This video offers a review of the normal embryologic development of the female reproductive tract; the embryologic errors underlying non-obstructive uterine anomalies and the conditions associated with and fertility implications of these anomalies; and the epidemiology, clinical presentation, and management of obstructive anomalies.

Initial publication: April 16, 2021

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

Anomalies of the Female Reproductive Tract by A. Littman | OPENPediatrics

In this Nursing World Shared Practice Forum podcast, Dr. Patricia Dwyer and Ms. Michelle Schuster share their research on Post-Traumatic Stress Disorder (PTSD) in the nursing field. They discuss how to identify symptoms and potential causes of PTSD for nurses. Dr. Patricia Dwyer and Ms. Michelle Schuster also discuss which nursing subspecialties carry a higher risk for PTSD and offer coping strategies for managing symptoms.

Learning Objectives
•	Identify symptoms of PTSD
•	Recognize which personality types could be more susceptible to PTSD
•	Learn the prevalence rate of PTSD amongst pediatric subspecialties
•	List coping strategies for managing PTSD symptoms

Publication Date: October 19, 2021.

Citation: Dwyer P, Schuster M, DeGrazia M. Mental Health and PTSD in the Nursing Profession. 10/2021. Online Podcast. OPENPediatrics.  https://soundcloud.com/openpediatrics/mental-health-and-ptsd-in-the-nursing-profession

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 a 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

Mental Health and PTSD in the Nursing Profession by P. Dwyer, M. Schuster | OPENPediatrics

In this World Shared Practice Forum podcast, Dr. Martin Kneyber, Chief of the Division of Paediatric Critical Care Medicine at the Beatrix Children’s Hospital, provides an insightful overview of the current state of thinking regarding the concepts of mechanical power and driving pressure in adult and pediatric mechanical ventilation. He provides his perspective on current evidence-based best practices for lung protective ventilation in pediatric ARDS, and highlights important areas for ongoing and future research.

Learning Objectives:
-Review the concepts and interrelations between mechanical power, driving pressure, plateau pressure
-Understand the state of evidence linking driving pressure to outcomes in adult and pediatric patients receiving mechanical ventilation
-Describe current evidence-based best clinical practices in adjusting mechanical ventilation in pediatric patients with acute respiratory distress syndrome (ARDS)

Articles referenced:
•  Kneyber MC. Driving Pressure and Mechanical Power: The Return of Physiology in Pediatric Mechanical Ventilation. Pediatric Critical Care Medicine. 2021 Oct 1;22(10):927-9. (00:57) 
• Díaz, Franco, González-Dambrauskas, Sebastián, Cristiani, Federico, Casanova, Daniel R., Cruces, Pablo, Driving Pressure and Normalized Energy Transmission Calculations in Mechanically Ventilated Children Without Lung Disease and Pediatric Acute Respiratory Distress Syndrome, Pediatric Critical Care Medicine: 2021 Oct 1;22(10):870-8 (2:01) 
• 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. (5:58) 
• van Schelven P, Koopman AA, Burgerhof JGM, Markhorst DG, Blokpoel RGT, Kneyber MCJ. Driving Pressure Is Associated With Outcome in Pediatric Acute Respiratory Failure [published online ahead of print, 2021 Oct 20]. Pediatr Crit Care Med. 2021;10.1097/PCC.0000000000002848.(8:17) 

Publication Date: November 22, 2021.

Citation: Kneyber M, Daniel D, Burns JP. Driving Pressure: The return of physiology in pediatric mechanical ventilation. 11/2021. Online Podcast. OPENPediatrics. https://soundcloud.com/openpediatrics/driving-pressure-the-return-of-physiology-in-pediatric-mechanical-ventilation-dr-martin-kneyber.

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 a 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

Driving Pressure: The Return of Physiology in Pediatric Mechanical Ventilation by M. Kneyber

This video is a part of our Pain Series. In this episode, Dr. Jean Solodiuk reviews approaches to the recognition and assessment of pain in children with intellectual disability. Dr. Solodiuk describes ways to define and measure pain in an individualized fashion, discusses collaborative approaches to pain management involving caregivers, and illustrates these principles using case examples.

The Pain Series is funded through the generosity of the MAYDAY Fund, which has, over the years, supported investigators and projects that have dramatically improved the pain management of children throughout the world.

LEARNING OBJECTIVES
Upon viewing this presentation, participants will be able to:
• Recognize the sources of complexity in defining the pain experience in children with intellectual disability
• Apply an individualized approach to describing pain behaviors and severity for medically complex patients
• Develop strategies to include caregivers in the assessment and management of pain

CHAPTERS
00:00 Introduction
01:05 Behavior never lies
04:14 Definitions and overview
12:05 Pain assessment scales
14:49 Pain in children with medical complexity
19:21 Case Study #1
24:43 Understanding the pain behaviors of nonverbal children with intellectual disability
31:13 Case Study #2

ARTICLES REFERENCED
• 2:00 McCrea RT, Tanke DH, Buckley LG, et al. Vertebrate Ichnopathology: Pathologies Inferred from Dinosaur Tracks and Trackways from the Mesozoic. Ichnos 2015;22:3-4,235-260.
• 8:31 Melzack R, Wall PD. Pain mechanisms: a new theory. Science. 1965;150(3699):971-979.
• 34:40 Morse BL, Solodiuk JC, Greco CD, Mauskar S, Hauer J. Initial Validation of GRASP: A Differential Diagnoses Algorithm for Children With Medical Complexity and an Unknown Source of Pain. Hosp Pediatr. 2020;10(8):633-640.

DATES
Initial publication date: December 22, 2022

CITATION
Solodiuk J, Perez C, Daniel D, Wolbrink TA. Understanding the pain behaviors of nonverbal children with intellectual disability. 12/2022. Online Video. OPENPediatrics. https://youtu.be/-3dxNVOZv-Y.

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

Understanding the Pain Behaviors of Nonverbal Children with Intellectual Disability by J. Solodiuk

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.

Bedside Implementation of the PALICC-2 Guidelines by M. Kneyber | OPENPediatrics

In this special Complex Care Journal Club podcast episode, co-hosts Kristie Malik, Emily Goodwin and Kathleen Huth interview presenters of posters and oral abstracts relevant to the care of children with medical complexity at the Pediatric Academic Societies (PAS) 2024 annual meeting. Speakers describe the implications of their study findings, messages for patients and families, and priority areas for research that they hope can be investigated further by the complex care community in the coming years.

SPEAKERS
Mary Arakelyan, MPH
Research Project Manager
Dartmouth Health Children's
 
Tammie Dewan, MD, MSc
Clinical Assistant Professor
Department of Pediatrics, University of Calgary
Pediatrician, Alberta Children's Hospital
 
Caleb Easterly, BA
MD/PhD Student
University of North Carolina School of Medicine
 
Kevin Huynh, MS
Medical Student
University of Pittsburgh School of Medicine
 
Ruchi Kaushik, MD, MEd, MPH
Medical Director of Education and Research
Imagine Pediatrics, Houston TX
 
Joanna Leyenaar, MD, PhD
Professor, Department of Pediatrics
Dartmouth Health Children's﻿
 
Savithri Nageswaran, MD, MPH
Professor, Department of Pediatrics
Wake Forest University School of Medicine
 
Julia Reedy, MA
Qualitative Analyst
ACCORDS, University of Colorado

S. Margaret Wright, MD, MPH
Clinical Assistant Professor of Pediatrics
University of Missouri-Kansas City School of Medicine

Justin Yu, MD, MS
Assistant Professor of Pediatrics
UPMC Children’s Hospital of Pittsburgh

HOSTS
Kristina Malik, MD
Pediatrician, Special Care Clinic,
Children's Hospital Colorado

Emily J Goodwin, MD
Pediatrician, General Academic Pediatrics Beacon Program
Children’s Mercy Kansas City

Kathleen Huth, MD, MMSc
Pediatrician, Complex Care Service, Division of General Pediatrics
Boston Children's Hospital

DATE
Initial publication: May 15, 2024.

