Dr. Josh Nagler discusses all the relevant information needed to successfully perform pediatric orotracheal intubation. He reviews the indications and contraindications for performing an intubation, the relevant anatomy of the upper airway and larynx and the required equipment needed at the bedside. Using simulation and animations, Dr. Nagler describes the proper procedure for intubating a patient and the potential complications and pitfalls that may occur. Finally, he outlines proper aftercare ...
Dec 09, 2019•23 min
In this video, Dr. Ann Thompson, Vice Dean and Professor of Critical Care Medicine and Pediatrics at the University of Pittsburgh School of Medicine, outlines the history of the PICU and its place in the hospital. From the first polio units in the 1930-50s to modern PICUs today, Dr. Thompson focuses on changing roles, technological advancements, and hopes for growth and expansion in the future. Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for h...
Nov 22, 2019•47 min
In this World Shared Practice Forum video, Dr. Heidi Dalton maps out the rapid expansion of ECMO use globally, describes challenges that providers face in the field of ECMO, and solutions to overcome these challenges in the future. Initial publication: October 12, 2019. Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intens...
Oct 18, 2019•50 min
In this NWSP, Ashley Renaud describes her work on the Red Zone initiative, which aims to implement distraction-free practice and reduce patient related errors. Initial publication: October 4, 2019. Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange o...
Oct 03, 2019•26 min
Listen as Dr. Emily Barsky reviews the clinical presentation of respiratory distress in patients with cystic fibrosis and lists interventions for a patient with this diagnosis. Initial publication: September 27, 2019. Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designe...
Sep 26, 2019•14 min
The listener will learn the common risk factors and basic epidemiology, pathophysiology, recognize the clinical presentation and management as well as differentiate between acute otitis media, otitis media with effusion, and middle ear effusion. Initial publication: September 24, 2019. Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of ...
Sep 23, 2019•13 min
In part 2 of 2, Dr. Peter Weinstock, Executive Director of Immersive Design Systems (IDS), Chair in Pediatric Simulation, and Associate Professor of Anesthesia at Harvard Medical School, describes in detail how the program operates on a granular level, how it benefits other programs across the hospital setting, and how the success of simulation has influenced the medical field on a global scale. To hear part 1, about the big-picture benefits of using simulation as a tool to solve mission-critica...
Sep 20, 2019•32 min
Listen as Dr. K. S. Gautham, Professor of Pediatrics at Baylor College of Medicine and Section Head and Chief of Service at The Newborn Center at Texas Children's Hospital, outlines best practices for disclosure, apology, and root cause analysis following adverse events. He also describes the effects of adverse events on staff, the importance of good debriefing techniques, and defines the role of the "second victim" in the disclosure and apology process. Initial publication: September 18, 2019. ...
Sep 16, 2019•23 min
Listen as Dr. Benjamin Wilfond, Director at the Treuman Katz Center for Pediatric Bioethics, outlines the specific ethical challenges behind research conducted in the NICU. He emphasizes the importance of standardization in research, obtaining informed consent, the eight ethical benchmarks of clinical research, the contexts of randomized clinical trials, and how these factors apply to real world situations. Initial publication: September 17, 2019. Please visit: www.openpediatrics.org OPENPediatr...
Sep 05, 2019•22 min
Listen as Dr. Adam DeTora outlines how ethics and the law apply to situations in the NICU. He explains how statutory laws differ from case laws, and presents case studies to show how both kinds of laws influence medical decisions. He also breaks down the role of the parent or caregiver, and what happens in cases where medical decisions are not clear-cut. Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by ...
Sep 05, 2019•23 min
In this chapter of the Rwandan National Neonatal Protocol, Dr. Christian Umuhoza discusses neonatal resuscitation practices. Participants will be able to prepare for delivery, identify prenatal conditions that increase the risk of needing resuscitation at the delivery, identify the equipment and the personnel needed at each delivery in preparation for neonatal resuscitation, and also they'll be able to explain the four increasing levels of neonatal resuscitation and how to assess the need to mov...
