Name: Families Face Ethical Challenges More Often Than They Change a G Tube: Rethinking Our Care @OPENPediatrics
Uploaded: 2026-09-23T08:17:00-05:00
Duration: 8 min 17 s
Description: Families Face Ethical Challenges More Often Than They Change a G Tube: Rethinking Our Care

Families Face Ethical Challenges More Often Than They Change a G Tube: Rethinking Our Care

OPENPediatrics 2026-09-23 | Families Face Ethical Challenges More Often Than They Change a G Tube: Rethinking Our Care

Video Laryngoscopy to Improve Intubation Success in Pediatrics by Dr. Akira Nishisaki

OPENPediatrics 2023-09-20 | 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: youtu.be/P0KQZVpKKuY. 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: 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.

Telling Their Stories: Discrimination at the Doctor for Children with Disabilities

OPENPediatrics 2023-09-06 | 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: youtu.be/xkoS0qhCtiE, 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
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: 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.

Breastfeeding Physiology by Lucy Rubin and Amanda Growdon

OPENPediatrics 2023-08-30 | Quick Concepts are short videos that describe a key physiological or theoretical concept or demonstrate a brief procedure. This video discusses the physiology of breastfeeding, including hormonal signals involved in milk production and expression. If you are interested in learning more about this topic, please watch the full video "Breastfeeding" youtu.be/H4z9OA498ho

AUTHORS
Lucy Rubin , BA
Tufts University School of Medicine

Amanda Growdon, MD
Hospitalist and Clerkship Director
Boston Children's Hospital

DATES
Initial publication: August 23, 2023

CITATION
Rubin L, Growdon AS, Callas C, Fantasia K, Marques B, Wolbrink TA. Breastfeeding Physiology. 8/2023. youtu.be/5h_jGaEnMV8. From: Rubin L, Growdon AS, Callas C, Fantasia K, Marques B, Wolbrink TA. Breastfeeding. 8/2021. OPENPediatrics. Online Course: learn.openpediatrics.org/learn/course/internal/view/elearning/5156/Breastfeeding. Video: youtu.be/H4z9OA498ho. Podcast: soundcloud.com/openpediatrics/breastfeeding-by-lucy-rubin-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.

Individualized Hemodynamic Support for Pediatric Patients with Septic Shock

OPENPediatrics 2023-08-22 | 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: youtu.be/CM6X3jIwZ1U SC: 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: 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.

Benefits of Breastfeeding by Lucy Rubin and Amanda Growdon

OPENPediatrics 2023-08-16 | Quick Concepts are short videos that describe a key physiological or theoretical concept or demonstrate a brief procedure. This video discusses the short-term and long-term benefits of breastfeeding for the baby and mother. If you are interested in learning more about this topic, please watch the full video "Breastfeeding" youtu.be/H4z9OA498ho

AUTHORS
Lucy Rubin , BA
Tufts University School of Medicine

Amanda Growdon, MD
Hospitalist and Clerkship Director
Boston Children's Hospital

DATES
Initial publication: August 16, 2023

CITATION
Rubin L, Growdon AS, Callas C, Fantasia K, Marques B, Wolbrink TA. Benefits of Breastfeeding. 8/2023. youtu.be/fsi1-e7rW3k. From: Rubin L, Growdon AS, Callas C, Fantasia K, Marques B, Wolbrink TA. Breastfeeding. 8/2021. OPENPediatrics. Online Course: learn.openpediatrics.org/learn/course/internal/view/elearning/5156/Breastfeeding. Video: youtu.be/H4z9OA498ho. Podcast: soundcloud.com/openpediatrics/breastfeeding-by-lucy-rubin-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.

Introduction to the Complex Care Journal Club Podcast

OPENPediatrics 2023-08-09 | This episode introduces the Complex Care Journal Club Podcast, a monthly series that discusses emerging evidence in the care of children with medical complexity with authors of recently published research and explores implications for clinical practice for the interprofessional care team.

To access the entire series please see the playlist on this YouTube channel titled "Complex Care Journal Club Podcast" youtube.com/playlist?list=PLJmgkNI4ruzwjQOR2VKEKgmuEva5VY5hm

You can recommend an article for discussion in a future podcast using this form: https://forms.gle/Bdxb86Sw5qq1uFhW6

To learn more about 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.

Improving Health of Children with Medical Complexity in the Community: Literature and its Limits

OPENPediatrics 2023-08-07 | 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: youtu.be/N8tSUjCFR80, on.soundcloud.com/Ry19W.

JOURNAL CLUB ARTICLE
Watkinson MD, Ehlenbach M, Chung PJ, et al. Interventions in the Home and Community for Medically Complex Children: A Systematic Review. Pediatrics. 2023;151(5):e2022058352. doi:10.1542/peds.2022-058352

OTHER 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
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.edu

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.
Please visit: www.openpediatrics.org

Meconium Aspiration Syndrome by Megan Connelly, MD

OPENPediatrics 2023-07-28 | Quick Concepts are short videos that describe a key physiological or theoretical concept or demonstrate a brief procedure. This video discusses the pathophysiology, clinical assessment, and management of Meconium Aspiration Syndrome (MAS), which is an important cause of respiratory distress in newborns. If you are interested in learning more about this topic, please watch the full video "Respiratory Distress in the Newborn". youtu.be/j3ypUlLMRLs

AUTHORS
Megan Connelly, MD
Department of Pediatric Newborn Medicine
Brigham and Women's Hospital

DATES
Initial publication: July 28, 2023

CITATION
Connelly M, Erickson A, Rubin L, McFee A, Wolbrink TA. Meconium Aspiration Syndrome. 7/2023. learn.openpediatrics.org/learn/course/internal/view/elearning/5430/Meconium-Aspiration-Syndrome. From: Connelly M, Erickson A, Rubin L, McFee A, Wolbrink TA. Respiratory Distress in the Newborn. 5/2018. OPENPediatrics. Online Course. openpediatrics.org/assets/video/respiratory-distress-newborn. Video: youtu.be/j3ypUlLMRLs. Podcast: soundcloud.com/openpediatrics/respiratory-distress-in-the-newborn-by-megan-connelly-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.

Catheter Clamping

OPENPediatrics 2023-07-21 | openpediatrics.org/learnperitonealdialysis

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.

Hand Hygiene

Institution Disclaimer

Peritoneal Dialysis Catheter

What is Peritoneal Dialysis?

Introduction to End Stage Kidney Disease

Management of Jaundice by Lauren Veit, MD

OPENPediatrics 2023-07-19 | Quick Concepts are short videos that describe a key physiological or theoretical concept or demonstrate a brief procedure. This video discusses the management of neonatal jaundice, including phototherapy and feeding, and the importance of monitoring bilirubin levels during and after treatment. If you are interested in learning more about this topic, please watch the full video "Neonatal Jaundice" youtu.be/rQ21vJmTDz4

AUTHOR(S)
Lauren Veit, MD
Pediatrics Resident
Boston Combined Residency Program
Boston Children's Hospital

DATES
Initial publication: July 19, 2023

CITATION
Veit L, Rubin L, Erickson A, Fantasia K, McFee A, Wolbrink T. Management of Jaundice. 7/2023. learn.openpediatrics.org/learn/course/internal/view/elearning/5428/Management-of-Jaundice. From: Veit L, Rubin L, Erickson A, Fantasia K, McFee A, Wolbrink T. Neonatal Jaundice. 1/2019. OPENPediatrics. Online Course. learn.openpediatrics.org/learn/course/internal/view/elearning/3537/neonatal-jaundice. Video: youtu.be/rQ21vJmTDz4.

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.

Exploring Roles and Goals of Palliative Care and Complex Care

OPENPediatrics 2023-07-11 | 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 the 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: youtu.be/RffkiH9pw80, soundcloud.com/openpediatrics/exploring-roles-and-goals-of-palliative-care-and-complex-care.

