OPENPediatrics

OPENPediatrics

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581 episodes

New Phoenix Pediatric Sepsis Criteria by L. Schlapbach et al | OPENPediatrics

In this World Shared Practice Forum Podcast, authors of the newly released publication, International Consensus Criteria for Pediatric Sepsis and Septic Shock, review their research and findings for treating and caring for children with sepsis and septic shock. They discuss how using the novel Phoenix Sepsis Score guided the development of this new globally applicable research model. LEARNING OBJECTIVES Upon listening to this presentation, learners will be able to: - Describe the goals and development of the new Phoenix Sepsis Score - Discuss how clinicians can apply the score in clinical practice and for research endeavors - Explain the challenges and limitations of using the Phoenix Sepsis score in lower-resource settings AUTHORS Luregn Schlapbach, MD, PhD, Prof, FCICM Head, Department of Intensive Care and Neonatology University Children’s Hospital in Zurich, Switzerland Scott Watson, MD, MPH Professor of Pediatrics University of Washington School of Medicine Associate Division Chief Division of Pediatric Critical Care Medicine Seattle Children’s Hospital Claudio Flauzino de Oliveira, MD, PhD Researcher Latin American Sepsis Institute Halden Scott, MD, MSCS Director of Research Section of Pediatric Emergency Medicine University of Colorado School of Medicine Children’s Hospital Colorado Tellen Bennett, MD, MS Professor of Biomedical Informatics and Pediatrics Vice Chair of Clinical Informatics Department of Biomedical Informatics University of Colorado School of Medicine Attending Physician Pediatric Intensive Care Unit Children’s Hospital Colorado Traci Wolbrink, MD, MPH Senior Associate in Critical Care Medicine; Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital Associate Professor of Anesthesia Harvard Medical School DATES Initial publication date: March 26, 2024. ARTICLES REFERENCED Development and Validation of the Phoenix Criteria for Pediatric Sepsis and Septic Shock https://jamanetwork.com/journals/jama/fullarticle/2814296 Global Study of Disease https://pubmed.ncbi.nlm.nih.gov/31954465/ Sepsis-3 https://jamanetwork.com/journals/jama/fullarticle/2492881 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 designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Schlapbach LJ, Bennett TD, de Oliveira CF, Scott HF, Watson RS, O’Hara JE, Wolbrink TA. New Phoenix Pediatric Sepsis Criteria. 03/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/new-phoenix-pediatric-sepsis-criteria.

39m
Mar 26, 2024
Leveraging Research to Address Social Determinants of Health ‌by A. Wallace | OPENPediatrics

In this new Nursing World Shared Practice Forum video, Dr. Andrea Wallace shares the importance of implementing social determinants of health screening in healthcare delivery. She shares non-traditional strategies and resources nurses can use to participate in evidence-based practice activities. She also discusses firsthand experiences with implementing evidence-based practice in the context of improving outcomes when social determinants of health exist. LEARNING OBJECTIVES Following this discussion, learners will be able to: - Describe four social health factors - Discuss facilitators and barriers to implementing healthcare improvements when social determinants of health exist - List traditional and non-traditional strategies and resources to help nurses participate in evidence-based practice - Describe ways to incorporate evidence-based practice into nursing practice AUTHORS Andrea Wallace PhD, RN, FAAN‌ Associate Dean for Research University of Utah Julie Waitt MSN, RN, CPHON Director of Nursing Patient Services Hematopoietic Stem Cell Transplant Unit Boston Children’s Hospital‌‌‌ DATES Initial publication: March 18, 2024. 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 designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Wallace A, Brodie K, DeGrazia M, Waitt J. Leveraging Research to Address Social Determinants of Health. 03/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/leveraging-research-to-address-social-determinants-of-health-by-a-wallace-openpediatrics

23m
Mar 18, 2024
Preventing Pediatric Medication Errors at Home: Putting a Policy Statement into Practice

In this Complex Care Journal Club podcast episode, Dr. Ulfat Shaikh discusses the development of an implementation toolkit to prevent medication errors in the home and community using quality improvement methodology. She describes the process of translating recommendations from a policy statement into practice, opportunities for collaboration with the Council on Quality Improvement and Patient Safety, and next steps from this work. SPEAKER Ulfat Shaikh, MD, MPH, MS Professor of Pediatrics and Medical Director for Healthcare Quality University of California Davis Health HOST Kristina Malik, MD Assistant Professor of Pediatrics, University of Colorado School of Medicine Medical Director, KidStreet Pediatrician, Special Care Clinic, Children's Hospital Colorado DATES Initial publication: March 11, 2024. JOURNAL CLUB ARTICLE Shaikh U, Kim JM, Yin SH. Implementing Strategies to Prevent Home Medication Administration Errors in Children With Medical Complexity. Clin Pediatr (Phila). 2023 Aug 29:99228231196750. doi: 10.1177/00099228231196750. Epub ahead of print. PMID: 37644803. OTHER ARTICLES REFERENCED Agency for Healthcare Research and Quality. Health Literacy Universal Precautions Toolkit, 3rd Edition. Use the Teach-Back Method: Tool 5. Content last reviewed February 2024. https://www.ahrq.gov/health-literacy/improve/precautions/tool5.html‌ ‌‌American Academy of Pediatrics Council on Quality Improvement and Patient Safety. Preventing home medication administration errors implementation resources. Published November/December 2021. Accessed August 16, 2023. bit.ly/44kK68W.‌ ‌ ‌Yin HS, Neuspiel DR, Paul IM, Franklin W, Tieder JS, Adirim T, Alvarez F, Brown JM, Bundy DG, Ferguson LE, Gleeson SP, Leu M, Mueller BU, Connor Phillips S, Quinonez RA, Rea C, Rinke ML, Shaikh U, Shiffman RN, Vickers Saarel E, Spencer Cockerham SP, Mack Walsh K, Jones B, Adler AC, Foster JH, Green TP, Houck CS, Laughon MM, Neville K, Reigart JR, Shenoi R, Sullivan JE, Van Den Anker JN, Verhoef PA. Preventing Home Medication Administration Errors. Pediatrics. 2021 Dec 1;148(6):e2021054666. doi: 10.1542/peds.2021-054666. PMID: 34851406. TRANSCRIPT https://op-docebo-images.s3.amazonaws.com/Transcripts/Preventing+Pediatric+Medication+Errors+at+Home_Shaikh_030824.pdf Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: https://forms.gle/Bdxb86Sw5qq1uFhW6 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 designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Shaikh U, Malik K. Preventing Pediatric Medication Errors at Home: Putting a Policy Statement into Practice. 3/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/preventing-pediatric-medication-errors-at-home-putting-a-policy-statement-into-practice

25m
Mar 11, 2024
Bedside Implementation of the PALICC-2 Guidelines by M. Kneyber | OPENPediatrics