REFERENCES
Fehlings D, Agnew B, Gimeno H, Harvey A, Himmelmann K, Lin JP, Mink JW, Monbaliu E, Rice J, Bohn E, Falck-Ytter Y. Pharmacological and neurosurgical management of cerebral palsy and dystonia: Clinical practice guideline update. Dev Med Child Neurol. 2024 Apr 19. doi: 10.1111/dmcn.15921. Epub ahead of print. PMID: 38640091. 

Pediatric Academic Societies. Who we are. Accessed May 6, 2024. https://www.pas-meeting.org/about/

TRANSCRIPT


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, thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

CITATION
Malik K, Goodwin EJ, Arakelyan M, Dewan T, Easterly C, Huynh K, Kaushik R, Leyenaar J, Nageswaran S, Reedy J, Wright SM, Yu J, Huth K. Practice-Changing Research in Complex Care at the Pediatric Academic Societies 2024 Annual Meeting. 5/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/practice-changing-research-in-complex-care-at-the-pediatric-academic-societies-2024-annual-meeting

Practice-Changing Research in Complex Care at the Pediatric Academic Societies 2024 Annual Meeting

In this World Shared Practice Forum podcast, Drs. Sapna Kudchadkar﻿ and Kate Madden discuss early mobilization programs in pediatric intensive care units (PICUs). They highlight the importance of interdisciplinary collaboration, including the need for shared mental frameworks regarding sedation practices and delirium screening and management. Dr. Kudchadkar﻿ describes the potential risks of delirium, the benefits of keeping patients oriented and engaged, and highlights the need for sustainability of early mobilization. She also discusses the implementation and challenges of the PICU UP! program.

LEARNING OBJECTIVES
Following this discussion, learners will be able to:
- Discuss the importance of early mobilization in PICU
- Explain the risks of delirium, as well as appropriate screening and management 
- Identify the origins, goals, and benefits of the PICU Up! program

AUTHORS
Sapna Kudchadkar, MD, PhD, FCCM
Professor, Anesthesiologist-in-Chief of Johns Hopkins Children's Center, Vice Chair for Pediatric Anesthesiology and Critical Care Medicine, Director of the John Hopkins PICU Up! Program
Johns Hopkins University School of Medicine

Kate Madden, MD
Senior Associate, BCH Medical-Surgical ICU
Boston Children's Hospital
Assistant Professor of Anesthesiology
Harvard Medical School

DATE
Initial publication date: May 24, 2024.

ARTICLES REFERENCED
00:04:43 Wieczorek B, Ascenzi J, Kim Y, et al. PICU Up!: Impact of a Quality Improvement Intervention to Promote Early Mobilization in Critically Ill Children. Pediatr Crit Care Med. 2016;17(12):e559-e566. doi:10.1097/PCC.0000000000000983 (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5138131/)

00:06:32 Marra A, Ely EW, Pandharipande PP, Patel MB. The ABCDEF Bundle in Critical Care. Crit Care Clin. 2017;33(2):225-243. doi:10.1016/j.ccc.2016.12.005 (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5351776)

00:06:37 ICU liberation initiative (https://www.sccm.org/iculiberation)

00:33:24 Lin JC, Srivastava A, Malone S, et al. Caring for Critically Ill Children With the ICU Liberation Bundle (ABCDEF): Results of the Pediatric Collaborative. Pediatr Crit Care Med. 2023;24(8):636-651. doi:10.1097/PCC.0000000000003262 (https://pubmed.ncbi.nlm.nih.gov/37125798/)

00:34:32 Kudchadkar SR, Nelliot A, Awojoodu R, et al. Physical Rehabilitation in Critically Ill Children: A Multicenter Point Prevalence Study in the United States. Crit Care Med. 2020;48(5):634-644. doi:10.1097/CCM.0000000000004291 (https://pubmed.ncbi.nlm.nih.gov/32168030/)

00:39:40 X @SapnaKMD (https://x.com/sapnakmd)

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

Kudchadkar SR, O’Hara JE, Madden K. PICU Up!: Collaboration for Success by S. Kudchadkar | OPENPediatrics. 05/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/picu-up-collaboration-for-success-by-s-kudchadkar-openpediatrics

PICU Up!: Collaboration for Success by S. Kudchadkar | OPENPediatrics

In this Complex Care Journal Club podcast episode, Dr. Sarah Sobotka discusses a mixed-methods study with longitudinal assessment of neurodevelopmental profiles of children requiring mechanical ventilation after hospital discharge and perceived influences on development. She describes lessons learned while designing and performing the study, the need for dedicated therapeutic strategies for this patient population, and next steps from this work.

SPEAKER
Sarah Sobotka, MD, MSCP
Assistant Professor
Section of Developmental and Behavioral Pediatrics, Department of Pediatrics,
University of Chicago

HOST
Kilby Mann, MD
Assistant Professor
Pediatric Rehabilitation Medicine
Children's Hospital Colorado

DATE
Initial publication date: June 10, 2024.

JOURNAL CLUB ARTICLES
Sobotka SA, Lynch E, Liao C, Graham RJ, Msall ME. Autism and neurodevelopmental disability risks in children with tracheostomies and ventilators. Pediatr Pulmonol. 2024 Mar 1. doi: 10.1002/ppul.26921. Epub ahead of print. PMID: 38426806.

Sobotka SA, Lynch E, Msall ME, Graham RJ. Early childhood developmental skills of children with tracheostomies and ventilators recently discharged home. Pediatr Pulmonol. 2023 Mar;58(3):853-865. doi: 10.1002/ppul.26265. Epub 2022 Dec 28. PMID: 36448249; PMCID: PMC10680148.

TRANSCRIPT

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
Sobotka SA, Mann K. Need for Neurodevelopmental Follow-up for Children with Invasive Mechanical Ventilation. 6/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/need-for-neurodevelopmental-follow-up-for-children-with-invasive-mechanical-ventilation

Need for Neurodevelopmental Follow-up for Children with Invasive Mechanical Ventilation

In this World Shared Practice Forum podcast, PICU podcasters share their insights on how to get started and deliver successful podcasts. Key points include strategies for finding co-hosts and guests, ways to promote podcasts, and the importance of finding ways to incorporate podcasts into academic CVs.‌

LEARNING OBJECTIVES
Following this discussion, learners will be able to:
- Discuss strategies to identify podcast co-hosts and guests
- Describe ways that podcasts can be shared with potential listeners 
- Compose an academic CV that includes podcasts and appropriate metrics

AUTHORS
Peta Alexander, MBBS, FRACP, FCICM
Senior Associate Cardiologist, Department of Cardiology
Boston Children’s Hospital
Associate Professor in Pediatrics
Harvard Medical School
Podcast: Pediatrica Intensiva
https://pedsintensiva.com/