JOURNAL CLUB ARTICLE
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
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.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

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.

Trust Their Gut: Family Level of Concern and Clinical Changes in Children with Medical Complexity

OPENPediatrics 2023-06-28 | 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 that families played in guiding the study, the 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
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: 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: youtu.be/4RJAzlOnDo0, soundcloud.com/openpediatrics/trust-their-gut-family-level-of-concern-and-clinical-changes-in-children-with-medical-complexity.

JOURNAL CLUB ARTICLE:
• 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

OTHER 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
• Nkoy FL, Hofmann MG, Stone BL, et al. Information needs for designing a home monitoring system for children with medical complexity. Int J Med Inform. 2019;122:7-12. doi:10.1016/j.ijmedinf.2018.11.011
• Nkoy F, Stone B, Hofmann M, et al. Home-Monitoring Application for Children With Medical Complexity: A Feasibility Trial. Hosp Pediatr. 2021;11(5):492-502. doi:10.1542/hpeds.2020-002097

TRANSCRIPT:
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: 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.

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.

Updates from the Editor-in-Chief of Pediatric Critical Care Medicine by Dr. Robert Tasker

OPENPediatrics 2023-06-21 | 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.

00:00 Introduction
00:52 Editor's Choice
03:34 Thematic Domains for the first half of 2023
12:15 How reading has changed and how reading has evolved.
16:07 Other themes to highlight.
18:38 Advice to editors on the use of ChatGPT
20:16 The 12-by-12 matrix of concepts in pediatric critical care medicine.
24:53 Advice for young investigators looking to publish their studies?

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: youtu.be/RBzpyBhunyk, 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)

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

Treatment Goals for Concussions by Michael OBrien, Danielle Thurston, and Rebecca Stevens

OPENPediatrics 2023-06-15 | Quick Concepts are short videos that describe a key physiological or theoretical concept or demonstrate a brief procedure. This video discusses initial treatment goals for a concussion that can inform a treatment plan. If you are interested in learning more about this topic, please watch the full video "Concussion Management" youtu.be/z26eJ7Klbj4.

AUTHORS
Michael O'Brien, MD
Director of the Sports Concussion Clinic
Boston Children's Hospital
Assistant Professor of Orthopedics
Harvard Medical School

Danielle Thurston, MSN, CPNP
Pediatric Nurse Practioner
Boston Children's Hospital

Rebecca M. Stevens, MSN, RN, CPNP
Pediatric Nurse Practitioner in Outpatient Neurology
Boston Children's Hospital

DATES
Initial publication: June 15, 2023

CITATION
O’Brien M, Thurston D, Stevens R, Daniel D, DelSignore L. Treatment Goals for Concussions. 06/2023. learn.openpediatrics.org/learn/course/internal/view/elearning/5417/Treatment-Goals-for-Concussions. From: O’Brien M, Thurston D, Stevens R, Daniel D, DelSignore L. Concussion Management. 12/2017. OPENPediatrics. Online Course: learn.openpediatrics.org/learn/course/internal/view/elearning/2841/concussion-management. Video: youtu.be/z26eJ7Klbj4. Podcast: on.soundcloud.com/CCWLD.
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.

Introduction to Traumatic Brain Injury by Lisa DelSignore, MD for OPENPediatrics

OPENPediatrics 2023-06-12 | This video describes the underlying pathophysiology related to cerebral swelling, management of increased intracranial pressure, and optimization of cerebral perfusion pressure in the patients with traumatic brain injury.

LEARNING OBJECTIVES
Upon viewing this presentation, participants will be able to:
• Describe the different types of injuries defined as traumatic brain injury
• Describe the secondary injuries that occur because of traumatic brain injury
• Describe the Monro-Kellie Doctrine and how it relates to traumatic brain injury
• Describe Cerebral Perfusion Pressure and how it relates to Intracranial Pressure and Cerebral Blood Flow in traumatic brain injury
•Describe the factors that affect cerebral blood flow
• Describe the strategies to lower intracranial pressure

AUTHORS
Lisa DelSignore, MD
Attending, Pediatric Critical Care
Tuft's Medical Center
Instructor of Anesthesia
Harvard Medical School

DATES
Initial publication: January 28, 2015
Last reviewed: January 11, 2022

CITATION
DelSignore L, Olszewski AE, Wolbrink TA. Introduction to Traumatic Brain Injury. 1/2015. OPENPediatrics. Online Course. learn.openpediatrics.org/learn/course/internal/view/elearning/3056/introduction-to-traumatic-brain-injury. Video:
youtu.be/MD_ERh6XpqE. Podcast: on.soundcloud.com/Uy3ew.

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.

Introduction to Defibrillation by Mjaye Mazwi, MD, for OPENPediatrics

OPENPediatrics 2023-06-12 | Learn about the physiology, indications, equipment, voltage selection, and clinical considerations when performing cardiac defibrillation.
2:10 Chapter 2: Equipment
7:17 Chapter 3: Preparations for Defibrillation
9:26 Chapter 4: Demonstration of Defibrillation
15:19 Chapter 5: Documentation

LEARNING OBJECTIVES
Upon viewing this presentation, participants will be able to:
• Understand the indications for defibrillation
• Know the different types of defibrillation equipment
• Recognize the signs and symptoms of a failed defibrillation attempt

AUTHORS
Mjaye Mazwi, MD
Attending Physician, Cardiology
Anne and Robert H. Lurie Children's Hospital of Chicago
Assistant Professor of Pediatric Cardiology
Northwestern University Feinberg School of Medicine

DATES
Initial publication: September 01, 2012
Last reviewed: June 29, 2022

CITATION
Mazwi M, Olszewski AE, Wolbrink TA. Introduction to Defibrillation. 9/2012. OPENPediatrics. Online Course. learn.openpediatrics.org/learn/course/internal/view/elearning/2993/introduction-to-defibrillation. Video: youtu.be/_i2-_67xcvw. Podcast: on.soundcloud.com/T21z2.

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.

Sickle Cell Disease by Virginia Tran and Dr. Natasha Archer for OPENPediatrics

OPENPediatrics 2023-06-09 | By the end of this video, the learner will be able to describe the fundamental elements of sickle cell disease, including pathophysiology, potential complications, and management strategies.
0:00 Introduction
3:18 Pathophysiology
5:06 Complications
9:13 Management
15:13 Summary

LEARNING OBJECTIVES
By the end of this video, the learner will be able to:
• Describe the fundamental elements of sickle cell disease
• Discuss the pathophysiology of sickle cell disease
• Identify the common complications seen in this condition
• Describe the management options for sickle cell disease and its complications

AUTHORS
Virginia Tran, BS
Harvard Medical School

Natasha Archer, MD
Physician
Dana Farber/Boston Children's Cancer and Blood Disorders Center
Assistant Professor of Pediatrics
Harvard Medical School

DATES
Initial publication: 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. learn.openpediatrics.org/learn/course/internal/view/elearning/5419/sickle-cell-disease. Video: youtu.be/CI-qlA_pAAI. Podcast: soundcloud.com/openpediatrics/sickle-cell-disease-by-virginia-tran-and-dr-natasha-archer-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.

What is a Concussion? by Michael OBrien, Danielle Thurston, and Rebecca Stevens

OPENPediatrics 2023-06-01 | Quick Concepts are short videos that describe a key physiological or theoretical concept or demonstrate a brief procedure. This video defines a concussion and discusses common mechanisms. If you are interested in learning more about this topic, please watch the full video "Concussion Management" youtu.be/z26eJ7Klbj4.