In this World Shared Practice Forum Podcast, Dr. Martin Kneyber discusses the implementation of the PALICC-2 guidelines in bedside monitoring and management of pediatric acute respiratory distress syndrome (PARDS). He shares insights on how the concepts of positive end-expiratory pressure (PEEP), driving pressure, patient self-inflicted lung injury (P-SILI), and the use of non-invasive ventilation are translated to the bedside management of PARDS. LEARNING OBJECTIVES - Explain the concept of driving pressure and its significance in the management of pediatric acute lung injury - Identify the potential benefits and drawbacks of neuromuscular blockade in pediatric acute lung injury patients - Describe the concept of non-invasive ventilation in the management of acute respiratory failure in pediatric patients, including its potential benefits, limitations, and challenges in implementation AUTHORS Martin Kneyber MD, PhD, FCCM Chief of the Division of Paediatric Critical Care Medicine Beatrix Children’s Hospital University Medical Center Groningen, Groningen, the Netherlands Jeffrey Burns MD, MPH Chief and Shapiro Chair, Division of Critical Care Medicine; Executive Chair, International Health Services Senior Associate in Critical Care Medicine; Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital Professor of Anesthesia Harvard Medical School DATES Initial Publication Date: February 26, 2024. ARTICLES REFERENCED 00:58 https://pubmed.ncbi.nlm.nih.gov/36661420/ Emeriaud G, López-Fernández YM, Iyer NP, et al. Executive Summary of the Second International Guidelines for the Diagnosis and Management of Pediatric Acute Respiratory Distress Syndrome (PALICC-2). Pediatr Crit Care Med. 2023;24(2):143-168. 01:46 https://pubmed.ncbi.nlm.nih.gov/29373802/ Khemani RG, Parvathaneni K, Yehya N, Bhalla AK, Thomas NJ, Newth CJL. Positive End-Expiratory Pressure Lower Than the ARDS Network Protocol Is Associated with Higher Pediatric Acute Respiratory Distress Syndrome Mortality. Am J Respir Crit Care Med. 2018;198(1):77-89. 02:53 https://pubmed.ncbi.nlm.nih.gov/30361119/ Khemani RG, Smith L, Lopez-Fernandez YM, et al. Paediatric acute respiratory distress syndrome incidence and epidemiology (PARDIE): an international, observational study [published correction appears in Lancet Respir Med. 2018 Nov 13;:] [published correction appears in Lancet Respir Med. 2019 Mar;7(3):e12]. Lancet Respir Med. 2019;7(2):115-128. 07:45 https://pubmed.ncbi.nlm.nih.gov/25693014/ Amato MB, Meade MO, Slutsky AS, et al. Driving pressure and survival in the acute respiratory distress syndrome. N Engl J Med. 2015;372(8):747-755. 07:49 https://pubmed.ncbi.nlm.nih.gov/36661438/ Yehya N, Smith L, Thomas NJ, et al. Definition, Incidence, and Epidemiology of Pediatric Acute Respiratory Distress Syndrome: From the Second Pediatric Acute Lung Injury Consensus Conference. Pediatr Crit Care Med. 2023;24(12 Suppl 2):S87-S98. 18:09 https://pubmed.ncbi.nlm.nih.gov/20843245/ Papazian L, Forel JM, Gacouin A, et al. Neuromuscular blockers in early acute respiratory distress syndrome. N Engl J Med. 2010;363(12):1107-1116. 18:27 https://pubmed.ncbi.nlm.nih.gov/27779896/ Huang DT, Angus DC, Moss M, et al. Design and Rationale of the Reevaluation of Systemic Early Neuromuscular Blockade Trial for Acute Respiratory Distress Syndrome. Ann Am Thorac Soc. 2017;14(1):124-133. 19:26 https://pubmed.ncbi.nlm.nih.gov/27748627/ Doorduin J, Nollet JL, Roesthuis LH, et al. Partial Neuromuscular Blockade during Partial Ventilatory Support in Sedated Patients with High Tidal Volumes. Am J Respir Crit Care Med. 2017;195(8):1033-1042. Kneyber MCJ, O’Hara JE, Burns JP. Bedside Implementation of the PALICC-2 Guidelines. 2/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/bedside-implementation-of-the-palicc-2-guidelines-by-m-kneyber-openpediatrics.

26m
Feb 26, 2024
Shared Journeys: Evidence-Based Anticipatory Guidance for Children with Severe Neurologic Impairment

In this Complex Care Journal Club podcast episode, Dr. Julie Hauer and Ms. Jennifer Siedman discuss the development of an anticipatory guidance tool for children with severe neurologic impairment called NeuroJourney, an initiative of the Courageous Parents Network. They describe its grounding in palliative care principles and literature, opportunities to support collaborative relationships between clinicians and families, and next steps from this work. SPEAKERS Julie Hauer, MD Pediatrician, Division of General Pediatrics Boston Children's Hospital Medical Director Seven Hills Pediatrics Center Jennifer Siedman, MEd Director of Community Engagement Courageous Parents Network HOST Emily Goodwin, MD Clinical Associate Professor of Pediatrics, University of Missouri Kansas City School of Medicine Pediatrician, General Academic Pediatrics Beacon Program, Children’s Mercy Kansas City DATES Initial publication: February 5, 2024. JOURNAL ARTICLE Hauer J, Siedman J, Trager C, Thienprayoon R. NeuroJourney. Courageous Parents Network. Accessed Jan 25th, 2024. https://neurojourney.courageousparentsnetwork.org/ OTHER REFERENCES Thienprayoon, R; Lord, BT; Siedman, J; Hauer, J. Creating a “Journey Map” for Children with Severe Neurologic Impairment: A Collaboration Between Private and Academic Pediatric Palliative Care, Nonprofit Organizations, and Parents. Journal of Pain and Symptom Management. 2023; 65:e270-e271. Orkin J, Beaune L, Moore C, Weiser N, Arje D, Rapoport A, Netten K, Adams S, Cohen E, Amin R. Toward an Understanding of Advance Care Planning in Children With Medical Complexity. Pediatrics. 2020 Mar;145(3):e20192241. doi: 10.1542/peds.2019-2241. TRANSCRIPT https://op-docebo-images.s3.amazonaws.com/Transcripts/Shared+Journeys_+Evidence-Based+Anticipatory+Guidance_020524.pdf Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: https://forms.gle/Bdxb86Sw5qq1uFhW6 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 designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Hauer J, Siedman J, Goodwin EJ. Shared Journeys: Evidence-Based Anticipatory Guidance for Children with Severe Neurologic Impairment. 2/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/shared-journeys-evidence-based-anticipatory-guidance-for-children-with-severe-neurologic-impairment

29m
Feb 05, 2024
The Future of Scholarly Writing in Pediatric Critical Care Medicine by R. Tasker | OPENPediatrics

