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Critical care

In your most challenging times, we're here

We care for infants, kids and adolescents who have undergone major surgery or transplants, are fighting cancers or severe illnesses, or are victims of trauma, such as a motor vehicle accident, fall or violence. We have 24/7 access to pediatric specialists and life-saving treatments that no other pediatric intensive care unit in central Virginia can offer. Our 21-bed Pediatric Intensive Care Unit offers private rooms and the latest technology.  

Specialized critical care for your child

Crib unit in the PICU

We're the only medical center in the Richmond area staffed 24/7 by board-certified pediatric critical care physicians. Our doctors collaborate closely with nurses, respiratory therapists, child life, nutritionists, social workers, pharmacists, chaplains and other health care professionals. As part of an academic medical center, we offer your child the most advanced technologies and treatments – applying knowledge gained from our own research and from around the world. 

With a team approach and attention to detail, your child will have a dedicated team of nurses who are specially trained in the art and science of caring for critically ill and injured children.  


We’re part of the only Level I pediatric trauma center in central Virginia, with a team of surgeons and staff ready to provide comprehensive and compassionate care for our community’s most critically ill and injured children and their families – at a moment's notice. 


We are the only hospital in the region with the specialized team and equipment to provide life-saving extra corporeal membrane oxygenation care. This treatment takes over the work of the heart and lungs while the body heals. ECMO uses a pump to circulate blood through an artificial lung and back into the blood stream. This treatment is led by the Children's Hospital Foundation Heart Center. 

Child Life 

Our team of child life specialists helps children, siblings and families cope with the stress of a serious medical condition. 


  • Cardiovascular conditions 
  • Endocrine and metabolism conditions 
  • Fluid, electrolyte and renal diseases 
  • Gastrointestinal conditions 
  • Infectious diseases 
  • Neuromuscular conditions 
  • Poisoning and environmental injuries 
  • Respiratory issues 
  • Traumatic injuries 

Unrivaled regional care

Your child will be embraced and surrounded by compassionate care and safety during their most trying times. With the highest standard of care in central Virginia, CHoR provides the same level of treatment as other nationally-ranked children’s hospitals.  

Opened in 1978, our PICU was a pioneer in the state of Virginia, the first to offer the new specialty of pediatric critical care. Today, it’s still the only Level 1 PICU in the region. Over the years, we have advanced the level of care by implementing emerging technologies and applying the knowledge gained from critical care research. 

Contact the Pediatric Intensive Care Unit 


Main Hospital, 7th Floor 

If you have questions, concerns or want to leave kudos for a team member, please contact Jessica Krop, nurse manager, at (804) 628-2048 or 

Life-saving care in the air and in the hospital

Saving care before kids reach the hospital

Nikki Miller Ferguson, MD, medical director of pediatric transport and Oliver Karam, MD, PhD, division chief of pediatric critical care medicine show CHoR CEO Elias Neujahr how our flight team provides expert, life-saving care before kids even get to the hospital.

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Oliver Karam
Oliver Karam MD, PhD Critical care medicine Read more
Mark Marinello
Mark Marinello MD Critical care medicine Read more
Jesse Bain
Jesse Bain DO Critical care medicine Read more
Norma Maxvold
Norma Maxvold MD Critical care medicine Read more
Nikki Miller Ferguson
Nikki Miller Ferguson MD Critical care medicine Read more
Vu Nguyen
Vu Nguyen MD Critical care medicine Read more


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Contact the PICU