Erin Bennett, MD, MPH
Associate Professor, Division of Critical Care Medicine, Department of Pediatrics
University of Arkansas for Medical Sciences/Arkansas Children’s Hospital
Podcast: PCCM Audio Summary
https://www.sccm.org/Research/Journals/Journal-Audio-Summaries

Rahul Damania, MD
Pediatric Critical Care Physician
Cleveland Clinic Children's Hospital
Podcast: PICU Doc on Call
https://picudoconcall.org/

Zachary Hodges, MD
Pediatric Critical Care Fellow Physician
University of Texas Southwestern
Podcast: PedsCrit
https://www.buzzsprout.com/1809998

Greg Kelly, MBBS, MBA, FRACP, FCICM
Pediatric Intensivist
Children's Hospital at Westmead, Sydney, Australia
Podcast: Pediatrica Intensiva
https://pedsintensiva.com/

Elizabeth Mack, MD, MS
Pediatric Critical Care Physician
Professor, pediatrics
Medical University of South Carolina (MUSC)
Podcast: SCCM Podcast
www.sccm.org/podcast

Alice Shanklin﻿, MD
Critical Care Fellow
Children's National Hospital
Podcast: PedsCrit
https://www.buzzsprout.com/1809998

DATES
Initial publication date: June 18, 2024.

ARTICLES REFERENCED
23:16: Cabrera D, Vartabedian BS, Spinner RJ, Jordan BL, Aase LA, Timimi FK. More Than Likes and Tweets: Creating Social Media Portfolios for Academic Promotion and Tenure. J Grad Med Educ. 2017;9(4):421-425. doi:10.4300/JGME-D-17-00171.1. https://pubmed.ncbi.nlm.nih.gov/28824752/

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

Alexander﻿ P, ﻿Bennett E, Damania R, ﻿Hodges Z, Kelly G, Mack E, Shanklin A, Wolbrink TA. PICU Podcasts: Behind the Mic. 06/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/picu-podcasts-behind-the-mic-by-t-wolbrink-et-al-openpediatrics

PICU Podcasts: Behind the Mic by T. Wolbrink et al | OPENPediatrics

This podcast provides an overview of the presentation of inflammatory bowel disease (IBD) and compares it to Crohn's disease and ulcerative colitis phenotypes﻿.

LEARNING OBJECTIVES
By the end of this podcast, the learner will be able to:
• Recognize the clinical presentation of inflammatory bowel disease and compare Crohn's disease and ulcerative colitis phenotypes.
• Plan the diagnostic evaluation of patients with suspected IBD.
• Define treatment goals and list available treatment options.

AUTHORS
Jodie Ouahed, MD, MMSc
Director, VEOIBD Clinic
Attending Physician, Inflammatory Bowel Disease Center, Boston Children's Hospital
﻿Assistant Professor, Harvard Medical School

Lauren Collen, MD
Attending Physician, Division of Gastroenterology, Hepatology, and Nutrition, Boston Children's Hospital
﻿Instructor of Pediatrics, Harvard Medical School

DATES
Initial publication: June 25, 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
Collen LV*, Ouahed J*, Brodie K, Wills K, Combs A, Snapper SB. Inflammatory Bowel Disease. 6/2024. OPENPediatrics. Podcast: https://soundcloud.com/openpediatrics/inflammatory-bowel-disease-by-j-ouahed-l-collen-openpediatrics. *These authors contributed equally to this work

Inflammatory Bowel Disease by J. Ouahed, L. Collen | OPENPediatrics

In this Complex Care Journal Club podcast episode, Ms. Bethlyn Vergo Houlihan and Ms. Meg Comeau discuss a qualitative study of the perspectives of families of children with medical complexity on what is needed to promote their quality of life and well-being. They describe the family-led approach to designing and conducting the study, the importance of upholding human dignity as a major theme, and next steps to translate their findings into systems change.

SPEAKERS
Bethlyn Vergo Houlihan﻿, MSW, MPH
Project Director, Principal Investigator
Center for Innovation in Social Work & Health
Boston University School of Social Work

Meg Comeau, MHA
Senior Project Director/Principal Investigator
Center for Innovation in Social Work and Health
Boston University School of Social Work

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

DATE
Initial publication date: July 1, 2024.

JOURNAL CLUB ARTICLES
Houlihan BV, Coleman C, Kuo DZ, Plant B, Comeau M. What Families of Children With Medical Complexity Say They Need: Humanism in Care Delivery Change. Pediatrics. 2024 Jan 1;153(Suppl 1):e2023063424F. doi: 10.1542/peds.2023-063424F. PMID: 38165241.

Randolph G, Coleman C, Allshouse C, Plant B, Kuo DZ. Measuring What Matters to Children With Medical Complexity and Their Families. Pediatrics. 2024 Jan 1;153(Suppl 1):e2023063424C. doi: 10.1542/peds.2023-063424C. PMID: 38165239.

TRANSCRIPT
chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://op-docebo-images.s3.amazonaws.com/Transcripts/Upholding+Human+Dignity+for+Children+with+Medical+Complexity+and+their+Families_070124.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
Houlihan BV, Comeau M, Malik K. Upholding Human Dignity for Children with Medical Complexity and their Families. 7/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/upholding-human-dignity-for-children-with-medical-complexity-and-their-families

Upholding Human Dignity for Children with Medical Complexity and their Families

This podcast discusses the preoperative, operative, and postoperative considerations for patients undergoing tonsillectomy, including anatomy and pathophysiology, preoperative evaluation, anesthetic management, operative approach, and postoperative care.

LEARNING OBJECTIVES
Upon listening to this podcast, learners will be able to:
• Explain the anatomy and pathophysiology
• Describe key considerations for the preoperative anesthetic evaluation and intraoperative anesthetic management plan
• Review common operative approaches
• Discuss postoperative considerations

AUTHORS
Haley Moulton, BA
MS4
Geisel School of Medicine at Dartmouth

Eelam Adil, MD, MBA, FAAP
Associate
Department of Otolaryngology and Communication Enhancement
Boston Children's Hospital
Assistant Professor of Otolaryngology
Harvard Medical School

Ashish Ankola, MD
Assistant Professor of Pediatrics
Texas Children's Hospital

Sonya Mathews
Pre-Medical Student

Jue Wang, MD
Associate in Perioperative Anesthesia
Department of Anesthesiology, Critical Care and Pain Medicine﻿
Boston Children's Hospital

DATES
Initial publication date: July 10, 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
Moulton H, ﻿Adil E, Ankola A, Mathews S, ﻿Wang JT, ﻿Marcley S, McFee AM, Wolbrink TA. Tonsillectomy. 07/2024. OPENPediatrics. Podcast. https://soundcloud.com/openpediatrics/tonsillectomy-openpediatrics

Tonsillectomy by H. Moulton, E. Adil, A. Ankola, S. Mathews, and J. Wang | OPENPediatrics

In this Complex Care Journal Club podcast episode, Dr. Kate Nelson discusses a qualitative study exploring decision-making skills developed by family caregivers of children with medical complexity. She describes the impact of contextual factors and relationships within care teams on decision-making, family partnership in research, and the next steps from this work﻿.

SPEAKER
Kate Nelson, MD, PhD
Staff Pediatrician, Paediatric Advanced Care Team
The Hospital for Sick Children
Scientist
SickKids Research Institute
Assistant Professor﻿
University of Toronto

HOST
Kathleen Huth, MD, MMSc
Pediatrician, Complex Care Service, Division of General Pediatrics
Boston Children's Hospital
Assistant Professor of Pediatrics
Harvard Medical School

DATE
Initial publication date: August 5, 2024.