In this World Shared Practice Forum Podcast, Dr. Robert Tasker, Editor-in-Chief of the journal Pediatric Critical Care Medicine, discusses his efforts to help scholars improve their writing and get published. He emphasizes the importance of reading contemporary literature, mastering the basics of scientific writing, and engaging with references critically in the age of AI. LEARNING OBJECTIVES Upon listening to the presentation, learners will be able to: - Recognize the importance of reading and thoroughly engaging with references in scientific writing - Discuss the limitations and uncertain place of AI-generated content in academic writing - Identify the role of mentors, reviewers, and editors in ensuring academic rigor in scholarly work - Preview upcoming innovations in the journal of PCCM AUTHORS Robert C. Tasker, MBBS, MD ditor-in-Chief, Pediatric Critical Care Medicine Pediatric Critical Care Medicine Senior Associate in Critical Care Medicine, Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital Professor of Anesthesia Harvard Medical School College Lecturer in Medicine and Graduate Tutor Selwyn College, University of Cambridge Traci Wolbrink, MD, MPH Senior Associate in Critical Care Medicine; Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital Associate Professor of Anesthesia Harvard Medical School DATES Initial Publication Date: January 22, 2024. ARTICLES REFERENCED 2:17 https://pubmed.ncbi.nlm.nih.gov/33657612/ Tasker RC. Writing for PCCM: The 3,000-Word Structured Clinical Research Report. Pediatr Crit Care Med. 2021;22(3):312-317. doi:10.1097/PCC.0000000000002700 2:36 https://pubmed.ncbi.nlm.nih.gov/33790209/ Tasker RC. PCCM Narratives, Letters, and Correspondence. Pediatr Crit Care Med. 2021;22(4):426-427. doi:10.1097/PCC.0000000000002732 2:50 https://pubmed.ncbi.nlm.nih.gov/36165939/ Tasker RC. Writing for PCCM: Instructions for Authors. Pediatr Crit Care Med. 2022;23(8):651-655. doi:10.1097/PCC.0000000000003032 2:56 https://journals.lww.com/pccmjournal/fulltext/2022/08000/writing_for_pccm__instructions_for_authors.9.aspx Tasker, Robert C. MBBS, MD, FRCP1–3. Writing for PCCM: Instructions for Authors. Pediatric Critical Care Medicine 23(8):p 651-655, August 2022. | DOI: 10.1097/PCC.0000000000003032 5:21 https://pubmed.ncbi.nlm.nih.gov/35390115/ Horvat CM, Curley MAQ, Girard TD. Selecting Intermediate Respiratory Support Following Extubation in the Pediatric Intensive Care Unit. JAMA. 2022;327(16):1550-1552. doi:10.1001/jama.2022.4637 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 designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access, thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Tasker RC, O’Hara JE, Wolbrink TA. The Future of Scholarly Writing in Pediatric Critical Care Medicine. 01/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/pccm-in-the-future-era-of-writing-and-reading-by-r-tasker-openpediatrics.

26m
Jan 22, 2024
"Approach to Fever" by Eli Freiman for OPENPediatrics

In this video, the viewer will learn the clinical basics of fever as well as the physiology of body temperature and the approach to evaluation and management of fever. Initial publication: April 9, 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 designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

9m
Jan 17, 2024
Getting Equipped: Understanding the Use of Durable Medical Equipment in Pediatrics

In this Complex Care Journal Club podcast episode, Dr. Arda Hotz discusses a cross-sectional study of the use of durable medical equipment and supplies by pediatric patients. She describes implications for the care of children with complex chronic conditions, key stakeholders involved in the analysis, and next steps from this work. SPEAKERS Arda Hotz, MD, MPH Instructor of Pediatrics, Harvard Medical School Pediatrician, Division of General Pediatrics, Boston Children's Hospital HOST Emily Goodwin, MD Clinical Associate Professor of Pediatrics, University of Missouri Kansas City School of Medicine Pediatrician, General Academic Pediatrics Beacon Program, Children’s Mercy Kansas City DATES Initial publication: January 5, 2024. ARTICLES REFERENCED Hotz A, Sprecher E, Bastianelli L, Rodean J, Stringfellow I, Barkoudah E, Cohen LE, Estrada C, Graham R, Greenwood J, Kyle J, Mann N, Pinkham M, Solari T, Rosen R, Saleeb S, Shah AS, Watters K, Wells S, Berry JG. Categorization of a Universal Coding System to Distinguish Use of Durable Medical Equipment and Supplies in Pediatric Patients. JAMA Netw Open. 2023 Oct 2;6(10):e2339449. doi: 10.1001/jamanetworkopen.2023.39449. PMID: 37874565; PMCID: PMC10599121. Adegboro CO, Coller RJ. An Important Tool to Understand Durable Medical Equipment and Supply Use in Children. JAMA Netw Open. 2023 Oct 2;6(10):e2339581. doi: 10.1001/jamanetworkopen.2023.39581. PMID: 37874568 ‌ Children and Youth with Special Health Care Needs National Research Network. Emerging Investigator Program. https://cyshcnet.org/emerging-investigator-program/‌‌‌ Feudtner C, Feinstein JA, Zhong W, Hall M, Dai D. Pediatric complex chronic conditions classification system version 2: updated for ICD-10 and complex medical technology dependence and transplantation. BMC Pediatr. 2014 Aug 8;14:199. doi: 10.1186/1471-2431-14-199. PMID: 25102958; PMCID: PMC4134331.‌‌‌‌ TRANSCRIPT https://op-docebo-images.s3.amazonaws.com/Transcripts/Getting+Equipped_Understanding+the+Use+of+Durable+Medical+Equipment+in+Children_Hotz_010824.pdf Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: forms.gle/Bdxb86Sw5qq1uFhW6 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 designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access, thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Hotz A, Goodwin EJ. Getting Equipped: Understanding the Use of Durable Medical Equipment in Pediatrics. 1/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/getting-equipped-understanding-the-use-of-durable-medical-equipment-in-pediatrics.

16m
Jan 12, 2024
"Antiracism In Nursing And The Importance Of Allyship" by Dr. Ernest Grant for OPENPediatrics

In this Nursing World Shared Practice video, Dr. Ernest Grant discusses the catalysts that prompted the formation of the National Commission to Address Racism in Nursing. He identifies inequities within the nursing profession and provides examples of how nurses can become allies to confront individual and systemic racism. LEARNING OBJECTIVES Following this discussion, learners will be able to: - Explain why the National Commission to Address Racism in Nursing was founded - Define racism in nursing - Discuss how racism in nursing is being addressed - Identify ways to be an antiracist in nursing - Provide examples of effective allyship in nursing AUTHORS Ernest J. Grant, PhD, DSc(h), RN, FAAN Vice Dean for Diversity, Equity, Inclusion and Belonging Duke University School of Nursing Office of Diversity and Inclusion Immediate Past President of the American Nurses Association Laura J. Wood, DNP, RN, NEA-BC, FAAN EVP Patient Care Operations & System CNO Sporing Carpenter Chair for Nursing Boston Children's Hospital DATES Initial publication: December 18, 2023. 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 designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Grant EJ, DeGrazia M, Wood LJ. Antiracism in Nursing and the Importance of Allyship. 12/2023. OPENPediatrics. Online Podcast: https://soundcloud.com/openpediatrics/antiracism-in-nursing-and-the-importance-of-allyship-by-dr-ernest-grant-for-openpediatrics

32m
Dec 18, 2023
Pediatric Behavioral and Mental Health: Trauma-Informed Care - Part 2

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 Dholakia, MD Pediatrics Resident Boston Combined Residency Program Leadership in Equity and Advocacy (LEAD) Track Boston Children's Hospital | Boston Medical Center Katelin Blackburn, MD Adolescent Medicine Fellow Division of Adolescent and Young Adult Medicine Boston Children's Hospital Brenna Chase, MD Chief Resident in Pediatrics Boston Combined Residency Program Urban Health and Advocacy Track Boston Children's Hospital | Boston Medical Center Daniel O'Meara, MD Pediatrics Resident Boston Combined Residency Program Boston Children's Hospital | Boston Medical Center DATES Initial publication date: December 12, 2023 CITATION Dholakia A, Perez C, Blackburn K, Chase B, Wills K, O'Meara D. Trauma Informed Care Part 2. 12/2023. OPENPediatrics. Podcast: https://soundcloud.com/openpediatrics/pediatric-behavioral-and-mental-health-trauma-informed-care-part-2. 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 designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