AUTHORS
Michael O'Brien, MD
Director of the Sports Concussion Clinic
Boston Children's Hospital
Assistant Professor of Orthopedics
Harvard Medical School

Danielle Thurston, MSN, CPNP
Pediatric Nurse Practioner
Boston Children's Hospital

Rebecca M. Stevens, MSN, RN, CPNP
Pediatric Nurse Practitioner in Outpatient Neurology
Boston Children's Hospital

DATES
Initial publication: June 1, 2023

CITATION
O’Brien M, Thurston D, Stevens R, Daniel D, DelSignore L. What is a Concussion? 06/2023.https://learn.openpediatrics.org/learn/course/internal/view/elearning/5416/What-is-a-Concussion. From: O’Brien M, Thurston D, Stevens R, Daniel D, DelSignore L. Concussion Management. 12/2017. OPENPediatrics. Online Course: learn.openpediatrics.org/learn/course/internal/view/elearning/2841/concussion-management. Video: youtu.be/z26eJ7Klbj4. Podcast: on.soundcloud.com/CCWLD.

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.

Navigating the Intersection Between Medical Complexity and Mental Health in the Emergency Department

OPENPediatrics 2023-05-25 | 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: youtu.be/wvA4t9nyeo0, 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
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: 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.

Innovations in Education and Training in India by Dr. Ebor Jacob James for OPENPediatrics

OPENPediatrics 2023-05-23 | 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.
0:00 Introduction
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

LEARNING OBJECTIVES
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

AUTHORS
Ebor Jacob James DNB,FCCM
Professor
Pediatric Critical Care
Christian Medical College
Vellore, Tamil Nadu ,India

Traci Wolbrink MD, MPH
Senior Associate in Critical Care Medicine
Boston Children's Hospital
Associate Professor of Anaesthesia
Harvard Medical School

DATES
Initial 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: youtu.be/0nSnxcnWDmY. Podcast: 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, doi.org/10.1016/j.cegh.2021.100729.

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.

Screening Tools for Pediatric Anxiety by Ayesha Dholakia, Katelin Blackburn and Brenna Chase

OPENPediatrics 2023-05-19 | Quick Concepts are short videos that describe a key physiological or theoretical concept or demonstrate a brief procedure. Anxiety disorders are common in children. These disorders can cause a variety of symptoms, including worry, fear, restlessness, and difficulty concentrating. There are a number of validated screening tools that can be used to identify anxiety disorders in children. These tools may be completed by both the child and the parent, and they can help healthcare providers determine if further evaluation is needed. If you are interested in learning more about this topic, please watch the full video "Pediatric Behavioral-Mental Health: Anxiety". youtu.be/vQTPBeALXNc

AUTHORS
Ayesha Dholakia, MD
Pediatrics Resident
Boston Combined Residency Program, Urban Health and Advocacy Track
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: May19, 2023

CITATION
Dholakia A, Ngo A, Chase B, Wills K, Blackburn K. Screening Tools for Pediatric Anxiety. From: Dholakia A, Ngo A, Chase B, Wills K, Blackburn K. Pediatric Behavioral-Mental Health: Anxiety. 11/2022. OPENPediatrics. Online Course. learn.openpediatrics.org/learn/course/internal/view/elearning/5300/pediatric-behavioral-mental-health-anxiety. Video: youtu.be/vQTPBeALXNc. Podcast: soundcloud.com/openpediatrics/pediatric-behavioral-mental-health-anxiety.

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.

Guidelines for the Management of Pediatric Severe Traumatic Brain Injury by Dr. Patrick Kochanek

OPENPediatrics 2023-05-17 | In this podcast, 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.

LEARNING OBJECTIVES
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

AUTHORS
Patrick M. Kochanek, MD, MCCM
Ake N. Grenvik Professor of Critical Care Medicine, Anesthesiology, Pediatrics, Bioengineering, and Clinical and Translational Science
Director, Safar Center for Resuscitation Research
UPMC Children’s Hospital of Pittsburgh
University of Pittsburgh School of Medicine

DATES
Initial publication: April 19, 2019.

CITATION
Kochanek P, Zackin B, Daniel D, Tasker R. Guidelines for the Management of Pediatric Severe Traumatic Brain Injury. 4/2019. Online Video. OPENPediatrics. 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

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.

Diagnosis of Asthma by Julia Pian and Laura Chiel for OPENPediatrics

OPENPediatrics 2023-05-12 | Quick Concepts are short videos that describe a key physiological or theoretical concept or demonstrate a brief procedure. Asthma is a common chronic lung disease in children characterized by reversible airflow obstruction. Symptoms of asthma may include cough, wheezing, and shortness of breath.
This video will discuss the diagnosis of asthma in pediatric patients.
If you are interested in learning more about this topic, please watch the full video "Asthma" (youtu.be/s2WCWIE9TcI) from our Pediatric Clerkship playlist (youtube.com/playlist?list=PLJmgkNI4ruzy7TGO4eh47fr5YSeuU3N79).

AUTHORS
Julia Pian
Harvard Medical School

Laura Chiel, MD
Boston Combined Residency Program
Boston Children's Hospital | Boston Medical Center
DATES
Initial publication: May 12, 2023

CITATION
Pian J, Chiel L, Rubin L, Erickson A, McFee AM, Wolbrink TA. Diagnosis of Asthma. 5/2023. OPENPediatrics. Online Video. learn.openpediatrics.org/learn/course/internal/view/elearning/2877/asthma. From: Pian J, Chiel L, Rubin L, Erickson A, McFee AM, Wolbrink TA. Asthma. 8/2018. OPENPediatrics. Online Course. learn.openpediatrics.org/learn/course/internal/view/elearning/2877/asthma. Video: youtu.be/s2WCWIE9TcI. Podcast: soundcloud.com/openpediatrics/asthma-by-julia-pian-and-laura-chiel-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.

Treatment of Pediatric Depression by Drs. P. Chen, M. Ivanova, B. Chase, K. Blackburn

OPENPediatrics 2023-05-05 | Quick Concepts are short videos that describe a key physiological or theoretical concept or demonstrate a brief procedure.
Depression is a common and serious illness that affects children and adolescents. It can cause a variety of symptoms, including sadness, hopelessness, changes in appetite and sleep, loss of interest in activities, and difficulty concentrating. Depression can also lead to problems at school, at home, and with friends.
This video provides an overview of the treatment options for depression in children and adolescents. It discusses the importance of collaboration between patients, families, and healthcare providers, as well as the benefits of combining pharmacotherapy and psychotherapy. The video also provides information on the most commonly used antidepressants in children, including the starting dose and target dose for each medication.
If you are interested in learning more about this topic, please watch the full video "Pediatric Behavioral-Mental Health: Depression". youtu.be/vjln2IiG46Q

AUTHORS
Brenna Chase, MD
Chief Resident in Pediatrics
Boston Combined Residency Program | Urban Health & Advocacy Track
Boston Children's Hospital | Boston Medical Center

Pamela Chen, MD
Pediatrics Resident
Boston Combined Residency Program
Boston Children's Hospital | Boston Medical Center

Magdalena Ivanova, MD
Pediatrics Resident
Boston Combined Residency Program
Boston Children's Hospital | Boston Medical Center

Katelin Blackburn, MD
Adolescent Medicine Fellow
Division of Adolescent and Young Adult Medicine
Boston Children's Hospital | Boston Medical Center

DATES
Initial publication: May 5, 2023

CITATION
Ivanova M*, Chen P*, Chase B, Moye B, Wills K, Blackburn K. Treatment of Pediatric Depression. 5/2023. OPENPediatrics. Online Video: learn.openpediatrics.org/learn/course/internal/view/elearning/5404/Treatment-of-Pediatric-Depression. From: Ivanova M*, Chen P*, Chase B, Moye B, Wills K, Blackburn K. Pediatric Behavioral-Mental Health: Depression. 5/2022. OPENPediatrics. Online Course: learn.openpediatrics.org/learn/course/internal/view/elearning/5230/pediatric-behavioral-mental-health-depression. Video: youtu.be/vjln2IiG46Q. Podcast: soundcloud.com/openpediatrics/pediatric-behavioral-mental-health-depression-by-drs-p-chen-m-ivanova-b-chase-k-blackburn.
*These authors contributed equally to this work

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.