Journal Club Article
Finlay M, Chakravarti V, Buchanan F, Dewan T, Adams S, Mahant S, Nicholas D, Widger K, McGuire KM, Nelson KE. Learning to Trust Yourself: Decision-Making Skills Among Parents of Children With Medical Complexity. J Pain Symptom Manage. 2024 May 28:S0885-3924(24)00792-9. doi: 10.1016/j.jpainsymman.2024.05.023. Epub ahead of print. PMID: 38810951.

TRANSCRIPT
https://op-docebo-images.s3.amazonaws.com/Transcripts/Choice+and+Voice+Family+Perspectives+on+Decision-making+for+Children+_nelson_080524.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
Nelson K, Huth K. Choice and Voice: Family Perspectives on Decision-making for Children with Medical Complexity. 8/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/choice-and-voice-family-perspectives-on-decision-making-for-children-with-medical-complexity

Choice and Voice: Family Perspectives on Decision-making for Children with Medical Complexity

In this World Shared Practice Forum Podcast, experts from three large pediatric hospitals discuss their collaborative care models designed to optimize care for patients undergoing hematopoietic stem cell transplant. This global panel reviews the history, structure, and current state of these models, and offers insight into how clinicians can develop and improve their own collaborative care models.

LEARNING OBJECTIVES
- Identify the importance of collaborative care models for hematopoietic stem cell transplant patients
- Discuss the status of current care models in three pediatric stem cell transplant programs 
- Apply insights on how clinicians develop collaborative care models and steps that can be taken to make ongoing improvements

AUTHORS
Asya Agulnik, MD, MPH
Associate Member, St. Jude Faculty
Director, Global Critical Care Program
Director, Euro Regional Program
St. Jude Children’s Research Hospital

Indira Jayakumar, MD
Lead Pediatric Intensivist
Apollo Specialty Cancer Hospitals 
Co Convenor-  IAP Transplant Critical Care, 
Chairman- Pediatric wing, ECMO Society of India 
Chennai, Tamil Nadu, India

Leslie Lehmann, MD
Attending Physician, Pediatric Stem Cell Transplant Center
Boston Children's Hospital/Dana Farber Cancer Institute 
Associate Professor of Pediatrics
Harvard Medical School

Revathi Raj, MBBS, DCH, PLAB, MRCP, FRCPath
Senior Consultant 
Department of Pediatric Hematology and Oncology and Blood and Marrow Transplantation 
Apollo Hospitals 
Chennai, Tamil Nadu, India

Adrienne Randolph, MD, MSc
Senior Associate in Critical Care Medicine, Department of Anesthesiology, Critical Care and Pain Medicine
Boston Children's Hospital
Professor of Anaesthesia and Pediatrics
Harvard Medical School

Aimee C. Talleur, MD
Assistant Member, Department of Bone Marrow Transplantation and Cellular Therapy 
Fellowship Director, BMTCT Fellowship Program
St. Jude Children's Research Hospital

DATES
Initial publication: August 26, 2024.

ARTICLES REFERENCED
• Zinter MS, McArthur J, Duncan C, et al. Candidacy for Extracorporeal Life Support in Children After Hematopoietic Cell Transplantation: A Position Paper From the Pediatric Acute Lung Injury and Sepsis Investigators Network’s Hematopoietic Cell Transplant and Cancer Immunotherapy Subgroup. Pediatr Crit Care Med. 2022;23(3):205-213. doi:10.1097/PCC.0000000000002865 (13:04)
• St. Jude Global Critical Care program, https://global.stjude.org/en-us/programs/transversal-programs/critical-care.html, Email: globalcriticalcare@stjude.org (25:49)

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
Agulnik A, Jayakumar I, Lehmann L, Raj R, Randolph AG, Talleur AC, Wolbrink TA. Collaborative Care Models to Optimize Care of Hematopoietic Stem Cell Transplant Patients. 08/2024. OPENPediatrics. Podcast https://soundcloud.com/openpediatrics/collaborative-care-models-to-optimize-care-of-hsct-patients-by-t-wolbrink-et-al-openpediatrics.

Collaborative Care Models to Optimize Care of HSCT Patients by T. Wolbrink et al. | OPENPediatrics

This podcast discusses anesthetic considerations for patients with unrepaired tetralogy of Fallot who are undergoing non-cardiac surgeries.

LEARNING OBJECTIVES
Upon listening to this podcast, learners will be able to:
- Explain preoperative considerations
- Provide an anesthetic management plan
- Describe specific non-cardiac surgical procedures and the considerations that need to be addressed when performing them
- Anticipate the postoperative considerations

AUTHORS
Annette Schure, MD
Senior Associate in Cardiac Anesthesia
Boston Children's Hospital
Assistant Professor of Anesthesia
Harvard Medical School

Christian Refakis, MD
Clinical Fellow
Department of Anesthesiology, Critical Care and Pain Medicine, 
Boston Children's Hospital

Robert Soohey
Medical Student
Tufts University School Of Medicine

DATES
Initial publication: September 4, 2024.

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
Refakis C, Marcley S, Soohey R, ﻿Marques B, Wolbrink TA, Schure AY. Anesthesia for Non-Cardiac Surgeries: Unrepaired TOF. 09/2024. OPENPediatrics. Podcast: https://soundcloud.com/openpediatrics/anesthesia-for-non-cardiac-surgeries-unrepaired-tof-openpediatrics.

Anesthesia for Non-Cardiac Surgeries: Unrepaired TOF | OPENPediatrics

In this Complex Care Journal Club podcast episode, Ms. de Pins and Dr. Lin discuss a quality improvement initiative to standardize post-visit written communication in a multidisciplinary clinic. They describe stakeholder involvement in defining project goals, effective interventions to reduce the use of medical jargon in after-visit summaries, and next steps from this work. 

SPEAKERS
Agathe de Pins, BSc, MSc
Medical Student
Icahn School of Medicine at Mount Sinai

Elaine Lin, MD
Co-Director, Cerebral Palsy and Spasticity Center
Pediatrician, Complex Care Service, 
Boston Children's Hospital

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

DATE
Initial publication: September 9, 2024.

JOURNAL ARTICLE
de Pins AM, Adu-Amankwah D, Shadman KA, Hess SM, Elaiho CR, Butler LR, Ranade SC, Shah BJ, Fields R, Lin EP. A Quality Improvement Project to Improve After-visit Summary Patient Instructions in a Pediatric Multidisciplinary Neuromuscular Program. Pediatr Qual Saf. 2024 Jul 10;9(4):e743. doi: 10.1097/pq9.0000000000000743. PMID: 38993270; PMCID: PMC11236396.

OTHER REFERENCES
Gidengil C, Parast L, Burkhart Q, Brown J, Elliott MN, Lion KC, McGlynn EA, Schneider EC, Mangione-Smith R. Development and Implementation of the Family Experiences With Coordination of Care Survey Quality Measures. Acad Pediatr. 2017 Nov-Dec;17(8):863-870. doi: 10.1016/j.acap.2017.03.012. Epub 2017 Mar 31. PMID: 28373108.

Hess SM, Adu-Amankwah D, Elaiho CR, Butler LR, Ranade SC, Shah BJ, Shadman K, Fields R, Lin EP. Qualitative feedback from caregivers in a multidisciplinary pediatric neuromuscular clinic. J Pediatr Rehabil Med. 2024;17(2):237-246. doi: 10.3233/PRM-230011. PMID: 38427510; PMCID: PMC11306999.