19m
Dec 12, 2023
Pediatric Behavioral and Mental Health: Trauma-Informed Care - Part 1

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 Upon viewing this video, learners will be able to: - 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 AUTHORS Ayesha Dholakia, MD Pediatrics Resident Boston Combined Residency Program Leadership in Equity and Advocacy (LEAD) Track Boston Children's Hospital | Boston Medical Center Catherine Coughlin, MD Emergency Medicine Fellow Division of Emergency Medicine Boston Children's Hospital Katelin Blackburn, MD Adolescent Medicine Fellow Division of Adolescent and Young Adult Medicine Boston Children's Hospital Brenna Chase, MD Chief Resident in Pediatrics Boston Combined Residency Program Urban Health and Advocacy Track Boston Children's Hospital | Boston Medical Center Daniel O'Meara, MD Pediatrics Resident Boston Combined Residency Program Boston Children's Hospital | Boston Medical Center DATES Initial Publication: December 12, 2023 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 between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Dholakia A, Moye B, Blackburn K, Coughlin CG, Chase B, Wills K, O'Meara D. Trauma Informed Care Part 1. 12/2023. OPENPediatrics. Online Podcast: https://on.soundcloud.com/xZ1oU.

14m
Dec 12, 2023
Collective Voice: A Conversation About Complex Care And Disability In The Journal Pediatrics

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 University of Vermont Robert Larner, M.D. College of Medicine Cara L. Coleman, JD, MPH Associate Editor, Pediatrics Instructor of Medical Education, UVA Medicine Inova campus HOST Kathleen Huth, MD, MMSc Pediatrician, Complex Care Service, Division of General Pediatrics Boston Children's Hospital Assistant Professor of Pediatrics Harvard Medical School DATES Initial publication: December 4, 2023. ARTICLES REFERENCED https://publications.aap.org/pediatrics/pages/author-instructions#family_partnerships https://publications.aap.org/pediatrics/resources/26567/commentary-from-the-council-on-children-with Cohen E, Kuo DZ, Agrawal R, Berry JG, Bhagat SK, Simon TD, Srivastava R. Children with medical complexity: an emerging population for clinical and research initiatives. Pediatrics. 2011 Mar;127(3):529-38. doi: 10.1542/peds.2010-0910. Epub 2011 Feb 21. PMID: 21339266; PMCID: PMC3387912. Agrawal R, Stille C, Editors. Building Systems That Work for Children With Complex Health Care Needs March 2018, Vol 141, Supplement 3 https://publications.aap.org/pediatrics/issue/141/Supplement_3 Brown TW, McLellan SE, Mann MY, Scott JA. Guest Editors Blueprint for Change: A National Framework for a System of Services for Children and Youth with Special Health Care Needs June 2022, Vol 149, Supplement 7 https://publications.aap.org/pediatrics/issue/149/Supplement%207 TRANSCRIPT https://op-docebo-images.s3.amazonaws.com/Transcripts/+Collective+Voice_A+Conversation+about+Complex+Care_120523+.pdf Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: https://forms.gle/Bdxb86Sw5qq1uFhW6 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 between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access and thus at no expense to the user. CITATION First LR, Coleman CL, Huth K. Collective Voice: A Conversation about Complex Care and Disability in the Journal Pediatrics. 12/2023. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/collective-voice-a-conversation-about-complex-care-and-disability-in-the-journal-pediatrics

29m
Dec 04, 2023
"Immunoparalysis and the Future of Personalized Immunotherapy for Critically Ill Children"

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 immune phenotyping to personalize treatment for pediatric sepsis AUTHORS Mark W. Hall, MD, FAAP, FCCM Chief, Division of Critical Care Medicine Nationwide Children's Hospital Professor in the Department of Pediatrics Division of Critical Care Medicine Nationwide Children's Hospital and The Ohio State University College of Medicine Jeffrey Burns, MD, MPH Chief and Shapiro Chair, Division of Critical Care Medicine; Executive Chair, International Health Services Senior Associate in Critical Care Medicine; Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital Professor of Anesthesia Harvard Medical School DATES Initial publication: November 27, 2023. ARTICLES REFERENCED 15:48: Cornell TT, Sun L, Hall MW, et al. Clinical implications and molecular mechanisms of immunoparalysis after cardiopulmonary bypass. J Thorac Cardiovasc Surg. 2012;143(5):1160-1166.e1. doi:10.1016/j.jtcvs.2011.09.011 16:10 Collaborative Pediatric Critical Care Research Network, https://www.cpccrn.org/ 17:04 VanBuren JM, Hall M, Zuppa AF, et al. The Design of Nested Adaptive Clinical Trials of Multiple Organ Dysfunction Syndrome Children in a Single Study [published online ahead of print, 2023 Jul 27]. Pediatr Crit Care Med. 2023;10.1097/PCC.0000000000003332. doi:10.1097/PCC.0000000000003332 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 designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Hall MW, O’Hara JE, Burns JP. Immunoparalysis and the Future of Personalized Immunotherapy for Critically Ill Children. 11/2023. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/immunoparalysis-and-the-future-of-personalized-immunotherapy-for-critically-ill-children.

24m
Nov 27, 2023
Partnering in Pedagogy: Reflections of a Family Leader and Clinician-Educator by Diskin and Robinson

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, Department of Paediatrics, The Hospital for Sick Children Kate Robinson, MFA Founder and Artistic Director, Foxservingpie.org Mother of a child with medical complexity HOST Emily Goodwin, MD Clinical Associate Professor of Pediatrics, University of Missouri Kansas City School of Medicine Pediatrician, General Academic Pediatrics Beacon Program, Children’s Mercy Kansas City DATES Initial Publication: November 6, 2023. CITATION Diskin C, Robinson K, Goodwin EJ. Partnering in Pedagogy: Reflections of a Family Leader and Clinician-Educator. 11/2023. OPENPediatrics. Online Podcast. Links: https://youtu.be/o7qTC7WsAKg, https://soundcloud.com/openpediatrics/partnering-in-pedagogy-reflections-of-a-family-leader-and-clinician-educator. JOURNAL ARTICLE REFERENCED Diskin C, Robinson K, Agrawal R, Masterson D, Coleman C, Cohen E. Family Partnership in Continuing Medical Education: A Collaborative Experience. Pediatrics. 2023;151(5):e2022060280. doi:10.1542/peds.2022-060280 ADDITIONAL ARTICLES CITED Diskin C, Malik K, Gill PJ, Rashid N, Chan CY, Nelson KE, Thomson J, Berry J, Agrawal R, Orkin J, Cohen E. Research priorities for children with neurological impairment and medical complexity in high-income countries. Dev Med Child Neurol. 2022 Feb;64(2):200-208. doi: 10.1111/dmcn.15037. Epub 2021 Aug 30. PMID: 34462917; PMCID: PMC9291325. TRANSCRIPT https://op-docebo-images.s3.amazonaws.com/Transcripts/Partnering+in+Pedagogy+Reflections+of+a+Family+Leader+and+Clinician-Educator.pdf Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: https://forms.gle/Bdxb86Sw5qq1uFhW6 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 designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