Laryngospasm by Drs. Helena Leahy & Jue Teresa Wang, for OPENPediatrics

OPENPediatrics 2023-05-03 | In this video, Dr. Helena Leahy reviews risk factors, mechanisms, signs and symptoms, and appropriate management of laryngospasm.

LEARNING OBJECTIVES
Upon viewing this presentation, participants will be able to:
• Identify the risk factors of laryngospasm
• Describe the mechanism of laryngospasm
• Explain how to diagnose and treat laryngospasm

DIRECT LINKS TO CHAPTERS
00:00 Introduction
00:51 Risk Factors
03:14 Anatomy of the Larynx
03:40 Mechanisms of Laryngospasm
04:22 Treatment
06:36 Complications

AUTHORS
Helena Leahy, MD
Pediatric Anesthesia Fellow
Boston Children's Hospital

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

DATES
Initial publication: April 11, 2023

CITATION
Leahy H, Marcley S, Wolbrink TA, Wang JT. Laryngospasm. 04/2023. OPENPediatrics. Online Course: learn.openpediatrics.org/learn/course/internal/view/elearning/5394/laryngospasm. Video: youtu.be/glL0nScjEFM. Podcast: soundcloud.com/openpediatrics/laryngospasm-by-dr-helena-leahy-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.

The Infant Car Seat Tolerance Screening by Kathryn Gustafson, for OPENPediatrics

OPENPediatrics 2023-04-27 | In this video, Kathryn Gustafson demonstrates the Infant Car Seat Tolerance Screen and explains how the screen is used to provide safe motor vehicle transportation for newborns and infants under 6 months old.

DIRECT LINKS TO CHAPTERS
00:00 Intro
02:46 Chapter 2: Car Seat Tolerance Procedure
06:49 Chapter 3: Documentation
07:29 Chapter 4: Education

LEARNING OBJECTIVES
After watching this video the viewer should be able to:
• Explain the steps of the Infant Car Seat Tolerance Screening
• Identify approved car seats that can be used as motor vehicle restraints
• Identify whether or not the infant passes the Infant Car Seat Tolerance Screening
• List teaching points that parents will need before traveling with their infant

AUTHOR(S)
Kathryn Gustafson, RN, BSN, CCRN
Child Passenger Safety Technician (CPST)
Staff Nurse III
Boston Children’s Hospital

DATES
Initial publication: January 24, 2020.
Last reviewed: April 13, 2023.

CITATION
Gustafson K, Marcley S, DeGrazia M. The Infant Car Seat Tolerance Screening. 01/2020. OPENPediatrics. Online Course: learn.openpediatrics.org/learn/course/internal/view/elearning/4201/the-infant-car-seat-tolerance-screening. Video: youtu.be/xhCrlW4IeGg. Podcast: soundcloud.com/openpediatrics/the-infant-carseat-tolerance-screening-by-kathryn-gustafson.

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.

Measuring What Matters in a Multicenter RCT: Partnering With Patients/Families and Policymakers

OPENPediatrics 2023-04-26 | In this Complex Care Journal Club podcast episode, Dr. Eyal Cohen discusses the design and key findings of a randomized controlled trial evaluating the effectiveness of a structured complex care program in Ontario, Canada. He describes implications for clinical practice, opportunities for family partnership in research, and the next steps from this work.

SPEAKERS
Eyal Cohen, MD, MSc, FRCPC
Program Head, Child Health Evaluative Sciences
Staff Physician, Division of Pediatric Medicine
The Hospital for Sick Children (SickKids), Toronto

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: April 26, 2023

CITATION
Cohen E, Huth K. Measuring What Matters in a Multicenter RCT: Partnering With Patients/Families and Policymakers. 04/2023. OPENPediatrics. Online Podcast. Links: youtu.be/tTimlHM9Oj8, soundcloud.com/openpediatrics/measuring-what-matters-in-a-multicenter-rct-partnering-with-patientsfamilies-and-policymakers.

ARTICLE REFERENCED
Cohen E, Quartarone S, Orkin J, et al. Effectiveness of Structured Care Coordination for Children With Medical Complexity: The Complex Care for Kids Ontario (CCKO) Randomized Clinical Trial [published online ahead of print, 2023 Mar 20]. JAMA Pediatr. 2023;e230115. doi:10.1001/jamapediatrics.2023.0115 pubmed.ncbi.nlm.nih.gov/36939728

TRANSCRIPT
bit.ly/41Xvaf0

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.

The Potential Impact of ChatGPT on Pediatric Critical Care by Dr. Michael Dean for OPENPediatrics

OPENPediatrics 2023-04-21 | In this World Shared Practice Forum podcast, Dr. Michael Dean discusses the potential impact of ChatGPT on pediatric critical care. Dr. Dean gives background as to what ChatGPT is, how it was developed, and how it is currently being used in the medical community at large. He discusses his experiences using ChatGPT, describing its promising features and the issues involved with it as well. Lastly, Dr. Dean speculates on the potential impact it will have on patients, clinicians, and medical students moving forward.

LEARNING OBJECTIVES
Upon listening to this presentation, learners should be able to:
- Explain what ChatGPT is and how it is trained
- Discuss potential use cases of ChatGPT in the medical community
- Identify potential issues with the use of ChatGPT and the importance of integrating accurate data sets into future versions

GUEST
J. Michael Dean, M.D., M.B.A.
Professor and Vice Chair for Research
Department of Pediatrics
University of Utah School of Medicine
Associate Dean for Clinical Research
University of Utah Health

HOST
Dr. Jeffery 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: April 20, 2023.

ADDITIONAL REFERENCES
• openai.com/blog/chatgpt

CITATION
Dean JM, O'Hara JE, Burns JP. The Potential Impact of ChatGPT on Pediatric Critical Care. 04/2023. OPENPediatrics. Online Podcast. Links: youtu.be/FpWGxK0aFi8. Podcast: soundcloud.com/openpediatrics/the-potential-impact-of-chatgpt-on-pediatric-critical-care-by-dr-j-michael-dean-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.

Tips for Engaging Families when Caring for Patients with Autism by Dennis Doherty

OPENPediatrics 2023-04-19 | Quick Concepts are short videos that describe a key physiological or theoretical concept or demonstrate a brief procedure. Autism Spectrum Disorder (ASD) is a developmental disorder that affects communication and behavior. In this video, we discuss how to work with patients with autism. We provide tips on how to communicate effectively, create a predictable environment, and use additional resources to support patients. If you are interested in learning more about this topic, please watch the full video "Caring for Patients with Autism Spectrum Disorder: The Keys for Success. youtu.be/qfgp8X_4VxM

AUTHORS
Kristin Coffey, MS, CCLS
Certified Life Specialist
Boston Children's Hospital

Dennis Doherty, MSN, RN, NPD-BC
Professional Developmental Specialist
Boston Children's Hospital

Laura Weissman, MD
Developmental and Behavioral Pediatrician
Boston Children's Hospital

DATES
Initial publication: April 18, 2023

CITATION
Coffey K, Doherty D, Weissman L, Zackin B, Huth K. Tips for Engaging Families when Caring for Patients with Autism. 04/2023. Online Video. OPENPediatrics. learn.openpediatrics.org/learn/course/internal/view/elearning/5396/Tips-for-Engaging-Families-when-Caring-for-Patients-with-Autism. From: Coffey K, Doherty D, Weissman L, Zackin B, Huth K. Caring for Patients with Autism Spectrum Disorder: The Keys for Success. 10/2020. Online Video. OPENPediatrics. learn.openpediatrics.org/learn/course/internal/view/elearning/4805/Caring-for-Patients-with-Autism-Spectrum-Disorder:-The-Keys-for-Success. Video: youtu.be/qfgp8X_4VxM. Podcast: soundcloud.com/openpediatrics/caring-for-patients-with-autism-spectrum-disorder-the-keys-for-success-by-dennis-doherty-1.