TRANSCRIPT
https://op-docebo-images.s3.amazonaws.com/Transcripts/Drop+the+Jargon_Lin+and+de+Pins_090924.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

CITATION
de Pins AM, Lin EP, Malik K. Drop the Jargon: Improving Written Communication to Families After Multidisciplinary Care. 9/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/drop-the-jargon-improving-written-communication-to-families-after-multidisciplinary-care

Drop the Jargon: Improving Written Communication to Families After Multidisciplinary Care

In this World Shared Practice Forum Podcast, Drs. Adrienne Randolph and Aaron Bodansky explore the groundbreaking research findings that uncover the pathophysiological mechanism behind multisystem inflammatory syndrome in children (MIS-C). These findings shed light on the characteristic immune response of patients who develop MIS-C, and provide insight into the development of post-infectious auto-immune disease phenotypes.

LEARNING OBJECTIVES
- Describe the pathophysiology of MIS-C, including the clinical features and molecular immune response
- Describe the immune dysregulation that results in MIS-C, including the role of autoantibodies and T-cell responses
- Identify the potential connections between SARS-CoV-2 infection and the development of autoimmune responses 
- Recognize the implications of the study findings for other related conditions such as long COVID and sepsis

AUTHORS
Adrienne Randolph, MD, MSc
Senior Associate in Critical Care Medicine, Department of Anesthesiology, Critical Care and Pain Medicine
Boston Children's Hospital
Professor of Anaesthesia and Pediatrics
Harvard Medical School

Aaron Bodansky, MD
Assistant Professor
Pediatric Critical Care
University of California, San Francisco School of Medicine

DATES
Initial publication: September 24, 2024.

ARTICLES REFERENCED
Bodansky A, Mettelman RC, Sabatino JJ Jr, et al. Molecular mimicry in multisystem inflammatory syndrome in children. Nature. 2024;632(8025):622-629. doi:10.1038/s41586-024-07722-4.

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
Randolph AG, ﻿Bodansky A, ﻿Burns JP. Unveiling MIS-C's Immune Response: Molecular Mimicry. 09/2024. OPENPediatrics. https://soundcloud.com/openpediatrics/unveiling-mis-cs-immune-response-molecular-mimicry-by-a-randolph-and-a-bodansky-openpediatrics

Unveiling MIS-C's Immune Response: Molecular Mimicry by A. Randolph and A. Bodansky | OPENPediatrics

In this Complex Care Journal Club podcast episode, Dr. Renee Turchi discusses an intervention study to improve emergency preparedness for families with children and youth with special health care needs. She describes the multiple community partners involved in intervention development, key insights gained while conducting the study, and next steps from this work. 

SPEAKER
Renee M. Turchi, MD, MPH, FAAP
Professor and Chair of Pediatrics, 
Pediatrician in Chief
St. Christopher's Hospital for Children

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

DATE
Initial publication date: October 7, 2024.

JOURNAL ARTICLE
Griffin JS, Hipper TJ, Chernak E, Berhane Z, Davis RK, Popek L, Kurapati P, Kim J, Turchi RM. A Virtual Home Preparedness Intervention Centered on Children and Youth With Special Health Care Needs. Acad Pediatr. 2024 Jun 10:S1876-2859(24)00167-0. doi: 10.1016/j.acap.2024.06.002. Epub ahead of print. PMID: 38866363. https://www.academicpedsjnl.net/article/S1876-2859(24)00167-0/fulltext

OTHER REFERENCES
Hipper TJ, Davis R, Massey PM, Turchi RM, Lubell KM, Pechta LE, Rose DA, Wolkin A, Briseño L, Franks JL, Chernak E. The Disaster Information Needs of Families of Children with Special Healthcare Needs: A Scoping Review. Health Secur. 2018 May/Jun;16(3):178-192. doi: 10.1089/hs.2018.0007. Epub 2018 Jun 8. PMID: 29883200; PMCID: PMC11015856. https://pubmed.ncbi.nlm.nih.gov/29883200/

TRANSCRIPT
https://op-docebo-images.s3.amazonaws.com/Transcripts/Preparing+for+Emergencies+Planning+and+Partnerships+with+Families_Turchi_100824.pdf

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
Turchi RM, Goodwin EJ. Preparing for Emergencies: Planning and Partnerships with Families﻿. 10/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/preparing-for-emergencies-planning-and-partnerships-with-families.

Preparing for Emergencies: Planning and Partnerships with Families

In this World Shared Practice Forum podcast, we discuss the Pediatric Sepsis Data CoLaboratory (Sepsis CoLab), an international open data-sharing network to address pediatric sepsis mortality and morbidity. Drs. Kissoon, Ansermino, and Akech discuss the challenges related to the collection and sharing of data in a global context, the latest advancements in sepsis research and treatment, and how they believe this work will drive better patient outcomes.

LEARNING OBJECTIVES
- Recognize the role of the Sepsis CoLab in global sepsis care
- Describe the challenges and strategies for data sharing in healthcare
- Summarize the importance of standardized data collection in sepsis research
- Discuss some specific examples of how data can be used to support initiatives to improve the care of children with sepsis

AUTHORS
Niranjan "Tex" Kissoon﻿, MBBS, FRCP(C), MCCM, FACPE
Professor, Department of Pediatrics, 
University of British Columbia,
Investigator, BCCH Research Institute
President, Global Sepsis Alliance
Institute for Global Health
BC Children's Hospital and BC Women's Hospital & Health Centre

Mark Ansermino, MBBCh
Professor
University of British Columbia
Executive Medical Director for Global Health
BC Children's Hospital

Samuel Akech﻿, MD,
Consultant Pediatrician & Epidemiologist
KEMRI-Wellcome Trust

DATE
Initial publication date: October 21, 2024.

ADDITIONAL RESOURCES
Sepsis CoLab: https://wfpiccs.org/pediatric-sepsis-colab/

Pediatric Sepsis CoLab Membership Application: https://rc.bcchr.ca/redcap/surveys/?s=EDCYL7AC79

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
Kissoon NT, Ansermino JM, Akech S, Wolkbrink TA. Improving Sepsis Care: A Data-Driven Approach. 10/2024. OPENPediatrics. https://soundcloud.com/openpediatrics/improving-sepsis-care-a-data-driven-approach-openpediatrics.

Improving Sepsis Care: A Data-Driven Approach by T. Wolbrink et al | OPENPediatrics

In this special Complex Care Journal Club podcast episode, co-hosts Drs. Kilby Mann and Kristie Malik interview presenters of posters and oral abstracts relevant to the care of children with medical complexity at the American Academy for Cerebral Palsy and Developmental Medicine (AACPDM) 78th Annual Meeting in Quebec City, Canada that took place October 23rd-26th 2024. Speakers describe the implications of their study findings, messages for patients and families, and priority areas for research that they hope can be investigated further by the complex care community in the coming years.