25m
Nov 06, 2023
Pediatric Behavioral and Mental Health: Outpatient Behavior Management Counseling

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. LEARNING OBJECTIVES - Describe common challenging behaviors encountered at various stages of childhood and adolescence. - Create a safe space for children, adolescents, and their caretakers to share thoughts and concerns about behaviors. - Describe a framework for behavior dysregulation and an approach to its management. - Incorporate de-escalation and behavior modification strategies into routine well child visits. AUTHORS Daniel O'Meara, MD Pediatrics Resident Boston Combined Residency Program Boston Children's Hospital | Boston Medical Center Beverly Aiyanyor, MD Pediatrics Resident Boston Combined Residency Program Boston Children's Hospital | Boston Medical Center Brenna Chase, MD Chief Resident in Pediatrics Boston Combined Residency Program Urban Health and Advocacy Track Boston Children's Hospital | Boston Medical Center Katelin Blackburn, MD Adolescent Medicine Fellow Division of Adolescent and Young Adult Medicine Boston Children's Hospital DATES Initial Publication: November 3, 2023 CITATION O'Meara D, Perez C, Aiyanyor B, Chase B, Wills K, Blackburn K. Outpatient Behavior Management Counseling. 11/2023. OPENPediatrics. Online Course: https://learn.openpediatrics.org/learn/course/internal/view/elearning/5493/pediatric-behavioral-and-mental-health-outpatient-behavior-management-counseling. Video: https://youtu.be/wyo5oaMtFS0. Podcast: https://soundcloud.com/openpediatrics/pediatric-behavioral-and-mental-health-outpatient-behavior-management-counseling. 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 between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

15m
Nov 02, 2023
The World Federation Of Pediatric Intensive & Critical Care Societies: Insights From The President

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 - Describe examples of some of the WFPICCS subgroups, subcommittees, and the multidisciplinary evolution of the Federation - Preview features of and review deadlines for the upcoming WFPICCS Congress - Provide suggestions for those that might be trying to submit their work, particularly those coming from lower middle-income countries AUTHORS Brenda Morrow, PhD President World Federation of Pediatric Intensive & Critical Care Societies (WFPICCS) Physiotherapist and Full Professor Department of Paediatrics University of Cape Town, South Africa Traci Wolbrink MD, MPH Senior Associate in Critical Care Medicine Boston Children's Hospital Associate Professor of Anaesthesia Harvard Medical School DATES Initial Publication: October 24, 2023. CITATION Morrow BM, O’Hara JE, Wolbrink TA. The World Federation of Pediatric Intensive & Critical Care Societies: Insights from President Dr. Brenda Morrow. 10/2023. OPENPediatrics. Online Podcast. Links: https://youtu.be/2hdssv7N6qA, https://soundcloud.com/openpediatrics/the-world-federation-of-pediatric-intensive-critical-care-societies-insights-from-the-president. REFERENCES https://wfpiccs.org/ 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 designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

26m
Oct 24, 2023
"Surgical Palliation For Single Ventricle Lesions" by Madeleine Alvin & Annette Schure

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 • Describe the physiological consequences of the Fontan circulation • Recognize long term problems associated with the Fontan circulation AUTHORS Madeleine Alvin, MD Pediatric Anesthesiology Fellow Boston Children's Hospital Annette Schure, MD Senior Associate in Cardiac Anesthesia Boston Children's Hospital DATES Initial publication: October 19, 2023 CITATION Alvin ML, Marcley S, Soohey R, McFee AM, Wolbrink TA, Schure AY. Surgical Palliation for Single Ventricle Lesions. 10/2023. OPENPediatrics. Online Course: https://learn.openpediatrics.org/learn/course/internal/view/elearning/5439/Surgical-Palliation-for-Single-Ventricle-Lesions. Video: https://youtu.be/zptfxT1pjxg. Podcast: https://soundcloud.com/openpediatrics/surgical-palliation-for-single-ventricle-lesions-by-madeleine-alvin-for-openpediatrics/s-j1wNCnQ9ZIX. 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 designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

12m
Oct 17, 2023
Moyamoya Disease by Dr. Weston Northam, MD and Dr. Jessica Laird-Gion, MD

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 for surgery to treat moyamoya disease • Provide an anesthetic management plan to be used during surgery to treat moyamoya disease • Describe several operative approaches used to treat moyamoya disease • Anticipate the postoperative considerations following surgery to treat moyamoya disease AUTHORS Weston Northam, MD Shilito Clinical Staff Associate Boston Children's Hospital Edward Smith, MD, MBA Director, Pediatric Neurovascular Surgery Boston Children's Hospital Jessica Laird-Gion, MD Clinical Fellow in Pediatrics Boston Children's Hospital Jennifer Perez, MD Associate in Critical Care Medicine, Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital DATES Initial Publication: October 9, 2023. CITATION Northam W, Laird-Gion J, Soohey R, Marcley S, Marques B, Perez J, Smith ER, Wolbrink TA. Moyamoya. 10/2023. OPENPediatrics. Online Course. https://learn.openpediatrics.org/learn/course/internal/view/elearning/5472/moyamoya-disease. Video: https://youtu.be/2PWwtLTZAUs. Podcast: https://soundcloud.com/openpediatrics/moyamoya-disease/s-H6ggQgYd6xw. 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 between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by YouTube. We apologize for any inconvenience this may cause.

18m
Oct 09, 2023
Financial Compensation of Family Caregivers: Gaps in Practice and Policy by Dr. Mark Brittan

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, MD Assistant Professor of Pediatrics, University of Colorado Anschutz Medical Campus Pediatric Rehabilitation Medicine, Children's Hospital Colorado DATES Initial Publication: October 9, 2023 CITATION JOURNAL ARTICLE REFERENCED Brittan MS, Chavez C, Blakely C, Holliman BD, Zuk J. Paid Family Caregiving for Children With Medical Complexity. Pediatrics. 2023;151(6):e2022060198. doi:10.1542/peds.2022-060198 OTHER ARTICLES REFERENCED Foster CC, Kwon S, Blakely C, Carter K, Sobotka SA, Goodman DM, Agrawal R, Brittan M. Paying Family Medical Caregivers for Children's Home Healthcare in Colorado: A Working Medicaid Model. J Pediatr. 2023 Feb 10;261:113347. doi: 10.1016/j.jpeds.2022.12.043. Epub ahead of print. PMID: 36775189; PMCID: PMC10412725. Kaye N, Teshale S. Medicaid Supports for Family Caregivers. National Academy for State Health Policy. October 2020. Accessed September 22, 2023. https://www.nashp.org/wp‐content/uploads/2020/10/Medicaid‐Supports‐for‐Family‐Caregivers.pdf TRANSCRIPT https://op-docebo-images.s3.amazonaws.com/Transcripts/Financial+Compensation+of+Family+Caregivers_Brittan_100923.pdf Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: https://forms.gle/Bdxb86Sw5qq1uFhW6 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 designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

20m
Oct 09, 2023
"Video Laryngoscopy to Improve Intubation Success in Pediatrics" by Dr. Akira Nishisaki