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.

What is Autism Spectrum Disorder and What Does it Look Like? by Dennis Doherty

OPENPediatrics 2023-04-13 | Quick Concepts are short videos that describe a key physiological or theoretical concept or demonstrate a brief procedure. Autism Spectrum Disorder (ASD) is a developmental disorder that affects communication and behavior. There is no one "look" for autism. People with ASD can appear physically indistinguishable from their peers. However, there are some common symptoms that may be present. In this video, we will discuss the symptoms of ASD. If you are interested in learning more about this topic, please watch the full video "Caring for Patients with Autism Spectrum Disorder: The Keys for Success" youtu.be/qfgp8X_4VxM.

AUTHORS
Kristin Coffey, MS, CCLS
Certified Life Specialist
Boston Children's Hospital

Dennis Doherty, MSN, RN, NPD-BC
Professional Developmental Specialist
Boston Children's Hospital

Laura Weissman, MD
Developmental and Behavioral Pediatrician
Boston Children's Hospital

DATES
Initial publication: April 13, 2023

CITATION
Coffey K, Doherty D, Weissman L, Zackin B, Huth K. What is Autism Spectrum Disorder and What Does it Look Like? learn.openpediatrics.org/learn/course/5395/what-is-autism-spectrum-disorder-and-what-does-it-look-like. From: Coffey K, Doherty D, Weissman L, Zackin B, Huth K. Caring for Patients with Autism Spectrum Disorder: The Keys for Success. 10/2020. Online Video. OPENPediatrics. learn.openpediatrics.org/learn/course/internal/view/elearning/4805/Caring-for-Patients-with-Autism-Spectrum-Disorder:-The-Keys-for-Success. Video: youtu.be/qfgp8X_4VxM. Podcast: soundcloud.com/openpediatrics/caring-for-patients-with-autism-spectrum-disorder-the-keys-for-success-by-dennis-doherty-1.

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.

“Pediatric Pain Management in the Emergency Department” by Corrie Chumpitazi MD, MS, FAAP, FACEP

OPENPediatrics 2023-03-08 | This video is a part of our Pain Series. In this episode, Dr. Corrie Chumpitazi gives an overview of pediatric pain management in the emergency department context, with a focus on education and advocacy toolkits for pediatric pain management that can be used nationwide. She discusses how to optimize both recognition and management of pediatric pain, with practical tips for determining medication selection and mitigating bias. She also talks about the use of opioids in treating pediatric pain, with consideration of healthcare disparities and changes in prescribing practices over time.

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.

Upon viewing this presentation, participants will be able to:
• Describe available approaches to assessing pediatric pain in the emergency department
• Identify available tools for the recognition and management of pediatric pain
• Discuss the role of opioids in treating pediatric pain, with consideration of changes in opioid prescribing practices over time
• Identify racial and ethnic disparities in the treatment of pediatric pain

CHAPTERS
00:00 Introduction
01:59 Key issues in pediatric pain management
04:19 How to appropriately assess pain
07:22 Pain management kits
15:23 How pain kits are utilized
17:05 Opioid discussion
19:16 Optimal health equity between patients with disparities
22:44 Summary

DATES
Initial Publication: March 8, 2023.

ARTICLES REFERENCED
• Ali S, Morrison E, Shwetz S, Yaskina M, Rajagopal M, Estey A, Drendel AL. An assessment of the psychometric properties of the Stoplight Pain Scale in a Canadian paediatric emergency department. Paediatr Child Health. 2021 May 26;26(7):421-427. (6:37)
• Chang CD, Saidinejad M, Atanelov Z, Dietrich AM, Lam SH, Rose E, Ruttan T, Shahid S, Stoner MJ, Sulton C, Chumpitazi CE; ACEP Pediatric Emergency Medicine Committee. Emergency department strategies to combat the opioid crisis in children and adolescents. J Am Coll Emerg Physicians Open. 2021 Jul 21;2(4):e12512.
• Chumpitazi CE, Chang C, Atanelov Z, et al. Managing acute pain in children presenting to the emergency department without opioids. J Am Coll Emerg Physicians Open. 2022;3(2):e12664. (18:14)
• Goyal MK, Drendel AL, Chamberlain JM, et al. Racial/Ethnic Differences in ED Opioid Prescriptions for Long Bone Fractures: Trends Over Time. Pediatrics. 2021;148(5):e2021052481. (19:45)
• Groenewald CB, Rabbitts JA, Gebert JT, Palermo TM. Trends in opioid prescriptions among children and adolescents in the United States: a nationally representative study from 1996 to 2012. Pain. 2016;157(5):1021-1027. (10:30)
• Johnson TJ, Winger DG, Hickey RW, et al. Comparison of Physician Implicit Racial Bias Toward Adults Versus Children. Acad Pediatr. 2017;17(2):120-126. (21:57)
• Kircher J, Drendel AL, Newton AS, et al. Acute pediatric musculoskeletal pain management in North America: a practice variation survey. Clin Pediatr (Phila). 2014;53(14):1326-1335 (16:48)
• Tobias JD, Green TP, Coté CJ; SECTION ON ANESTHESIOLOGY AND PAIN MEDICINE; COMMITTEE ON DRUGS. Codeine: Time to Say "No". Pediatrics. 2016;138(4):e20162396. (11:03)

ADDITIONAL REFERENCES
• Emergency Medical Services for Children Innovation & Improvement Center (EIIC) toolkits (https://emscimprovement.center/education-and-resources/toolkits/)
• EIIC/TREKK: Bottom Line Recommendations Pain Treatment (https://emscimprovement.center/education-and-resources/peak/peak-pediatric-pain/bottom-line-recommendation-pediatric-pain-treatment/)
• Pediatric Education and Advocacy Kit (PEAK) toolkits: (https://emscimprovement.center/education-and-resources/peak/peak-pediatric-pain/)
• Stoplight Pain Scale (stoplightpainscale.com)

CITATION
Chumpitazi CE, Perez C, Daniel D, Wolbrink TA. Pediatric pain management in the emergency department. 3/2023. Online Video. OPENPediatrics. youtu.be/5ca1pFTXe5Q.

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.

Distraction for Pediatric Painful Procedures by Dr. Kirsten Hanrahan for OPENPediatrics

OPENPediatrics 2023-03-06 | In this Nursing World Shared Practice Forum video, Dr. Hanrahan shares her research related to distraction for pediatric painful procedures. She reviews why this research is important, how it has benefited the pediatric patient population, and lists tools parents and caregivers can use to help them comfort children during painful tests and procedures.

Following this discussion, participants will be able to:

- Explain the Distraction and Action Tool and how it is used to predict a child’s risk of distress during medical procedures
- Discuss how the research on distraction has impacted clinical practice
- Explain how the Iowa Implementation and Sustainability Framework Tool is used to successfully implement evidence-based practice in the clinical setting
- List ways to engage parents in distraction techniques for their child

Publication date: March 6, 2023.

Articles Referenced:
Hanrahan K, Kleiber C, Miller BJ, Davis H, McCarthy AM. The Distraction in Action Tool©: Feasibility and Usability in Clinical Settings. J Pediatr Nurs. 2018;41:16-21. (6:06)

Cullen L, Hanrahan K, Edmonds SW, Reisinger HS, Wagner M. Iowa Implementation for Sustainability Framework. Implement Sci. 2022;17(1):1. (11:00)

Citation: Hanrahan K, DeGrazia M, Shields R. Distraction for Pediatric Painful Procedures: Implementing an Evidence-Based Approach. 03/2023. Online Video. OPENPediatrics. youtu.be/-OVrznTOXrY.