SPEAKERS
Tori Bahr, MD
MedPeds Complex Care Physician
Section Chief of Pediatrics
Gillette Children's, St. Paul, Minnesota

Laura Brunton, PT, PhD 
Associate Professor 
School of Physical Therapy 
Western University, London, Ontario

Caitlin Cassidy, MD
Associate Professor
Departments of Physical Medicine & Rehabilitation and Pediatrics
Western University, London, Ontario

Adam Rosenbloom, MD, MPH
Complex Care Pediatrician
Dell Children's Medical Center
University of Texas at Austin, Dell Medical School

Cristina Sarmiento, MD
Assistant Professor
Department of Physical Medicine and Rehabilitation
University of Colorado Anschutz Medical Campus, Aurora, Colorado

Julie Stutzbach, PT, DPT, PhD
Assistant Professor 
School of Rehabilitative and Health Sciences
Regis University, Denver, Colorado

HOSTS
Kristina Malik, MD
Assistant Professor of Pediatrics,
University of Colorado School of Medicine
Medical Director, KidStreet
Pediatrician, Special Care Clinic,
Children's Hospital Colorado

Kilby Mann, MD
Assistant Professor
Pediatric Rehabilitation Medicine
Children's Hospital Colorado

DATE
Initial publication date: November 11, 2024. 

ARTICLES AND ADDITIONAL REFERENCES
• American Academy for Cerebral Palsy and Developmental Medicine (AACPDM), https://www.aacpdm.org/

• AACPDM Complex Care Committee (https://www.aacpdm.org/about-us/committees/complex-care)

• Houtrow AJ, Hurwitz MB. A dearth of disability-related competencies in Accreditation Council for Graduate Medical Education's Milestones 2.0. PM R. 2024 Aug 23. doi: 10.1002/pmrj.13257. Epub ahead of print. PMID: 39177053.﻿

• Fehlings D, Agnew B, Gimeno H, Harvey A, Himmelmann K, Lin JP, Mink JW, Monbaliu E, Rice J, Bohn E, Falck-Ytter Y. Pharmacological and neurosurgical management of cerebral palsy and dystonia: Clinical practice guideline update. Dev Med Child Neurol. 2024 Sep;66(9):1133-1147. doi: 10.1111/dmcn.15921. Epub 2024 Apr 19. PMID: 38640091.

• AACPDM Care Pathway Dystonia in Cerebral Palsy, https://www.aacpdm.org/publications/care-pathways/dystonia-in-cerebral-palsy

TRANSCRIPT
https://cdn.bfldr.com/D6LGWP8S/as/p9pj6g7sxn5kjmmgps5wnk4/111124_-_Complex_Care_at_the_American_Academy_for_Cerebral_Palsy_and_Developmental_Medicine_Annual_Meeting

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

CITATION
Malik K, Bahr T, Brunton L, Cassidy C, Rosenbloom A, Sarmiento C, Stuzbach J, Mann K. Complex Care at the American Academy for Cerebral Palsy and Developmental Medicine Annual Meeting. 11/2024. OPENPediatrics. Online Podcast.. https://soundcloud.com/openpediatrics/complex-care-at-the-aacpdm-2024.

Complex Care at the American Academy for Cerebral Palsy and Developmental Medicine Annual Meeting

In this new Nursing World Shared Practice Forum podcast, Dr. Sharon Tucker reviews the foundations of Evidence-Based Practice and why it is important to nursing science. She discusses her body of work focusing on building evidence, implementing evidence into practice, and using frameworks that support Implementation Science. She explains how Implementation Science and Quality Improvement Science are related and how they can work together to improve nursing care.

LEARNING OBJECTIVES
- Explain the three elements that comprise evidence-based practice
- Discuss reasons for gaps between translating evidence into practice
- Explain Implementation Science
- Discuss similarities and differences between Quality Improvement and Implementation Science

AUTHORS
Sharon Tucker, PhD, RN, PMHCNS-BC, NC-BC, EBP-C, FNAP, FAAN
Professor and Chair of the Department of Nursing Practice 
College of Nursing
University of Central Florida

Debra Lajoie, PhD, JD, MSN, RN, LNC, Nursing
Director of Nursing Research for Surgical Programs
Nurse Scientist Surgical Programs
Boston Children's Hospital

DATE
Initial publication date: November 18, 2024.

TRANSCRIPT
https://cdn.bfldr.com/D6LGWP8S/as/gcvz79mz5qt8k86bkgrqsrh4/Transcript_Template_NWSP_Tucker_111324

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
Tucker SJ, Marcley S, DeGrazia M, ﻿Lajoie D﻿﻿. Evidence-Based Practice and Implementation Science in Nursing. 11/2024. OPENPediatrics. https://soundcloud.com/openpediatrics/evidence-based-practice-and-implementation-science-in-nursing-by-s-tucker-openpediatrics.

Evidence-Based Practice and Implementation Science in Nursing by S. Tucker | OPENPediatrics

In this World Shared Practice Forum podcast, Dr. Mark Peters discusses the Oxy-PICU trial, published in The Lancet in January 2024, which compared conservative to liberal oxygenation targets in critically ill children. The study highlighted the importance of pragmatic trial design and the need for larger trials to confirm these findings.

LEARNING OBJECTIVES
-Discuss the background driving the investigation of oxygenation in critically ill children  
-Summarize the study design of the Oxy-PICU Trial
-Present the outcomes and challenges of the Oxy-PICU Trial
-Identify the key characteristics of pragmatic trial design and the implication of pragmatic trial results

AUTHORS
Mark Peters﻿, MBChB, MRCP, FFICM, FRCPCH, PhD
Professor of Paediatric Intensive Care
NIHR Senior Investigator
UCL Great Ormond St Institute of Child Health
Hon. Consultant Paediatric Intensivist
Paediatric Intensive Care Unit and
Children’s Acute Transport Service
Great Ormond St Hospital

Jeffrey Burns, MD, MPH
Emeritus Chief 
Division of Critical Care Medicine
Department of Anesthesiology, Critical Care and Pain Medicine 
Boston Children's Hospital
Professor of Anesthesia
Harvard Medical School

DATE
Initial publication date: November 26, 2024.

ARTICLES REFERENCED AND ADDITIONAL RESOURCES
Peters MJ, Gould DW, Ray S, et al. Conservative versus liberal oxygenation targets in critically ill children (Oxy-PICU): a UK multicentre, open, parallel-group, randomised clinical trial [published correction appears in Lancet. 2024 Jan 27;403(10424):354. doi: 10.1016/S0140-6736(24)00100-4]. Lancet. 2024;403(10424):355-364. https://pubmed.ncbi.nlm.nih.gov/38048787/
 
Fan E, Del Sorbo L, Goligher EC, et al. An Official American Thoracic Society/European Society of Intensive Care Medicine/Society of Critical Care Medicine Clinical Practice Guideline: Mechanical Ventilation in Adult Patients with Acute Respiratory Distress Syndrome [published correction appears in Am J Respir Crit Care Med. 2017 Jun 1;195(11):1540. doi: 10.1164/rccm.19511erratum]. Am J Respir Crit Care Med. 2017;195(9):1253-1263. https://pubmed.ncbi.nlm.nih.gov/28459336/
 
Peters MJ, Ramnarayan P. Randomized Trials to Reduce Clinical Uncertainty: Gold Standard or Fool's Gold? Pediatr Crit Care Med. 2024;25(8):775-777. https://pubmed.ncbi.nlm.nih.gov/39101806/
 
Darnell R, Brown A, Laing E, et al. Protocol for a Randomized Controlled Trial to Evaluate a Permissive Blood Pressure Target Versus Usual Care in Critically Ill Children with Hypotension (PRESSURE). Pediatr Crit Care Med. 2024;25(7):629-637. https://pubmed.ncbi.nlm.nih.gov/38629915/
 
Taccone FS, Rynkowski Bittencourt C, Møller K, et al. Restrictive vs Liberal Transfusion Strategy in Patients With Acute Brain Injury: The TRAIN Randomized Clinical Trial. JAMA.Published online October 09, 2024. https://pubmed.ncbi.nlm.nih.gov/39382241/
 