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 registry for advanced pediatric airway management - Describe the implementation process for video laryngoscopy-assisted coaching in the PICU - Compare NEAR4KIDS findings to adult and neonatal data - Review additional active and upcoming NEAR4KIDS projects AUTHORS Akira Nishisaki, MD, MSCE Attending Physician, Critical Care Medicine Co-Medical Director, Center for Simulation, Advanced Education, and Innovation Children's Hospital of Philadelphia Associate Professor of Anesthesiology, Critical Care, and Pediatrics University of Pennsylvania Perelman School of Medicine Traci Wolbrink MD, MPH Senior Associate in Critical Care Medicine Boston Children's Hospital Associate Professor of Anaesthesia Harvard Medical School DATES Initial publication: September 20, 2023. CITATION Nishisaki A, O’Hara JE, Wolbrink TA. Video Laryngoscopy to Improve Intubation Success in Pediatrics. 9/2023. OPENPediatrics. Online Podcast. Links: https://youtu.be/P0KQZVpKKuY. https://soundcloud.com/openpediatrics/video-laryngoscopy-to-improve-intubation-success-in-pediatrics-by-dr-akira-nishisaki. ARTICLES REFERENCED •Giuliano J Jr, Krishna A, Napolitano N, et al. Implementation of Video Laryngoscope-Assisted Coaching Reduces Adverse Tracheal Intubation-Associated Events in the PICU. Crit Care Med. 2023;51(7):936-947. doi:10.1097/CCM.0000000000005847 ADDITIONAL RESOURCES •NEAR4Kids: https://www.research.chop.edu/near4kids •NEAR4NEOS: https://www.research.chop.edu/near4neos •NEAR4PEM: https://www.research.chop.edu/near4pem 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 designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

25m
Sep 20, 2023
Telling Their Stories: Discrimination at the Doctor for Children with Disabilities

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 Utah School of Medicine HOST Kristina Malik, MD Assistant Professor of Pediatrics University of Colorado School of Medicine Medical Director, KidStreet Pediatrician, Special Care Clinic, Children's Hospital Colorado DATES Initial publication: September 6, 2023 CITATION Ames SG, Malik K. Telling their Stories: Discrimination at the Doctor for Children with Disabilities. 09/2023. OPENPediatrics. Online Podcast. Links: https://youtu.be/xkoS0qhCtiE, https://soundcloud.com/openpediatrics/telling-their-stories-discrimination-at-the-doctor-for-children-with-disabilities. JOURNAL ARTICLE REFERENCED Ames SG, Delaney RK, Houtrow AJ, et al. Perceived Disability-Based Discrimination in Health Care for Children With Medical Complexity. Pediatrics. 2023;152(1):e2022060975. doi:10.1542/peds.2022-060975 OTHER ARTICLES REFERENCED Cook S, Mauskar S, Berry JG. Discriminating Against Children With Medical Complexity. Pediatrics. 2023 Jul 1;152(1):e2023061604. doi: 10.1542/peds.2023-061604. PMID: 37357723. Marshall W. Improving care for CMC is also a systems issue. [Comment on the article ""Perceived Disability-Based Discrimination in Health Care for Children With Medical Complexity""]. Pediatrics July 2023. TRANSCRIPT https://op-docebo-images.s3.amazonaws.com/Transcripts/Discrimination+at+the+Doctor_Ames_090623.pdf Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: forms.gle/Bdxb86Sw5qq1uFhW6 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 designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

21m
Sep 06, 2023
"Individualized Hemodynamic Support for Pediatric Patients with Septic Shock"

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, learners will be able to: - Describe the challenges to the early recognition of septic shock in children through a global lens - Introduce the concepts of flow, pressure, and filling in the context of septic shock and their clinical application - Discuss the individualized approach to fluid use in the treatment of septic shock in pediatric patients - Review the literature surrounding the use of fluids in pediatrics and adults AUTHORS Suchitra Ranjit, MD Chief, Pediatric Intensive Care Unit Apollo Children's Hospital, Chennai, India Luregn Schlapbach, Prof, MD, PhD, FCICM Head, Department of Intensive Care and Neonatology University Children`s Hospital Zurich, Switzerland DATES: Initial publication: August 22, 2023 CITATION: Ranjit S, Schlapbach LJ, O’Hara JE, Wolbrink TA. Individualized Hemodynamic Support for Pediatric Patients with Septic Shock. 08/2023. OPENPediatrics. Online Podcast. YT: https://youtu.be/AK6Uz_hZ_SY SC: https://soundcloud.com/openpediatrics/individualized-hemodynamic-support-for-pediatric-patients-with-septic-shock. ARTICLED REFERENCED: - Ranjit S, Kissoon N, Argent A, et al. Haemodynamic support for paediatric septic shock: a global perspective. Lancet Child Adolesc Health. 2023;7(8):588-598. doi:10.1016/S2352-4642(23)00103-7 - Fleischmann-Struzek C, Goldfarb DM, Schlattmann P, Schlapbach LJ, Reinhart K, Kissoon N. The global burden of paediatric and neonatal sepsis: a systematic review. Lancet Respir Med. 2018;6(3):223-230. doi:10.1016/S2213-2600(18)30063-8 (1:15) - Maitland K, Kiguli S, Opoka RO, et al. Mortality after fluid bolus in African children with severe infection. N Engl J Med. 2011;364(26):2483-2495. doi:10.1056/NEJMoa1101549 (4:58) - Gu W, Deng X, Lee M, et al. Rapid pathogen detection by metagenomic next-generation sequencing of infected body fluids. Nat Med. 2021;27(1):115-124. doi:10.1038/s41591-020-1105-z (14:02) - Meyhoff TS, Hjortrup PB, Wetterslev J, et al. Restriction of Intravenous Fluid in ICU Patients with Septic Shock. N Engl J Med. 2022;386(26):2459-2470. doi:10.1056/NEJMoa2202707 (24:50) - National Heart, Lung, and Blood Institute Prevention and Early Treatment of Acute Lung Injury Clinical Trials Network, Shapiro NI, Douglas IS, et al. Early Restrictive or Liberal Fluid Management for Sepsis-Induced Hypotension. N Engl J Med. 2023;388(6):499-510. doi:10.1056/NEJMoa2212663 (24:52) 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 designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

37m
Aug 22, 2023
Improving Health of Children with Medical Complexity in the Community: Literature and its Limits

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 Pittsburgh School of Medicine Pediatrician, Division of Palliative Medicine and Supportive Care and Division of General Academic Pediatrics, UPMC Children’s Hospital of Pittsburgh HOST Kathleen Huth, MD, MMSc Assistant Professor of Pediatrics, Harvard Medical School Pediatrician, Complex Care Service, Department of Pediatrics, Boston Children's Hospital DATES Initial publication: August 9, 2023 CITATION Watkinson MD, Huth K. Improving Health of Children with Medical Complexity in the Community: Literature and its Limits. 08/2023. OPENPediatrics. Online Podcast. Links: https://youtu.be/N8tSUjCFR80, https://on.soundcloud.com/Ry19W. ARTICLES REFERENCED Barnert ES, Coller RJ, Nelson BB, Thompson LR, Klitzner TS, Szilagyi M, Breck AM, Chung PJ. A Healthy Life for a Child With Medical Complexity: 10 Domains for Conceptualizing Health. Pediatrics. 2018 Sep;142(3):e20180779. doi: 10.1542/peds.2018-0779. Epub 2018 Aug 17. PMID: 30120101. TRANSCRIPT https://op-docebo-images.s3.amazonaws.com/Transcripts/Improving+Health+of+Children+with+Medical+Complexity_Watkinson_080723.pdf Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: forms.gle/Bdxb86Sw5qq1uFhW6 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 designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.eduPlease 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 between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

