This podcast discusses trauma-informed care (TIC) for children including 1) why patients may not endorse a history of trauma, 2) why providers might not screen for trauma, and 3) what to do if a patient has a positive screen for trauma. LEARNING OBJECTIVES - Recognize why a patient may not endorse a history of trauma - Define reasons why a provider might not screen for trauma - Identify and utilize strategies to respond to a patient who does screen positive for a trauma history AUTHORS Ayesha Dh...
Dec 12, 2023•19 min
This podcast discusses trauma-informed care (TIC) for children by 1) defining trauma, 2) discussing the common types of traumatic events children can experience, 3) detailing core principles of trauma-informed care, and 4) providing recommendations for how to incorporate TIC into pediatric practice. LEARNING OBJECTIVES - Recognize the ubiquitous nature of trauma - Identify the core tenets of trauma-informed care - Identify and utilize strategies to provide such care to our patients and families ...
Dec 12, 2023•15 min
In this Complex Care Journal Club podcast episode, Dr. Lewis First and Ms. Cara Coleman discuss the role of the journal Pediatrics in disseminating emerging evidence in complex care and disability. They describe the unique Family Partnerships column, the inclusive decision-making process for publication, and opportunities for clinicians and families to engage with the journal. SPEAKERS Lewis R. First, MD, MS Editor-In-Chief, Pediatrics Professor and Chair, Department of Pediatrics, The Universit...
Dec 04, 2023•29 min
In this World Shared Practice Forum Podcast, Dr. Mark Hall discusses immunology and inflammation in pediatric sepsis treatment, using immune phenotyping to personalize treatment for pediatric sepsis. LEARNING OBJECTIVES Upon listening to this presentation, learners will be able to: - Recall the history of understanding the inflammatory response in critically ill children - Identify the distinction between the pro-inflammatory response and the immune paralysis phenomenon - Describe the study of i...
Nov 27, 2023•25 min
In this Complex Care Journal Club podcast episode, Dr. Catherine Diskin and Ms. Kate Robinson discuss their team's approach to co-developing a continuing education seminar series. They describe the value of family partnership in complex care education and research, important considerations for effectively engaging families, and next steps from this work. SPEAKERS Catherine Diskin, MB, BCh, BAO Assistant Professor of Pediatrics, University of Toronto Co-Educational Lead, Complex Care Program, Dep...
Nov 06, 2023•25 min
This podcast discusses pediatric behavior management counseling covering a wide range of topics including: 1) common challenging behaviors encountered at various stages of childhood and adolescence , 2) ways to create a safe space for children, adolescents, and caretakers to share their thoughts and concerns regarding challenging behaviors, and 3) strategies to incorporate de-escalation and behavior modification strategies into routine well-child visits in order to teach parents these skills. LE...
Nov 02, 2023•16 min
In this World Shared Practice Forum podcast, Dr. Brenda Morrow discusses the structure of the World Federation of Pediatric Intensive & Critical Care Societies, her journey to become President of the Federation, and shares a preview of features in the upcoming World Congress. LEARNING OBJECTIVES Upon listening to this presentation, learners will be able to: - Recognize the goals and organizational framework of the World Federation of Pediatric Intensive and Critical Care Societies or WFPICCS...
Oct 24, 2023•26 min
This podcast explains the pathophysiology of single ventricle cardiac lesions, and reviews the three-step surgical procedure used for palliation. 0:00 Introduction 1:55 Anatomy & Pathophysiology 3:56 Typical Palliation 8:50 Long Term Complications After Repair LEARNING OBJECTIVES After listening to this podcast, the learner should be able to: • Explain the pathophysiology of single ventricle heart disease • Discuss the different stages of palliation for single ventricle heart disease • Descr...
Oct 17, 2023•13 min
This podcast discusses the preoperative, operative, and postoperative considerations for patients undergoing surgical treatment for moyamoya disease including: anatomy and pathophysiology, clinical presentation, diagnosis, preoperative evaluation, anesthetic management, operative approach, and postoperative care. LEARNING OBJECTIVES Upon listening this podcast, learners will be able to: • Describe the anatomy and pathophysiology of moyamoya disease • Explain the common preoperative evaluation fo...
Oct 09, 2023•19 min
In this Complex Care Journal Club podcast episode, Dr. Mark Brittan discusses a qualitative study of stakeholders in a family-certified nursing assistant program in Colorado. He describes the limitations of the paid family caregiver model, opportunities for advocacy, and the next steps from this work. SPEAKER Mark Brittan, MD, MPH Associate Professor of Pediatrics, University of Colorado Anschutz Medical Campus Section of Pediatric Hospital Medicine, Children's Hospital Colorado HOST Kilby Mann,...