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.

Second International Guidelines for the Diagnosis and Management of PARDS with Dr. Robinder Khemani

OPENPediatrics 2023-02-28 | In this World Shared Practice Forum podcast, Dr. Robinder Khemani discusses the new Second Pediatric Acute Lung Injury Consensus Conference (PALICC-2) guidelines, describing important changes from the previous PALICC guidelines and highlighting topics such as non-invasive ventilation, patient self-inflicted lung injury, and strategies for monitoring the breathing of a patient who is receiving invasive mechanical ventilation.

LEARNING OBJECTIVES
Upon listening to this presentation, learners should be able to:
- Identify the differences between the old PALICC guidelines and new PALICC-2 guidelines
- Define patient self-inflicted lung injury
- Explain new recommendations for monitoring patients receiving invasive mechanical ventilation

GUEST
Dr. Robinder Khemani
Vice Chair of Research, Department of Anesthesiology and Critical Care
Children's Hospital of Los Angeles
Professor of Pediatrics
University of Southern California School of Medicine

HOST
Dr. Jeffery 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: February 28, 2023.

ARTICLES REFERENCED
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

Khemani RG, Smith LS, Zimmerman JJ, Erickson S; Pediatric Acute Lung Injury Consensus Conference Group. Pediatric acute respiratory distress syndrome: definition, incidence, and epidemiology: proceedings from the Pediatric Acute Lung Injury Consensus Conference. Pediatr Crit Care Med. 2015;16(5 Suppl 1):S23-S40. doi:10.1097/PCC.0000000000000432

ARDS Definition Task Force, Ranieri VM, Rubenfeld GD, et al. Acute respiratory distress syndrome: the Berlin Definition. JAMA. 2012;307(23):2526-2533. doi:10.1001/jama.2012.5669

CITATION
Khemani RG, Daniel D, Burns JP. Second International Guidelines for the Diagnosis and Management of PARDS. 02/2023. Online Podcast. OPENPediatrics. youtu.be/OeakKeoWXUk.

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.

Laryngeal Cleft by Dr. Reza Rahbar and Dr. Jessica Laird-Gion for OPENPediatrics

OPENPediatrics 2023-01-31 | This video discusses the pre-operative, operative, and post-operative considerations for patients undergoing laryngeal cleft repair including: anatomy and pathophysiology, clinical presentation, diagnosis, pre-operative evaluation, anesthetic management, operative approach, and post-operative care.

Upon viewing this presentation, participants will be able to:
- Describe the anatomy and pathophysiology of a laryngeal cleft
- List the common symptoms that a patient may exhibit with various types of laryngeal cleft
- Explain the approach used to diagnose a laryngeal cleft
- Describe the common preoperative evaluation for laryngeal cleft surgery
- Explain the anesthetic management plan for repair of type 1 and type II laryngeal clefts
- Describe the operative approach for repair of type 1 and type II laryngeal clefts
- Anticipate the post-operative considerations following repair of type 1 and type II laryngeal clefts

00:00 Introduction
00:59 Anatomy & Pathophysiology
02:39 Clinical Presentation
04:42 Diagnosis
06:17 Preoperative Evaluation
09:05 Anesthesia Management
12:41 Operative Approach
13:42 Postoperative Care
14:22 Complication and Follow-up

Initial publication: January 19, 2023

Citation: Laird-Gion J, O’Halloran A, Soohey R, Rahbar R, Watters K, Wolbrink TA. Laryngeal Cleft. 01/2023. Online Video. OPENPediatrics. youtu.be/xt5FgGi1dCk.

Authors:
Amanda O'Halloran, MD
Attending Physician, Division of Critical Care Medicine
Children's Hospital of Philadelphia

Karen Watters, MD, BCh, BAO, MPH
Associate, Department of Otolaryngology and Communication Enhancement
Boston Children's Hospital
Assistant Professor of Otolaryngology
Harvard Medical School

Jessica Laird-Gion, MD
Clinical Fellow in Pediatrics
Boston Children's Hospital

Reza Rahbar, DMD, MD
Associate Otolaryngologist-in-Chief; Director, Center for Airway Disorders
Co-Director, Head, Neck and Skull Base Surgery Program
Boston Children's Hospital
Professor of Otolaryngology
Harvard Medical School

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.

Tripledemic: What We Know So Far and What to Expect Going Forward by Dr. Paul Offit

OPENPediatrics 2023-01-23 | In this World Shared Practice Forum podcast, Dr. Paul Offit discusses the viruses causing the so-called “tripledemic.” Dr. Offit reviews the virulence, transmission, and vaccine potential related to Respiratory syncytial virus (RSV). He shares current knowledge about the epidemiology and pediatric vaccination rates related to the Influenza A outbreak. Lastly, Dr. Offit gives an update on COVID-19 in the pediatric population, including details on current variants, the effectiveness and impact of the bivalent vaccines, and what to expect in the future.

Upon listening to this presentation, learners should be able to:
- Describe the surge of RSV infections observed in 2022, with likely causes
- Explain the process of strain selection for the yearly Influenza vaccine
- Summarize available data relating to the efficacy of the bivalent COVID vaccine

Published: January 23, 2023.

Citation: Offit P, Daniel D, Burns JP. Tripledemic: What we know so far and what to expect going forward on RSV, Influenza A, and SARS-CoV-2 in Children. 01/2023. Online Podcast. OPENPediatrics. youtu.be/1OHNeYW8dIw.

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.

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

OPENPediatrics 2022-12-23 | 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. 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

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.

Research Trends in Pediatric Critical Care Medicine: Current and Emerging Areas of Interest

OPENPediatrics 2022-12-22 | In this World Shared Practice Forum podcast, Dr. Robert Tasker continues highlighting research trends from his position as Editor-in-Chief of the Pediatric Critical Care Medicine Journal. Dr. Tasker presents notable articles from 2022, shares a look into upcoming topics and themes for 2023, and provides his perspective on how academic journals such as PCCM are evolving to meet the needs of modern readers and clinicians.

Following this podcast, listeners will be able to:
- List some of the prominently featured and shared articles from Pediatric Critical Care Medicine for the first half of 2022
- Identify topics and areas of active research interest within the field of pediatric critical care medicine
- Discuss approaches to increasing engagement with an academic publication, including content curation, online presentation, and uses of alternative formats such as podcasting

Articles referenced:
•2:17 Nellis ME, Karam O, Valentine SL, et al. Executive Summary of Recommendations and Expert Consensus for Plasma and Platelet Transfusion Practice in Critically Ill Children: From the Transfusion and Anemia EXpertise Initiative-Control/Avoidance of Bleeding (TAXI-CAB). Pediatr Crit Care Med. 2022;23(1):34-51.

•2:27 Smith HAB, Besunder JB, Betters KA, et al. 2022 Society of Critical Care Medicine Clinical Practice Guidelines on Prevention and Management of Pain, Agitation, Neuromuscular Blockade, and Delirium in Critically Ill Pediatric Patients With Consideration of the ICU Environment and Early Mobility. Pediatr Crit Care Med. 2022;23(2):e74-e110.

•3:16 Dewan M. I Cannot Let It Go. Pediatr Crit Care Med. 2022;23(3):214-215. doi:10.1097/PCC.0000000000002862

•4:16 Mazer MB, Bulut Y, Brodsky NN, et al. Multisystem Inflammatory Syndrome in Children: Host Immunologic Responses. Pediatr Crit Care Med. 2022;23(4):315-320.

•4:36 Kozyak BW, Fraga MV, Juliano CE, et al. Real-Time Ultrasound Guidance for Umbilical Venous Cannulation in Neonates With Congenital Heart Disease. Pediatr Crit Care Med. 2022;23(5):e257-e266.