20m
Aug 07, 2023
Exploring Roles and Goals of Palliative Care and Complex Care

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 mentioned in the episode, please visit complexcarehome.com and scroll down to the bottom of the webpage for the link to join. SPEAKERS P. Galen DiDomizio, MD Assistant Professor of Pediatrics, Division of Complex Care Medical College of Wisconsin Dominic Moore, MD Associate Professor and Division Chief, Pediatric Palliative Care Department of Pediatrics, University of Utah School of Medicine HOST Kilby Mann, MD Assistant Professor Pediatric Rehabilitation Medicine Children's Hospital Colorado DATES Initial publication: July 11, 2023 CITATION DiDomizio PG, Moore D, Mann K. Exploring Roles and Goals of Palliative Care and Complex Care. 07/2023. OPENPediatrics. Online Podcast. Links: https://youtu.be/RffkiH9pw80, https://soundcloud.com/openpediatrics/exploring-roles-and-goals-of-palliative-care-and-complex-care. ARTICLES REFERENCED DiDomizio PG, Millar MM, Olson L, Murphy N, Moore D. Palliative Care Needs Assessment for Pediatric Complex Care Providers. J Pain Symptom Manage. 2023;65(2):73-80. doi:10.1016/j.jpainsymman.2022.11.005 TRANSCRIPT https://op-docebo-images.s3.amazonaws.com/Transcripts/Exploring+Roles+and+Goals+of+Palliative+Care+and+Complex+Care_Moore+%26+DiDomizio_071123.pdf Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: forms.gle/Bdxb86Sw5qq1uFhW6 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 designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

23m
Jul 11, 2023
Trust Their Gut: Family Level of Concern and Clinical Changes in Children with Medical Complexity

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 of Pediatric Complex Care Department of Pediatrics, University of Utah School of Medicine HOST Emily Goodwin, MD General Academic Pediatrics/Beacon Program Children’s Mercy Kansas City Broadway Associate Director of Medical Student Education Clinical Assistant Professor of Pediatrics University of Missouri Kansas City School of Medicine Clinical Assistant Professor of Pediatrics Kansas University Medical Center DATES Initial publication: June 28, 2023. CITATION Murphy N, Goodwin E. Trust Their Gut: Family Level of Concern and Clinical Changes in Children with Medical Complexity. 06/2023. OPENPediatrics. Online Podcast. Links: https://youtu.be/4RJAzlOnDo0, https://soundcloud.com/openpediatrics/trust-their-gut-family-level-of-concern-and-clinical-changes-in-children-with-medical-complexity. ARTICLES REFERENCED Nkoy F, Stone B, Sheng X, Murphy N. High Parental Concern in Children With Medical Complexity: An Early Indicator of Illness. Hosp Pediatr. 2023;13(3):250-257. doi:10.1542/hpeds.2022-006876 TRANSCRIPT https://op-docebo-images.s3.amazonaws.com/Transcripts/Trust+Their+Gut+-+Family+Level+of+Concern+and+Clinical+Changes+in+Children+with+Medical+Complexity_Murphy_062023.pdf Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: forms.gle/Bdxb86Sw5qq1uFhW6 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 between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

17m
Jun 28, 2023
"Updates from the Editor-in-Chief of Pediatric Critical Care Medicine" by Dr. Robert Tasker

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 Critical Care Medicine publications during the first half of 2023 • Identify potential issues related to the use of ChatGPT in the submission and review of journal articles • Discuss research opportunities in the field of pediatric critical care and advice for emerging investigators AUTHORS Robert C. Tasker, MBBS, MD Editor-in-Chief, Pediatric Critical Care Medicine Pediatric Critical Care Medicine Senior Associate in Critical Care Medicine, Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital Professor of Anesthesia Harvard Medical School College Lecturer in Medicine and Graduate Tutor Selwyn College, University of Cambridge Jeffrey Burns, MD, MPH Chief and Shapiro Chair, Division of Critical Care Medicine; Executive Chair, International Health Services Senior Associate in Critical Care Medicine; Department of Anesthesiology, Critical Care and Pain Medicine Boston Childrens Hospital Professor of Anesthesia Harvard Medical School DATES Initial publication date: June 21, 2023. CITATION Tasker RC, O’Hara JE, Burns JP. Updates from the Editor-in-Chief of Pediatric Critical Care Medicine. 06/2023. OPENPediatrics. Online Podcast. Links: https://youtu.be/RBzpyBhunyk, https://soundcloud.com/openpediatrics/updates-from-the-editor-in-chief-of-pediatric-critical-care-medicine-by-dr-robert-tasker. ARTICLES REFERENCED • Verlaat CW, Zegers M, Klein R, et al. Adverse Events in Pediatric Critical Care Nonsurvivors With a Low Predicted Mortality Risk: A Multicenter Case Control Study. Pediatr Crit Care Med. 2023;24(1):4-16. doi:10.1097/PCC.0000000000003103 (4:04) • Lima-Setta F, de Moraes CL, Silami PHNC, et al. Mental Health and Emotional Disorders During the COVID-19 Pandemics: Prevalence and Extent in PICU Staff. Pediatr Crit Care Med. 2023;24(4):277-288. doi:10.1097/PCC.0000000000003119 (4:27) • Colville, Gillian PhD. “How Was Work Today?”*. Pediatric Critical Care Medicine 24(4):p 338-341, April 2023. | DOI: 10.1097/PCC.0000000000003179 (4:35) • Williams EP, Madrigal VN, Leone TA, Aponte-Patel L, Baird JD, Edwards JD. Primary Intensivists and Nurses for Long-Stay Patients: A Survey of Practices and Perceptions at Academic PICUs. Pediatr Crit Care Med. 2023;24(6):436-446. doi:10.1097/PCC.0000000000003181 (5:07) • Emeriaud G, López-Fernández YM, Iyer NP, et al. Executive Summary of the Second International Guidelines for the Diagnosis and Management of Pediatric Acute Respiratory Distress Syndrome (PALICC-2). Pediatr Crit Care Med. 2023;24(2):143-168. doi:10.1097/PCC.0000000000003147 (6:34) • Plante V, Poirier C, Guay H, et al. Elevated Diaphragmatic Tonic Activity in PICU Patients: Age-Specific Definitions, Prevalence, and Associations. Pediatr Crit Care Med. 2023;24(6):447-457. doi:10.1097/PCC.0000000000003193 (6:59) • Savorgnan F, Hassan A, Borges N, Acosta S. Pulse Oximetry and Arterial Saturation Difference in Pediatric COVID-19 Patients: Retrospective Analysis by Race. Pediatr Crit Care Med. 2023;24(6):458-462. doi:10.1097/PCC.0000000000003208 (7:45 ) • Carrol ED, Ranjit S, Menon K, et al. Operationalizing Appropriate Sepsis Definitions in Children Worldwide: Considerations for the Pediatric Sepsis Definition Taskforce. Pediatr Crit Care Med. 2023;24(6):e263-e271. doi:10.1097/PCC.0000000000003263 (12:57)