Jones GAL, Eaton S, Orford M, et al. Randomization to a Liberal Versus Conservative Oxygenation Target: Redox Responses in Critically Ill Children. Pediatr Crit Care Med. 2023;24(3):e137-e146. https://pubmed.ncbi.nlm.nih.gov/36728001/
 
UK-ROX: https://www.icnarc.org/research-studies/uk-rox/
MegaROX: https://www.anzics.org/current-active-endorsed-research/mega-rox/
ICU-ROX: https://www.thebottomline.org.uk/summaries/icm/icu-rox/

TRANSCRIPT
https://cdn.bfldr.com/D6LGWP8S/as/rq7kgwqkh4hk4nk67584pfj/202411_-_WSP_-_Less_is_more_Oxygenation_Targets_in_Critically_Ill_Children_-_Transcript?position=2

CITATION
Peters MJ, Burns JP. Less is More: Oxygenation Targets in Critically Ill Children. 11/2024. OPENPediatrics. https://soundcloud.com/openpediatrics/less-is-more-oxygenation-targets-in-critically-ill-children-by-m-peters-openpediatrics.

Less is More: Oxygenation Targets in Critically Ill Children by M. Peters | OPENPediatrics

In this Complex Care Journal Club podcast episode, Drs. Marcella Luercio and Bianca Quiñones-Pérez discuss a qualitative study of barriers to communication perceived by Spanish-speaking families with children with medical complexity admitted to the hospital. They describe the importance of multilingual representation in research, individual and systems-level changes to improve communication with families who speak languages other than English, and next steps from this work.

SPEAKERS
Marcella Luercio, MD
Pediatric Hospitalist
Boston Children's Hospital

Bianca Quiñones-Pérez, MD
Pediatric Hospitalist, Complex Care Services, 
Boston Children's Hospital
Instructor of Pediatrics, 
Harvard Medical School

HOST
Kathleen Huth, MD, MMSc
Pediatrician, Complex Care Service, Division of General Pediatrics
Boston Children's Hospital
Assistant Professor of Pediatrics
Harvard Medical School

DATE
Initial publication date: December 9, 2024.

JOURNAL CLUB ARTICLE
Luercio M, Quiñones-Pérez B, Castellanos A, Ngo T, Elder B, Blaine K, Haskell H, Lopez K, Luff D, Mallick N, Mercer AN, Williams DN, Baird JD, Khan A. Communicating With Spanish-Speaking Families of Hospitalized Children With Medical Complexity. Hosp Pediatr. 2024 Aug 1;14(8):612-621. doi: 10.1542/hpeds.2023-007700. PMID: 39069815.

OTHER REFERENCES
Ames SG, Delaney RK, Houtrow AJ, Delgado-Corcoran C, Alvey J, Watt MH, Murphy N. Perceived Disability-Based Discrimination in Health Care for Children With Medical Complexity. Pediatrics. 2023 Jul 1;152(1):e2022060975. doi: 10.1542/peds.2022-060975. PMID: 37357731.

Khan A, Baird J, Kelly MM, Blaine K, Chieco D, Haskell H, Lopez K, Ngo T, Mercer A, Quiñones-Pérez B, Schuster MA, Singer SJ, Viswanath K, Landrigan CP, Williams D, Luff D. Family Safety Reporting in Medically Complex Children: Parent, Staff, and Leader Perspectives. Pediatrics. 2022 Jun 1;149(6):e2021053913. doi: 10.1542/peds.2021-053913. PMID: 35615941; PMCID: PMC11088436.

Nelson K, Huth K. Choice and Voice: Family Perspectives on Decision-making for Children with Medical Complexity. 8/2024. OPENPediatrics. Online Podcast. https://youtu.be/WN5u0T4UnEU, https://soundcloud.com/openpediatrics/choice-and-voice-family-perspectives-on-decision-making-for-children-with-medical-complexity

Ragavan MI, Méndez DD, Caballero TM. Promoting Language Justice for Children With Medical Complexity and Their Families: An Urgent Call to Action. Hosp Pediatr. 2024 Aug 1;14(8):e358-e361. doi: 10.1542/hpeds.2024-007792. PMID: 39069818; PMCID: PMC11287058.

"Strategies for Working Effectively With Interpreters", a free course on OPENPediatrics.org
https://learn.openpediatrics.org/learn/courses/5662/strategies-for-effectively-working-with-interpreters/lessons

TRANSCRIPTS
English: https://cdn.bfldr.com/D6LGWP8S/at/phv45ptj67wp4c8j876qhvt/120924_CCJCP__Bridging_the_Communication_Gap__The_Role_of_Language_in_Complex_Care.pdf?format=pdf

Spanish: 
https://cdn.bfldr.com/D6LGWP8S/at/tv9jkxcn34h3j9mhpxh7p3t/Spanish_120924_CCJCP__Bridging_the_Communication_Gap__The_Role_of_Language_in_Complex_Care.pdf?format=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

CITATION
Luercio M, Quiñones-Pérez B, Huth K. Bridging the Communication Gap: The Role of Language in Complex Care. 12/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/bridging-the-communication-gap-the-role-of-language-in-complex-care.

Bridging the Communication Gap: The Role of Language in Complex Care

In this video, the viewer will learn the epidemiology, pathophysiology, and clinical presentation of croup, and how to diagnose and care for affected children.

Initial publication: August 6, 2018.

A multilingual transcript is available for this video, thanks to the generous support of our community members who volunteered their time to translate our content. Learn more about our OPENPediatrics translation campaign here: https://www.openpediatrics.org/content-translation

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.

Croup by L. Rubin, A. Hirsch, A. Erickson | OPENPediatrics

In this podcast, the viewer will learn the epidemiology, pathophysiology, clinical presentation and management of neonatal jaundice.
Direct links to chapters:
0:00 Chapter 1: Introduction
3:33 Chapter 2: Bilirubin Metabolism
5:41 Chapter 3: Pathophysiology
8:36 Chapter 4: History and Physical Exam
10:40 Chapter 5: Diagnostic Testing
12:29 Chapter 6: Management

Initial publication: January 10, 2019.

A multilingual transcript is available for this video, thanks to the generous support of our community members who volunteered their time to translate our content. Learn more about our OPENPediatrics translation campaign here: https://www.openpediatrics.org/content-translation

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

Neonatal Jaundice by L. Veit | OPENPediatrics

In this Complex Care Journal Club podcast episode, Dr. Kathleen C. Thomas discusses a cross-sectional study of associations between neighborhood context with psychotropic polypharmacy and psychotherapy among children with high-needs for medical or psychiatric care. She describes the inclusion of parent advisors on the study team, the inclusion of children with medical complexity in the study population, key insights including the importance of non-medical supports, and the next steps from this work.

SPEAKER
Kathleen C. Thomas, PhD, MPH
Professor and Vice Chair of Research and Graduate Education
Division of Pharmaceutical Outcomes and Policy
Eshelman School of Pharmacy
University of North Carolina at Chapel Hill

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

DATE
Initial publication date: January 13, 2025.

ARTICLE REFERENCED
Thomas KC, Annis IE, deJong NA, Christian RB, Davis SA, Hughes PM, Prichard BA, Prichard JR, Allen PS, Gettinger JS, Morris DN, Eaker KB. Association Between Neighborhood Context and Psychotropic Polypharmacy Use Among High-Need Children. Psychiatr Serv. 2024 Sep 11:appips20230639. doi: 10.1176/appi.ps.20230639. Epub ahead of print. PMID: 39257315.