•5:34 François T, Sauthier M, Charlier J, et al. Impact of Blood Sampling on Anemia in the PICU: A Prospective Cohort Study. Pediatr Crit Care Med. 2022;23(6):435-443.

Publish date: December 22, 2022.

Citation: Tasker R, Daniel D, Burns JP. Research Trends in Pediatric Critical Care Medicine: Current and Emerging Areas of Interest. 12/2022. Online Podcast. OPENPediatrics. youtu.be/tcn-MQ_jHv4.

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.

Research Trends in Pediatric Critical Care Medicine: Editors Perspective by Dr. Robert Tasker

OPENPediatrics 2022-11-18 | In this World Shared Practice Forum podcast, Dr. Robert Tasker discusses trends in research over the past year from his position as Editor-in-Chief of the Pediatric Critical Care Medicine Journal. Dr. Tasker shares his views on some of the most active areas of research in the field of pediatric critical care medicine in 2021, and provides an insider's look at many metrics relating to the PCCM Journal itself, including impact factor, subscribership numbers, and Altmetric scores.

After the podcast, listeners will be able to:
-Identify diverse areas of active research interest within the field of pediatric critical care medicine
-Describe the reach and impact of the journal Pediatric Critical Care Medicine within the field of pediatrics, and within medicine more generally
-Interpret Altmetric scores to better understand the global reach of a published work

Publication date: November 18, 2022.

Citation: Tasker R, Daniel D, Burns JP. Research Trends in Pediatric Critical Care Medicine: Editor's Perspective. 11/2022. Online Podcast. OPENPediatrics. youtu.be/EnOz15CTiEI.

Articles referenced:
*Jonat B, Gorelik M, Boneparth A, et al. Multisystem Inflammatory Syndrome in Children Associated With Coronavirus Disease 2019 in a Children's Hospital in New York City: Patient Characteristics and an Institutional Protocol for Evaluation, Management, and Follow-Up. Pediatr Crit Care Med. 2021;22(3):e178-e191. (11:39)
*Capasso L, De Bernardo M, Vitiello L, Rosa N. Ultrasound Options for Measuring Optic Nerve Sheath Diameter in Children. Pediatr Crit Care Med. 2021;22(5):e329-e330. (12:40)
*Staveski SL, Pickler RH, Khoury PR, et al. Prevalence of ICU Delirium in Postoperative Pediatric Cardiac Surgery Patients. Pediatr Crit Care Med. 2021;22(1):68-78. (13:42)
*Ozment CP, Scott BL, Bembea MM, Spinella PC; Pediatric ECMO (PediECMO) subgroup of the Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Network and the Extracorporeal Life Support Organization (ELSO). Anticoagulation and Transfusion Management During Neonatal and Pediatric Extracorporeal Membrane Oxygenation: A Survey of Medical Directors in the United States. Pediatr Crit Care Med. 2021;22(6):530-541 (14:05)
*Rimensberger PC, Kneyber MCJ, Deep A, et al. Caring for Critically Ill Children With Suspected or Proven Coronavirus Disease 2019 Infection: Recommendations by the Scientific Sections' Collaborative of the European Society of Pediatric and Neonatal Intensive Care. Pediatr Crit Care Med. 2021;22(1):56-67. (14:47)

Additional references:
*Pediatric Critical Care Medicine journal: journals.lww.com/pccmjournal (06:42)
*Pediatric Critical Care section of Frontiers in Pediatrics journal: frontiersin.org/journals/pediatrics/sections/pediatric-critical-care (06:59)
*Journal of Pediatric Critical Care: https://www.jpcc.org.in (07:06)
*Critical Care Medicine journal: journals.lww.com/ccmjournal/pages/default.aspx (07:20)
*Pediatric Pulmonology journal: onlinelibrary.wiley.com/journal/10990496 (07:28)
*Atlmetric: altmetric.com (16:42)

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.

Pediatric Behavioral-Mental Health: Anxiety by Ayesha Dholakia, Katelin Blackburn and Brenna Chase

OPENPediatrics 2022-11-10 | This video discusses pediatric anxiety and how to approach and support a patient who suffers from a possible anxiety disorder. The authors review the guidelines and tools used for diagnosing anxiety disorders and discuss treatments.

Upon viewing this presentation, participants will:
• Recognize the high prevalence of anxiety disorders amongst pediatric patients
• Identify symptoms of anxiety disorders
• Share tools used to diagnose anxiety disorders
• Discuss treatment management including initiation and titration of medications that can be used to treat anxiety in pediatric patients

Initial Publication: November 10, 2022.

0:00 Introduction
0:54 Definition and Epidemiology
2:38 Diagnosing Anxiety Disorders
4:00 Screening Tools
6:43 Anxiety Management
9:38 Medication Management
15:34 Coping Skills

Citation:
Dholakia A, Ngo A, Chase B, Wills K, Blackburn K. Pediatric Behavioral-Mental Health: Anxiety. 11/2022. Online Video. OPENPediatrics. youtu.be/vQTPBeALXNc.

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.

Mask Ventilation by Dr. Robert Pascucci for OPENPediatrics

OPENPediatrics 2022-11-04 | Learn about techniques for proper airway positioning, obtaining a tight seal, and usage of basic airway adjuncts in bag-mask ventilation.

0:00 Introduction
1:53 Chapter 2: Positioning an Infant
4:22 Chapter 3: Oral Airway
5:52 Chapter 4: Nasal Airway
7:17 Chapter 5: Positioning an Older Child
9:59 Chapter 6: Failure to Obtain Tight Seal by Mask

Initial publication: September 1, 2012
Last reviewed: December 8, 2020
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.

Sudden Infant Death Syndrome by Dr. Richard Goldstein for OPENPediatrics

OPENPediatrics 2022-10-21 | October is Sudden Infant Death Syndrome awareness month. Dr. Richard Goldstein, director of the Robert’s Program on Sudden Unexplained Death in Pediatrics, provides an overview of Sudden Infant Death Syndrome (SIDS), including historical perspectives, definitions, current understanding of potential etiologies, and emerging research. Additionally, Dr. Goldstein offers practical tips for speaking with caregivers about SIDS.

After this podcast, listeners will be able to:
-Discuss the historical background of Sudden Infant Death Syndrome (SIDS)
-Describe key terminology regarding SIDS and Sudden Unexplained Death in Pediatrics
-Identify some of the proposed mechanisms related to SIDS
-Discuss practical strategies for speaking with families and caregivers

Publication date: October 21, 2022.

Articles referenced:
• Goldstein RD, Kinney HC, Guttmacher AE. Only Halfway There with Sudden Infant Death Syndrome. N Engl J Med. 2022;386(20):1873-1875. (0:44)
• MacDorman MF, Rosenberg HM. Trends in infant mortality by cause of death and other characteristics, 1960-88. Vital Health Stat 20. 1993;(20):1-57. (2:40)
• Mitchell EA, Thach BT, Thompson JMD, Williams S, for the New Zealand Cot Death Study. Changing Infants' Sleep Position Increases Risk of Sudden Infant Death Syndrome. Arch Pediatr Adolesc Med. 1999;153(11):1136–1141. (2:48)
• Haynes RL, Frelinger AL 3rd, Giles EK, et al. High serum serotonin in sudden infant death syndrome. Proc Natl Acad Sci U S A. 2017;114(29):7695-7700. (17:20)
• Kinney HC, Haynes RL, Armstrong DD, et. al. Abnormalities of the Hippocampus in Sudden and Unexpected Death in Early Life. In: Duncan JR, Byard RW, eds. SIDS Sudden Infant and Early Childhood Death: The Past, the Present and the Future. University of Adelaide Press; 2018. (19:09)
• Koh HY, Haghighi A, Keywan C, et al. Genetic Determinants of Sudden Unexpected Death in Pediatrics. Genet Med. 2022;24(4):839-850. (22:50)
• Miller MB, Huang AY, Kim J, et al. Somatic genomic changes in single Alzheimer's disease neurons. Nature. 2022;604(7907):714-722. (30:45)
• Warland J, O'Leary J, McCutcheon H, Williamson V. Parenting paradox: parenting after infant loss. Midwifery. 2011;27(5):e163-e169. (36:10)
• Kinney HC, Richerson GB, Dymecki SM, Darnall RA, Nattie EE. The brainstem and serotonin in the sudden infant death syndrome. Annu Rev Pathol. 2009;4:517-550. (42:01)