27m
Jun 23, 2023
"Sickle Cell Disease" by Virginia Tran and Dr. Natasha Archer for OPENPediatrics

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, McFee AM, Wolbrink TA, Archer N. Sickle Cell Disease. 06/2023. OPENPediatrics. Online Course. https://learn.openpediatrics.org/learn/course/internal/view/elearning/5419/sickle-cell-disease. Video: https://youtu.be/CI-qlA_pAAI. Podcast: https://soundcloud.com/openpediatrics/sickle-cell-disease-by-virginia-tran-and-dr-natasha-archer-for-openpediatrics. 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 designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

16m
Jun 09, 2023
"Sepsis Guidelines for Early Recognition, Resuscitation, and Management: Global Perspectives"

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 either the development or implementation of sepsis guidelines in their institution. • ONE challenge/ failure in either the development or implementation of sepsis guidelines in their institutions. Introduction: Brenda Morrow, PhD, BSc Physiotherapist/Professor Department of Paediatrics University of Cape Town (UCT) Cape Town, South Africa Moderator: Mark Ansermino MBBCh, MMed, MSC, FFA (SA), FRCPC Investigator, BC Children's Hospital Director, Centre for International Child Health, BC Children's Hospital Vancouver, BC, Canada Panelists: John Adabie Appiah MBChB, MWACP, MGCPS, Cert. Crit. Care, MPhil Crit. Care (UCT) Senior Specialist and Founding Head of PICU Komfo Anokye Teaching Hospital Kumasi, Ghana Werther Bruno de Carvalho MD, PhD, FCCM Professor of Pediatric Intensive Care/Neonatology Department of Pediatrics Faculty of Medicine - University of São Paulo São Paulo, Brazil Ener Çağri Dinleyici MD, PhD Eskisehir Osmangazi University Faculty of Medicine Department of Pediatrics Eskisehir, Turkey Cintia Johnston RRT, MsC, PhD Physiotherapist Clinical Research Assistent Professor of Neonatology and Intensive Care Pediatrics Department Medical University of São Paulo - FMUSP São Paulo, Brazil Teresa Bleakly Kortz MD, MS, PhDc Pediatrician and Assistant Clinical Professor, Division of Pediatric Critical Care Associate Professor of Clinical Pediatrics in Critical Care Medicine Affiliate Faculty of the Institute for Global Health Sciences Co-director of the Pediatric Global Health Pathway,UCSF San Francisco, California, USA Suchitra Ranjit MD, FCCM Head of the Department of Pediatric Emergency and Critical Care Apollo Children's Hospital Chennai, India Gerri Sefton PhC, MSc, BSc, RGN/RSCN Advanced Nurse Practitioner/PICU Alder Hey Children's Hospital Liverpool, England, United Kingdom

56m
Jun 08, 2023
Navigating the Intersection Between Medical Complexity and Mental Health in the Emergency Department

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 Ramgopal, MD Assistant Professor of Pediatrics, Northwestern Medicine Feinberg School of Medicine Attending Physician, Pediatric Emergency Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago Carolyn C. Foster, MD, MS Assistant Professor of Pediatrics, Northwestern University Feinberg School of Medicine Advanced General Pediatrics and Primary Care, Ann & Robert H. Lurie Children's Hospital of Chicago HOST Kristina Malik, MD Assistant Professor of Pediatrics, University of Colorado School of Medicine Medical Director, KidStreet Pediatrician, Special Care Clinic, Children's Hospital Colorado DATES Initial publication: May 25, 2023 CITATION Ramgopal S, Foster CC, Malik K. Navigating the Intersection Between Medical Complexity and Mental Health in the Emergency Department. 05/2023. OPENPediatrics. Online Podcast. Links: https://youtu.be/wvA4t9nyeo0, https://soundcloud.com/openpediatrics/navigating-the-intersection-between-medical-complexity-and-mental-health-in-the-emergency-department ARTICLES REFERENCED Ramgopal S, Goodman DM, Kan K, Smith T, Foster CC. Children With Medical Complexity and Mental and Behavioral Disorders in the Emergency Department. Hosp Pediatr. 2023 Jan 1;13(1):9-16. doi: 10.1542/hpeds.2022-006835. TRANSCRIPT https://bit.ly/43gOapo Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: https://forms.gle/Bdxb86Sw5qq1uFhW6 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 designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

24m
May 25, 2023
"Innovations in Education and Training in India" by Dr. Ebor Jacob James for OPENPediatrics

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 and non-healthcare professionals. Finally, Dr. Jacob James gives advice for learners interested in a career in medical education. Upon listening to this presentation, learners will be able to: - Identify the current state of pediatric critical care training in India - Describe the impact of pediatric simulation training in India on clinical practice - Discuss several educational innovations in India including the PediSTARS program and the Stop the Bleed Project Chapters 01:10 Current state of pediatric critical care training in India 07:21 Growth of simulation-based education and training 16:59 Virtual and distance simulation during the COVID-19 pandemic 22:06 The Stop the Bleed project 24:09 Advice for students interested in a career in medical education Publication date: May 23, 2023 Citation: James EJG, O’Hara JE, Wolbrink TA. Innovations in Education and Training in India. 05/2023. OPENPediatrics. Online Video: https://youtu.be/0nSnxcnWDmY. Podcast: https://on.soundcloud.com/jASqa. Articles Referenced: •Bhalala U, Khilnani P. Pediatric Critical Care Medicine Training in India: Past, Present, and Future. Front Pediatr. 2018;6:34. Published 2018 Feb 26. doi:10.3389/fped.2018.00034 •Ramachandra G, Deutsch ES, Nadkarni VM. A Road Map for Simulation Based Medical Students Training in Pediatrics: Preparing the Next Generation of Doctors. Indian Pediatr. 2020;57(10):950-956. •James EJG, Vyasam S, Venkatachalam S, et al. Low-Cost "Telesimulation" Training Improves Real Patient Pediatric Shock Outcomes in India. Front Pediatr. 2022;10:904846. Published 2022 Jul 26. doi:10.3389/fped.2022.904846 •Geethanjali Ramachandra, G.V. Ramana Rao, Shailaja Tetali, Devendar Karabu, Manideep Kanagala, Srinivas Puppala, Rani Janumpally, H.V. Rajanarsing Rao, Brendan Carr, Steven C. Brooks, Vinay Nadkarni, Active bleeding control pilot program in India: Simulation training of the community to stop the bleed and save lives from Road Traffic Injuries, Clinical Epidemiology and Global Health, Volume 11, 2021, 100729, ISSN 2213-3984, https://doi.org/10.1016/j.cegh.2021.100729. Additional References: Citation: James EJG, O’Hara JE, Wolbrink TA. Innovations in Education and Training in India. 05/2023. OPENPediatrics. Online Video: https://youtu.be/0nSnxcnWDmY. Podcast: https://soundcloud.com/openpediatrics/innovations-in-education-and-training-in-india-by-dr-ebor-jacob-james-for-openpediatrics. 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 between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by Youtube. We apologize for any inconvenience this may cause.

27m
May 23, 2023