TRANSCRIPT
https://cdn.bfldr.com/D6LGWP8S/as/3rffshwp3q2km53w7xckq38/011025_CCJCP__Where_You_Live_Matters

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

CITATION
Thomas KC, Malik KE. Where You Live Matters: Psychotropic Polypharmacy and Psychotherapy in Children with High-Needs‌. 01/2025. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/where-you-live-matters-psychotropic-polypharmacy-and-psychotherapy-in-children-with-high-needs.

Where You Live Matters: Psychotropic Polypharmacy and Psychotherapy in Children with High-Needs‌

In this Nursing World Shared Practice Forum podcast, Dr. Felesia Bowen, president-elect of the National Association of Pediatric Nurse Practitioners (NAPNAP), discusses the evolving role of nurse practitioners (NPs) in healthcare, and emphasizes the importance of NPs in health promotion and policy. She highlights the need for a national standardized scope of practice for NPs and advocates for increased diversity in the nursing workforce to address health and educational disparities.

LEARNING OBJECTIVES
- Describe the nurse practitioner's role within healthcare
- Explain how current legislative and regulatory issues in the United States impact the nurse practitioner role
- Discuss NAPNAP’s plan to support health equity and expand global partnerships
- Describe ways to diversify and support the nursing workforce to reduce health disparities

AUTHORS
Felesia Bowen, PhD, DNP, PPCNP-BC, FADLN, FAAN
President-elect of NAPNAP, 2024-2027
Professor and Associate Dean for Access and Engagement
University of Alabama at Birmingham 

Julia McSweeney, MSN, RN, CPNP
Senior Director of Advanced Nursing Practice
Boston Children’s Hospital

DATE
January 20, 2025.

TRANSCRIPT
https://cdn.bfldr.com/D6LGWP8S/as/ksm5qr297mrv3j8fkm7x6mtj/011624_NWSP_Bowen_The_Role_of_Nurse_Practitioners_in_Healthcare_and_Policy

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
Bowen FR, ﻿Marcley S, ﻿DeGrazia M, McSweeney JE﻿. The Role of Nurse Practitioners in Healthcare and Policy 01/2025. OPENPediatrics. https://soundcloud.com/openpediatrics/the-role-of-nurse-practitioners-in-healthcare-and-policy-by-f-bowen-openpediatrics.

The Role of Nurse Practitioners in Healthcare and Policy by F. Bowen | OPENPediatrics

In this World Shared Practice Forum podcast, Dr. Dennis Daniel discusses pediatric extracorporeal life support (ECLS) with experts Drs. Peta Alexander and Ryan Barbaro. They explore the differences between pediatric and adult extracorporeal cardiopulmonary resuscitation (ECPR), highlighting differing causes of cardiac arrest and the interpretation of recently published studies. The discussion also covers supply chain issues affecting ECMO availability, the importance of standardized, evidence-based practices to identifying ECMO-associated complications, and opportunities for future research into ECMO use and outcomes.

LEARNING OBJECTIVES
- Identify the key differences between pediatric and adult extracorporeal cardiopulmonary resuscitation (ECPR), focusing on technical challenges and typical causes of cardiac arrest
- Discuss the challenges facing standardization of pediatric ECMO care, including supply chain issues and approaches to capturing and classifying ECMO-associated complications
- Describe areas of need and opportunity for future research in pediatric ECMO

AUTHORS
Peta Alexander, MBBS, FRACP, FCICM
Senior Associate Cardiologist
Director of ECMO Program
Boston Children’s Hospital
Associate Professor in Pediatrics
Harvard Medical School

Ryan Barbaro, MD, MSc
Service Chief of Pediatric Critical Care Medicine
Director of Pediatric ECMO
C.S. Mott Children's Hospital
Clinical Associate Professor in Pediatric Critical Care
University of Michigan

Dennis Daniel, MD
ECMO Medical Director, Medical-Surgical ICU
Associate Director, OPENPediatrics
Boston Children’s Hospital

DATE
Initial publication date: January 27, 2025.

ARTICLES REFERENCED AND ADDITIONAL RESOURCES
- Alexander PMA, Di Nardo M, Combes A, et al. Definitions of adverse events associated with extracorporeal membrane oxygenation in children: results of n international Delphi process from the ECMO-CENTRAL ARC. Lancet Child Adolesc Health. 2024;8(10):773-780. https://pubmed.ncbi.nlm.nih.gov/39299748/

- UK collaborative randomised trial of neonatal extracorporeal membrane oxygenation. UK Collaborative ECMO Trail Group. Lancet. 1996;348(9020):75-82. https://pubmed.ncbi.nlm.nih.gov/8676720/

- Biomarkers of Brain Injury in Critically-Ill Children on Extracorporeal Membrane Oxygenation (ECMOhttps://reporter.nih.gov/project-details/10545733

- TITRE - Trial of Indication-based Transfusion of Red Blood Cells in ECMO, https://www.childrenshospital.org/clinical-trials/nct05405426

- ASCEND study: https://chear.org/our-research/projects/ascend-ards-children-and-ecmo-initiation-strategies-impact-neuro-development

TRANSCRIPT
https://cdn.bfldr.com/D6LGWP8S/at/bzpc2445cxrk9zch4wqvjjs5/012525_WSP_Updates_in_Pediatric_ECMO.pdf

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
Alexander PMA, Barbaro RP, Daniel D. Updates in Pediatric ECMO: Challenges and Opportunities. 01/2025. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/updates-in-pediatric-ecmo-challenges-and-opportunities-by-p-alexander-r-barbaro-openpediatrics.

Updates in Pediatric ECMO: Challenges and Opportunities by P. Alexander, R. Barbaro | OPENPediatrics

Listen as Dr. Patrick Kochanek, outlines new developments appearing in the 3rd edition of “Guidelines for the Management of Severe Traumatic Brain Injury in Children”. He covers revisions made to level II and level III treatment recommendations, and how they translate across the companion algorithm. He focuses on neuroimaging, hyperosmolar therapy, analgesics and sedatives, seizure prophylaxis, temperature control/hypothermia, and nutrition. In addition, he highlights the new consensus and evidence based algorithm article that accompanies the new guidelines, for use at the bedside. After listening participants should be able to:

•Describe various treatment methods for a range of traumatic brain injury scenarios
•Feel comfortable integrating these evidence-based recommendations into their own practice
•Understand the changes between the 2nd and 3rd edition of the guidelines
•Navigate both the “Guidelines for the Management of Pediatric Severe Traumatic Brain Injury” and the accompanying algorithm

Citation: Kochanek P, Zackin B, Daniel D, Tasker R. Guidelines for the Management of Pediatric Severe Traumatic Brain Injury. 4/2019. Online Video. OPENPediatrics. https://learn.openpediatrics.org/learn/course/internal/view/elearning/2908/guidelines-for-the-management-of-pediatric-severe-traumatic-brain-injury.

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

Guidelines for the Mgmt. of Pediatric Severe TBI by P. Kochanek, R. Tasker | OPENPediatrics

Listen as Dr. Adam DeTora outlines how ethics and the law apply to situations in the NICU. He explains how statutory laws differ from case laws, and presents case studies to show how both kinds of laws influence medical decisions. He also breaks down the role of the parent or caregiver, and what happens in cases where medical decisions are not clear-cut.
Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by 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

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