Sep 04, 2019•29 min
In this World Shared Practice Forum video, Dr. Jeffrey Fineman speaks about the classification and epidemiology of pediatric pulmonary disease. He details the natural history of pulmonary hypertension associated with congenital heart disease, reviews evidence proving that it is an endothelial-based disease (at least initially), and outlines current and future research involving the hemodynamic forces associated with different congenital heart disease. Upon viewing this presentation, participants...
Aug 23, 2019•46 min
In this video, Dr. Wendy Jo Svetanoff discusses the anatomy of the trachea, the anatomic abnormalities in tracheobronchomalacia and the therapeutic options for patients with this condition. Initial publication: July 30, 2019. Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is design...
Jul 30, 2019•6 min
Listen as Dr. Brian Kavanagh, Professor of Anesthesia at the University of Toronto and Chair of Anesthesia and the Dr. Geoffrey Barker Chair of Critical Care Medicine at the Hospital for Sick Children in Toronto, Canada, will discuss the topic of guidelines, protocols, and bundles. Initial publication: October 28, 2014. Last updated: July 22, 2019. Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Childr...
Jul 22, 2019•50 min
Listen as Dr. Kathleen Stevens discusses how she pioneered the field of evidence-based practice (EBP) nursing, and reviews the steps of her Stevens STAR Model of Knowledge Transformation. Initial publication: July 11, 2019. Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed...
Jul 11, 2019•33 min
In this chapter of the Rwandan National Neonatal Protocol, Marthe Kubwimana introduces the non-electric infant warmer. She outlines the circumstances when an infant warmer is useful, how it can prevent hypothermia, and how it can be used to complement Kangaroo Mother Care. She also describes the proper techniques for preparation, use, cleaning and storage of the infant warmer. Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicia...
Jul 09, 2019•10 min
Listen as Dr. Traube, Associate Professor of Pediatrics at Weill Cornell Medicine, maps out the landscape of pediatric delirium in the PICU setting. She identifies trends and treatments that contribute to current delirium rates, the associated costs of delirium, and what practices hospitals are adopting to reduce delirium rates. Upon viewing this presentation, participants will be able to: • Characterize pediatric delirium cases • Identify the underlying factors that lead to delirium • Discuss h...
Jun 20, 2019•39 min
This chapter of the Rwandan National Neonatal Protocol covers cardiology. Dr. Emmanuel Rusingiza discusses the diagnosis and management of patent ductus arteriosus in premature infants. By the end of this chapter, participants will be able to: -Identify two presenting symptoms of a patent ductus arteriosus (PDA) -Identify methods for non-pharmacologic support of an infant with PDA -Identify methods for pharmacologic treatment of an infant with a PDA Please visit: www.openpediatrics.org OPENPedia...
Jun 06, 2019•13 min
In this chapter of the Rwandan National Neonatal Protocol, Merab Nyishime will discuss discharge planning. She outlines the four assessments that should be made when deciding whether to discharge a patient, the danger signs that would prevent discharge, examples of infants that would require rendezvous after discharge, and how to model appropriate caregiver discharge counseling. Initial publication: June 5, 2019. Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital lear...
Jun 04, 2019•10 min
Listen as Dr. Anne Hansen, Medical Director of the Neonatal ICU at Boston Children’s Hospital, outlines challenges facing today’s physicians and nurses in Rwanda as they care for newborns. She also introduces a non-electric infant warmer and outlines the benefits of its use in dealing with the challenge of neonatal hypothermia. After viewing this video, participants should be able to: • Understand current trends and statistics surrounding neonatal care in Rwanda • Appreciate the challenges facin...
