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Dr. Nisha Toteja

Senior Consultant and HOD - P I C U

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Profile Overview:

Dr. Nisha Toteja is a Senior Consultant in Pediatric Intensive Care and Pediatric Emergency Medicine with 14 years of post-MD experience and 10 years of teaching experience as faculty at the All India Institutes of Medical Sciences (AIIMS). She completed her MBBS from Lady Hardinge Medical College, Delhi, where she was a Gold Medallist and received the Mohinder Nath Memorial Award for standing first in Surgery in Delhi University. She went on to complete her MD in Pediatrics from PGIMER, Chandigarh, followed by a Post-Doctoral Fellowship in Pediatric Critical Care Medicine at AIIMS Jodhpur.

Before joining KIMS, she served as faculty in Pediatrics at AIIMS Gorakhpur and AIIMS Guwahati, where she established the Pediatric Emergency and PICU services, set up the simulation centre, led emergency triage protocols and mass casualty response, and was a frontline faculty member in the COVID ICU.

Dr. Nisha specialises in the care of critically ill and injured children, with particular expertise in pediatric trauma, sepsis and shock, mechanical ventilation and Point-of-Care Ultrasound (POCUS). She is a national instructor for ATLS, PTRM, IAP-ALS and NRP, serves as Joint Secretary of the IAP Pediatric Emergency Medicine National Chapter, and has authored over 40 peer-reviewed publications and 14 book chapters. She has been an international speaker at the Mediterranean Emergency Medicine Congress, Budapest (2025).

Qualification & Education:

  • MBBS: Lady Hardinge Medical College, Delhi (Delhi University) – Gold Medallist
  • MD Pediatrics: Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh (2009 to 2012)
  • DNB: National Board of Examinations
  • MNAMS: National Academy of Medical Sciences
  • MRCPCH: Royal College of Pediatrics and Child Health, UK
  • Post-Doctoral Fellowship in Pediatric Critical Care Medicine (FPCCM): AIIMS Jodhpur (2018 to 2019)
  • FACEE-PEM: Fellowship of the Academic College of Emergency Experts – Pediatric Emergency Medicine
  • ECMO Fellowship: ECMO Society of India (pursuing)

Experience:

  • Senior Resident: Department of Pediatrics, Lady Hardinge Medical College, New Delhi (2012 to 2015)
  • Consultant Neonatologist & Pediatrician, Kerala – Level II–III NICU leadership (2015 to 2018)
  • Post-Doctoral Fellow: Pediatric Critical Care & Emergency Medicine, AIIMS Jodhpur (2018 to 2019)
  • Assistant Professor, Pediatrics: AIIMS Gorakhpur – PICU In-charge, COVID ICU frontline faculty (2020 to 2022)
  • Assistant Professor, Pediatrics: AIIMS Guwahati – established Pediatric Emergency and PICU services and the Simulation Centre (2022 to 2026)
  • Faculty, National Board of Examinations – DrNB Pediatric Critical Care

Expertise:

  • Pediatric critical care and PICU management
  • Pediatric emergency medicine and trauma resuscitation
  • Mechanical ventilation and shock management
  • Pediatric sepsis and critical illness
  • Point-of-Care Ultrasound (POCUS)
  • ECMO
  • Bronchoscopy
  • Extracorporeal renal replacement therapies
  • Mass casualty triage and emergency preparedness

    Areas of Interest:

    • Pediatric Trauma
    • Pediatric Sepsis and Shock
    • Point-of-Care Ultrasound (POCUS)
    • Mechanical ventilation

      Publications:

      40+ peer-reviewed journal articles and 14+ book chapters. Selected publications:

