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Critical Care Profile<br />

Q and A withQ and A with<br />

Andrew Kiragu, MD, FAAP<br />

Andrew Kiragu, MD, FAAP<br />

Dr. Andrew Waititu Kiragu is the medical<br />

director of the pediatric intensive care unit<br />

and the co-medical director of the <strong>Pediatric</strong><br />

<strong>Trauma</strong>tic Brain Injury program at<br />

<strong>Hennepin</strong> <strong>County</strong> <strong>Medical</strong> <strong>Center</strong>. He is<br />

also an assistant professor of pediatrics at<br />

the University of Minnesota <strong>Medical</strong><br />

School. He completed his undergraduate<br />

studies at Dalhousie University in Nova<br />

Scotia, Canada, and subsequently<br />

graduated from Howard University in<br />

Washington, D.C., with an MD degree in<br />

1994. Dr. Kiragu served his residency in<br />

internal medicine and pediatrics at the<br />

University of Minnesota followed by a<br />

fellowship in pediatric critical care at the<br />

University where he was one of the Walter<br />

Ramsey Endowment Fellows. During his<br />

fellowship and as a staff physician, he has<br />

received several awards in recognition of<br />

his commitment to resident and medical<br />

school education. Dr. Kiragu was awarded<br />

a Vikings Foundation grant to study the<br />

inflammatory effects of cardiopulmonary<br />

bypass. He was the co-primary investigator<br />

for a grant from the Robert Wood Johnson<br />

Foundation to establish an Injury-Free<br />

Coalition for Kids site in Minnesota at<br />

<strong>Hennepin</strong>, with a goal of studying and<br />

preventing injury prevention here in the<br />

Twin Cities. Dr. Kiragu is board-certified in<br />

pediatrics and pediatric critical care.<br />

Why did you choose pediatrics?<br />

I have always enjoyed being around kids.<br />

The kids seem to get my sometimes goofy<br />

nature. Kids are the most “fun” patients.<br />

When they are well, they are energetic,<br />

curious, funny, loving human beings. Even<br />

if they are really sick, children are quite<br />

resilient. When they recover from their<br />

illnesses, it makes what we do so<br />

worthwhile. When they donʼt get better,<br />

thatʼs the hardest. You grieve for the lost<br />

potential and the pain that the families feel.<br />

When you work in <strong>Pediatric</strong>s, you take<br />

care of more than just the patient. You also<br />

have to be aware of the needs of family<br />

members and friends. We once had a case<br />

of an injured teenager who had a large<br />

group of classmates come to see him. His<br />

family requested that we explain his<br />

injuries to them and so we gathered all<br />

these kids and some of their parents in a<br />

conference room to talk about their friend.<br />

Now that I have my own family (children<br />

ages 9 and 11), it makes me more<br />

cognizant of how fragile and precious life<br />

is. I am always the one saying, “be careful”<br />

to the kids. When we are with friends and<br />

the kids are doing crazy stuff, everyone is<br />

always looking at me to see my reaction.<br />

How has your interest in the care of<br />

critically injured and ill children shaped<br />

your career?<br />

As the director of the pediatric intensive<br />

care unit, by necessity I have to interact<br />

with a variety of people, my physician<br />

colleagues, <strong>Hennepin</strong> staff and leadership.<br />

This takes me beyond my usual clinical<br />

role as a physician. There are a number of<br />

new initiatives with regard to pediatrics we<br />

have undertaken here at <strong>Hennepin</strong> <strong>County</strong><br />

<strong>Medical</strong> <strong>Center</strong>, and my colleagues know<br />

that I am available to support these efforts.<br />

If I identify an opportunity to advance the<br />

care of children here at <strong>Hennepin</strong>, I can<br />

bring people together to make it happen. I<br />

enjoy doing that.<br />

I am also involved in the Injury Free<br />

Coalition for Kids (IFCK) and serve as the<br />

principal investigator for IFCK-Minneapolis.<br />

Through this organization, research in the<br />

area of injury prevention is being<br />

conducted to identify which injury<br />

prevention measures are most effective.<br />

Injury prevention education methods and<br />

driving behaviors in teens are among<br />

several topics that we have studied. The<br />

Injury Free Coalition for Kids has worked<br />

with other groups, including AAA-<br />

Minnesota to provide the state legislature<br />

with information useful in improving traffic<br />

laws. I am currently on the boards of<br />

10 | Approaches in Critical Care | June 2011

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