Oct 09, 2023•21 min
In this World Shared Practice Forum podcast, Dr. Akira Nishisaki discusses the history of the NEAR4KIDS project and gives an in-depth description of his team's recent paper on the implementation of video laryngoscope-assisted coaching and the reduction of adverse tracheal intubation-associated events in the PICU. LEARNING OBJECTIVES Upon listening to this presentation, learners will be able to: - Explain the NEAR4KIDS project, including the background and goals for this multi-center prospective ...
Sep 20, 2023•25 min
In this Complex Care Journal Club podcast episode, Dr. Stefanie Ames discusses a qualitative study that explores family experiences of discrimination in health care for children with medical complexity and disability. She describes the value of partnering with people with lived experience in research, implications for clinical practice, and important next steps from this work. SPEAKER Stefanie Ames, MD, MS Assistant Professor, Division of Critical Care Department of Pediatrics, University of Uta...
Sep 06, 2023•22 min
In this World Shared Practice Forum podcast, Drs. Suchitra Ranjit and Luregn Schlapbach, discuss a framework to provide individualized hemodynamic support for pediatric patients with septic shock, especially those in lower and middle-income countries. The authors discuss considerations described in their expert group's recent article, including how to administer and assess the response of various therapies such as fluids, inotropes, and pressors. LEARNING OBJECTIVES By the end of this podcast, l...
Aug 22, 2023•38 min
In this Complex Care Journal Club podcast episode, Dr. Michelle Watkinson discusses a systematic review of studies that evaluate community-based interventions for family caregivers of children with medical complexity (CMC). She describes important gaps in the literature about effective strategies to improve health for CMC in the home and community, implications for practice, and the next steps from this work. SPEAKERS Michelle Watkinson, MD, MPH Assistant Professor of Pediatrics, University of P...
Aug 07, 2023•21 min
In this Complex Care Journal Club podcast episode, Dr. P. Galen DiDomizio and Dr. Dominic Moore discuss the findings of an online survey of complex care clinicians about challenges related to discussing goals of care, advance care planning and care coordination. They describe opportunities for embedding palliative care principles in the care of children with medical complexity, implications for clinical practice, and next steps from this work. If you'd like to join the complex care listserv ment...
Jul 11, 2023•24 min
In this Complex Care Journal Club podcast episode, Dr. Nancy Murphy discusses the piloting of a home monitoring application for families of children with medical complexity and the associations between the level of parental concern and clinical status changes identified in secondary data analysis. She describes the key role families played in guiding the study, implications for clinical practice, and next steps from this work. SPEAKERS Nancy Murphy, MD Professor of Pediatrics and Chief, Division...
Jun 28, 2023•17 min
In this World Shared Practice Forum podcast, Dr. Robert Tasker highlights research trends from his position as Editor-in-Chief of the Pediatric Critical Care Medicine Journal. Dr. Tasker presents notable articles from the first half of 2023, and provides his perspective on how academic journals such as PCCM are evolving to meet the needs of modern readers and clinicians. LEARNING OBJECTIVES By the end of this podcast, the learner will be able to: • Describe topic areas represented in Pediatric C...
Jun 23, 2023•28 min
By the end of this podcast, the learner will be able to describe the fundamental elements of sickle cell disease, including pathophysiology, potential complications, and management strategies. Upon listening to this presentation, participants will be able to: - Discuss the pathophysiology of SCD - Identify the common complications seen in this condition - Describe the management options of SCD and its complications Publication date: June 9, 2023 Citation: Tran V, Callas C, Moulton H, Fantasia K,...
Jun 09, 2023•16 min
For World PICU Day on May 12, 2023, The World Federation of Pediatric Intensive and Critical Care Societies (WFPICCS) organized a panel discussion with regional speakers discussing Sepsis guidelines for early recognition, resuscitation, and management: Global perspectives. The panelists provided a brief summary of: • Their participation in the development of the implementation of guidelines for use in facilities for either recognition, resuscitation or management of sepsis. • ONE success in eith...
Jun 08, 2023•57 min
In this Complex Care Journal Club podcast episode, Dr. Sriram Ramgopal and Dr. Carolyn Foster discuss the design and key findings of a cross-sectional study examining encounters in the Emergency Department and subsequent care for children with medical complexity and mental or behavioral health needs. They describe gaps in our knowledge and systems issues related to this important intersection of care needs, implications for clinical practice, and next steps from this work. SPEAKERS Sriram Ramgop...