      • Performance of Pediatric Index of Mortality PIM-3 in a Tertiary Care PICU in India. Journal of Pediatric Intensive Care. 2021;13(3):235–241. doi:10.1055/s-0041-1740588
      • Role of Serum Ferritin and PRISM-III in Predicting Mortality in Children with Acute Encephalitis Syndrome in Northern India. Journal of Pediatric Intensive Care. 2022. doi:10.1055/s-0042-1750301
      • Is There a Role of Preseps in as a Novel Biomarker in Pediatric Sepsis? Indian Journal of Critical Care Medicine. 2022;26(6):712–716. doi:10.5005/jp-journals-10071-24202
      • The Role of Preseps in as a Biomarker of Sepsis in Children: A Systematic Review and Meta-Analysis. Journal of Pediatric Intensive Care. 2022. doi:10.1055/s-0042-1758479
      • Point-of-Care Thoracic Ultrasound in Children with Bronchiolitis. Indian Journal of Pediatrics. 2022;89(11):1079–1085. doi:10.1007/s12098-022-04117-z
      • Evaluation of Diaphragmatic Thickness and Dysfunction by Ultrasonography in Mechanically Ventilated Children for Assessment of Extubation Success. Indian Pediatrics. 2023;60(3):212–216. doi:10.1007/s13312-023-2837-1
      • Peripheral Muscle Ultrasonography in Critically Ill Children – An Evolving Tool. Indian Journal of Pediatrics. 2023;90(6):531–532. doi:10.1007/s12098-023-04523-x
      • Sedative and Analgesic Drug Rotation Protocol Versus Non-Rotation Protocol in Mechanically Ventilated Children: A Randomised Controlled Trial. Indian Journal of Pediatrics. 2025;92(9):931–937. doi:10.1007/s12098-025-05447-4
      • Diagnostic Accuracy of Furosemide Stress Test and Cystatin-C for Predicting Acute Kidney Injury Progression in Children: A Prospective Cohort Study. Indian Journal of Pediatrics. 2025;92(6):625–631. doi:10.1007/s12098-024-05401-w
      • Protocolized Sedation Utilizing COMFORT-B Scale versus Non-protocol-directed Sedation in Mechanically Ventilated Children – An Open-label, Randomized Controlled Trial. Indian Journal of Pediatrics. 2023;91(8):845–847. doi:10.1007/s12098-023-04959-1
      • Nebulized Magnesium Sulphate in Bronchiolitis: A Randomized Controlled Trial. Indian Journal of Pediatrics. 2021;88(11):1080–1085. doi:10.1007/s12098-021-03695-8
      • Climate Change and its Impediments to Global Health Security. Health Science Reports. 2023;6(12). doi:10.1002/hsr2.1764
      • Clippings: Pediatric Emergency Medicine. Indian Pediatrics. 2024;61(4):392–393. doi:10.1007/s13312-024-3170-8
      • Book chapter – Emergency Room (ER) Evaluation of a Child with Trauma. In: Pediatric Trauma Resuscitation Manual (PTRM) for Primary Care Providers. Springer; 2026. p. 47–76. doi:10.1007/978-981-95-4979-5_4
      • Multiple case reports in BMJ Case Reports, Journal of Tropical Pediatrics, Cureus, Indian Journal of Pediatrics and Asian Journal of Psychiatry

      Memberships:

      • Registered with the Travancore-Cochin Medical Council (TCMC) – Reg. No. 111613
      • Lifetime membership of IAP-Intensive Care Chapter
      • Joint Secretary – IAP Pediatric Emergency Medicine (PEM) National Chapter (2026–2027)
      • PEM Coordinator – INDUSEM (Indo-US Collaborative in Emergency Medicine)
      • Member – ECMO Society of India
      • Member – Emergency Medicine Association (EMA)
      • Instructor – ATLS, Pediatric Trauma Resuscitation Module (PTRM), IAP Advanced Life Support (IAP-ALS) and Neonatal Resuscitation Program (NRP)
      • Instructor – AHA PALS, BLS and ACLS

      Awards:

      • Gold Medallist in MBBS – Delhi University
      • Mohinder Nath Memorial Award for standing first in Surgery – Delhi University
      • INDUSEM Shiksha Samriddhi Samman for Pediatric Emergency Medicine teaching – EMINDIA National Conference 2024

        Other:

        • Editorial Board Member – INDUSEM; Editorial Board Convenor – Journal of Pediatric Emergency, Resuscitation & Trauma (J-PERT)
        • Founder – Pediatric Emergency Pearls (PEP Talk) webinar series
        • Faculty and speaker – EMINDIA, EMPART, NAPEM, PEDICRITICON; International Speaker – Mediterranean Emergency Medicine Congress, Budapest (2025)

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