May 22, 2019•31 min
This chapter of the Rwandan National Neonatal Protocol covers neurology. Dr. Febronie Mushimiyamana discusses treatment, medication, and management of neonatal neurological injury. She focuses on treatments for hypoxic ischemic encephalopathy, seizures, pain management, and appropriate use of anticonvulsant medication. By the end of the chapter, participants will be able to: -Identify appropriate temperature for newborns with hypoxic ischemic encephalopathy (HIE) -Explain the diagnosis and manag...
Apr 30, 2019•16 min
This chapter of the Rwandan National Neonatal Protocol covers infectious diseases. Dr. Stephenson Musiime discusses the risk factors, diagnosis and management of diseases like sepsis, urinary tract infection, meningitis, and more, for both mothers and neonates. By the end of the chapter, participants will be able to: -Define serious bacterial infection of the newborn -Recognize both maternal and infant risk factors -Understand how to diagnose and treat a serious bacterial infection in a neonate ...
Apr 25, 2019•23 min
Learn about the epidemiology, pathophysiology, and clinical presentation of bronchiolitis, and how to diagnose and care for affected children. Initial publication: April 24, 2019. Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge betwee...
Apr 24, 2019•11 min
Learn about the pathophysiology and clinical presentation of asthma, and how to diagnose and care for affected children. Initial publication: April 24, 2019. Citation: Pian J, Chiel L, Rubin L, Erickson A, McFee AM, Wolbrink TA. Asthma. 8/2018. OPENPediatrics. Online Course. https://learn.openpediatrics.org/learn/course/internal/view/elearning/2877/asthma. Video: https://youtu.be/s2WCWIE9TcI. Podcast: https://soundcloud.com/openpediatrics/asthma-by-julia-pian-and-laura-chiel-for-openpediatrics. ...
Apr 24, 2019•13 min
Listen as Dr. Umakanth Katwa, Director of the Sleep Laboratory at Boston Children's Hospital, discusses the use of non-invasive positive pressure ventilation for the treatment of sleep apnea and dysregulated breathing in children. Initial publication: April 23, 2019. Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive...
Apr 23, 2019•42 min
Listen as Dr. Patrick Kochanek, outlines new developments appearing in the 3rd edition of “Guidelines for the Management of Severe Traumatic Brain Injury in Children”. He covers revisions made to level II and level III treatment recommendations, and how they translate across the companion algorithm. He focuses on neuroimaging, hyperosmolar therapy, analgesics and sedatives, seizure prophylaxis, temperature control/hypothermia, and nutrition. In addition, he highlights the new consensus and evide...
Apr 19, 2019•53 min
Listen as the panelists discuss their research on the health of the work environment. They explain how they applied the Healthy Work Environment Assessment Tool across nursing specialties, and to other healthcare professionals. Initial publication: April 16, 2019. Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Inten...
Apr 11, 2019•37 min
In this video, Dr. Michelle Niescierenko discusses the leading causes of pediatric trauma, explains the steps of the trauma assessment, and reviews 3 case studies involving pediatric trauma. Initial publication: April 2, 2019. Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It i...
Apr 01, 2019•25 min
Listen as Dr. John Knight, developer of the CRAFFT Adolescent Substance Use Screening Tool, provides information for clinicians hoping to implement the CRAFFT screening tool into their practice. It includes a step-by-step guide to administering the CRAFFT along with training vignettes of clinicians providing counseling for patients at varying levels of risk for substance use disorder. Initial publication: March 28, 2019. Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digi...
Mar 27, 2019•33 min
Listen as Dr. Ravi Thiagarajan, Chief of the Division of Cardiac Critical Care at Boston Children’s Hospital, and Professor of Pediatrics at Harvard Medical School, outlines past and present trends in ECMO use across the globe. He also reviews the major challenges faced by ECMO providers today, with a focus on ECMO use during cardiopulmonary resuscitation. Upon viewing this presentation, participants will be able to: • Describe global trends in ECMO that have developed over time • Understand the...
Mar 21, 2019•40 min