May 25, 2023•24 min
In this World Shared Practice Forum podcast, Dr. Ebor Jacob James discusses the current state of pediatric critical care in India. Dr. Jacob James describes clinical staffing models, fellowship and accreditation programs, as well as the impact of simulation training in these areas. He also provides background on PediSTARS, the Pediatric Simulation Training And Research Society in India, and describes the impact of the Stop the Bleed Project which provides life-saving training to first responders...
May 23, 2023•28 min
In this presentation, the listener will learn the developmental milestones of a newborn through 5 years of age, including parental guidance and red flags. LEARNING OBJECTIVES Upon viewing this presentation, participants will be able to: • Understand the importance of monitoring child development • Explain the difference between developmental surveillance and developmental screening • Identify the major milestones from birth to five years of age AUTHORS Holly Hodges MD Fellow, Developmental-Behav...
May 09, 2023•12 min
In this video, the viewer will learn to define brief resolved unexplained events, recognize the clinical presentation, diagnose and risk stratify a patient and understand the principles of management. LEARNING OBJECTIVES Upon viewing this presentation, participants will be able to: • Define brief resolved unexplained events (BRUEs) • Recognize the clinical presentation of BRUE • Diagnose and risk stratify a patient • Understand the principles of management AUTHORS Jonathan Fried Harvard Medical ...
May 09, 2023•12 min
In this Complex Care Journal Club podcast episode, Dr. Eyal Cohen discusses the design and key findings of a randomized controlled trial evaluating the effectiveness of a structured complex care program in Ontario, Canada. He describes implications for clinical practice, opportunities for family partnership in research, and the next steps from this work. SPEAKERS Eyal Cohen, MD, MSc, FRCPC Program Head, Child Health Evaluative Sciences Staff Physician, Division of Pediatric Medicine The Hospital...
Apr 26, 2023•23 min
In this World Shared Practice Forum podcast, Dr. Michael Dean discusses the potential impact of ChatGPT on pediatric critical care. Dr. Dean gives background as to what ChatGPT is, how it was developed, and how it is currently being used in the medical community at large. He discusses his experiences using ChatGPT, describing its promising features and the issues involved with it as well. Lastly, Dr. Dean speculates on the potential impact it will have on patients, clinicians, and medical studen...
Apr 20, 2023•26 min
In this podcast, Dr. Helena Leahy reviews risk factors, mechanism, signs and symptomsm, and appropriate management of laryngospasm. Upon listening to this presentation, learners should be able to: - Identify the risk factors of laryngospasm - Describe the mechanism of laryngospasm - Explain how to diagnose and treat laryngospasm Publication date: April 11, 2023. Citation: Leahy H, Marcley S, Wolbrink TA, Wang JT. Laryngospasm. 04/2023. OPENPediatrics. Online Course: https://learn.openpediatrics....
Apr 11, 2023•9 min
In this Nursing World Shared Practice Forum podcast, Dr. Hanrahan shares her research related to distraction for pediatric painful procedures. She reviews why this research is important, how it has benefited the pediatric patient population, and lists tools parents and caregivers can use to help them comfort children during painful tests and procedures. Following this discussion, participants will be able to: - Explain the Distraction and Action Tool and how it is used to predict a child’s risk ...
Mar 06, 2023•25 min
In this World Shared Practice Forum podcast, Dr. Khemani discusses the new Second Pediatric Acute Lung Injury Consensus Conference (PALICC-2) guidelines, describing important changes from the previous PALICC guidelines and highlighting topics such as non-invasive ventilation, patient self-inflicted lung injury, and strategies for monitoring the breathing of a patient who is receiving invasive mechanical ventilation. Upon listening to this presentation, learners should be able to: - Identify the ...
Feb 27, 2023•27 min
In this World Shared Practice Forum podcast, Dr. Paul Offit discusses the viruses causing the so-called “tripledemic.” Dr. Offit reviews the virulence, transmission, and vaccine potential related to Respiratory syncytial virus (RSV). He shares current knowledge about the epidemiology and pediatric vaccination rates related to the Influenza A outbreak. Lastly, Dr. Offit gives an update on COVID-19 in the pediatric population, including details on current variants, the effectiveness and impact of ...
Jan 23, 2023•23 min
This podcast discusses the pre-operative, operative, and post-operative considerations for patients undergoing laryngeal cleft repair including: anatomy and pathophysiology, clinical presentation, diagnosis, pre-operative evaluation, anesthetic management, operative approach, and post-operative care. Upon viewing this presentation, participants will be able to: - Describe the anatomy and pathophysiology of a laryngeal cleft - List the common symptoms that a patient may exhibit with various types...
Jan 19, 2023•16 min