Additional references:
• Recent article in "Inside Precision Medicine" quoting Dr. Goldstein bit.ly/3TzhG4j
• Back to Sleep campaign: safetosleep.nichd.nih.gov/activities/campaign
• childrenshospital.org/programs/roberts-program/clinician-resources
• https://undiagnosed.hms.harvard.edu/
• broadinstitute.org
• https://medicine.uiowa.edu/humangenetics/clinical-genetics/health-care-providers
• genomeweb.com/informatics/microsoft-seattle-childrens-seek-genetic-markers-sids-through-whole-genome-sequencing#.Y1GOi-zMJqs
• https://med.nyu.edu/departments-institutes/pediatrics/divisions/clinical-genetics/pediatric-undiagnosed-diseases-program
• https://www.australiangenomics.org.au/research/the-australian-undiagnosed-diseases-network/
• ojrd.biomedcentral.com/articles/10.1186/s13023-021-02089-5

Citation: Goldstein R, Daniel D, Wolbrink T. Sudden Infant Death Syndrome. 10/22. Online Podcast. OPENPediatrics. youtu.be/pu-gnSCHDhw.

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.

ECMO Anticoagulation and Thrombosis by Dr. Christina VanderPluym for OPENPediatrics

OPENPediatrics 2022-09-23 | In this World Shared Practice Forum podcast, Dr. Christina VanderPluym, Co-Director of the Stroke and Cerebral Vascular Center and Medical Director of the Cardiac Anti-thrombosis Management and Monitoring Program at Boston Children’s Hospital, discusses emerging concepts in managing anticoagulation of extracorporeal support devices, with a focus on reducing complications such as hemorrhage and thrombosis. She shares her views on the therapeutic offerings currently available for anticoagulation in pediatric mechanical circulatory support, as well as insights into her own clinical practice, along with encouraging data from the pediatric ventricular assist device population.

After this podcast, listeners will be able to:
-Describe the current state of anticoagulation therapy and monitoring in pediatric extracorporeal support
-Compare the advantages and limitations of heparin and bivalirudin for pediatric anticoagulation
-Identify areas of future promise in the field of pediatric anticoagulation for extracorporeal devices

Publication date: September 23, 2022.

Articles referenced:
• Ghbeis, M. B., Vander Pluym, C. J., & Thiagarajan, R. R. (2021). Hemostatic Challenges in Pediatric Critical Care Medicine-Hemostatic Balance in VAD. Frontiers in pediatrics, 9, 625632. doi.org/10.3389/fped.2021.625632
• VanderPluym CJ, Cantor RS, Machado D, et al. Utilization and Outcomes of Children Treated with Direct Thrombin Inhibitors on Paracorporeal Ventricular Assist Device Support. ASAIO J. 2020;66(8):939-945. doi:10.1097/MAT.0000000000001093 (13:45)
• fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/fda-drug-safety-communication-update-follow-public-health-alert-about-changes-heparin-sodium-usp (18:05)
• Thompson K, Alred J, Deyo A, Sievert AN, Sistino JJ. Effect of New Heparin Potency on Activated Clotting Time during Pediatric Cardiac Surgery: A Retrospective Chart Review. J Extra Corpor Technol. 2014;46(3):224-228. (18:20)

Additional resources:
• www.actionlearningnetwork.org (26:49)

Citation: VanderPluym C, Daniel D, Burns JP. ECMO Anticoagulation and Thrombosis. 9/2022. Online Podcast. OPENPediatrics. youtu.be/y4f8NiDJp0g.

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.

Utilizing Mindfulness as a Stress Reduction Tool by Erin Quinlan and Jennifer Schlebusch

OPENPediatrics 2022-09-16 | In this podcast, Erin Quinlan and Jennifer Schlebusch share their knowledge on mindfulness, and how it can be utilized as a stress reduction tool for nurses and their patients. They review different methods of mindfulness, including Reiki, and how to incorporate these tools into the hospital setting.

Following this podcast, learners will be able to:
1:36 Define Mindfulness
2:12 List the types of mindfulness
12:55 Perform a breathing technique for stress reduction
14:43 Define Reiki and explain how it is used at the bedside

Publication date: September 16, 2022

Articles Referenced:
• Zaccaro A, Piarulli A, Laurino M, et al. How Breath-Control Can Change Your Life: A Systematic Review on Psycho-Physiological Correlates of Slow Breathing. Front Hum Neurosci. 2018;12:353. (7:15)
• Jabs H, Rubik B. Detecting Subtle Energies with a Physical Sensor Array. Cosm. Hist. 2019;15(2), 171–192. (15:16)
• Bat N. The effects of reiki on heart rate, blood pressure, body temperature, and stress levels: A pilot randomized, double-blinded, and placebo-controlled study. Complement Ther Clin Pract. 2021;43:101328. (20:51)

Additional References:
• Rubik B. The Biological Field with Beverly Rubik (video). 2017. newthinkingallowed.org/.
• Kabat-Zinn, J. Full Catastrophe Living. Bantam Books; 2013.
• Chiesa A, Calati R, Serretti A. Does mindfulness training improve cognitive abilities? A systematic review of neuropsychological findings. Clin Psychol Rev. 2011;31(3):449-464.
• Demir Dogan M. The effect of reiki on pain: A meta-analysis [published correction appears in Complement Ther Clin Pract. 2021 Aug;44:101423]. Complement Ther Clin Pract. 2018;31:384-387.
• Jain S, Mills PJ. Biofield therapies: helpful or full of hype? A best evidence synthesis [published correction appears in Int J Behav Med. 2011 Mar;18(1):79-82]. Int J Behav Med. 2010;17(1):1-16.
• Lee MS, Pittler MH, Ernst E. Effects of reiki in clinical practice: a systematic review of randomised clinical trials. Int J Clin Pract. 2008;62(6):947-954.
• Lipinski K, Van De Velde J. Reiki: Defining a Healing Practice for Nursing. Nurs Clin North Am. 2020;55(4):521-536.
• Lipinski K, Van De Velde J. Reiki, Nursing, and Health Care. Nurs Clin North Am. 2020;55(4):505-519.
• Miles P, True G. Reiki--review of a biofield therapy history, theory, practice, and research. Altern Ther Health Med. 2003;9(2):62-72.
• Wetzel, WS. Reiki healing: a physiologic perspective. J Holistic Nursing.1989;7(1): 47-54.

Citation: Quinlan E, Schlebusch J, DeGrazia M, Steadman J. Utilizing Mindfulness as a Stress Reduction Tool. 9/2022. Online Podcast. OPENPediatrics. youtu.be/D4mCptzkDcw.

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.

Approach to Abdominal Pain by Patricia Stoeck, MD

OPENPediatrics 2022-09-09 | In this video, the learner will learn how to approach patients with abdominal pain including recognition of important historical features, physical examination findings, and pertinent laboratory testing and imaging studies.

Learning Objectives:
- Recognize important historical features in patients with abdominal pain
- Select physical examination maneuvers to identify specific causes of abdominal pain
- Formulate a focused differential diagnosis based on patient age, pain localization and examination findings
- Plan laboratory testing
- Identify clinical scenarios where imaging studies are warranted for the evaluation of abdominal pain

0:43 Introduction
1:01 History
4:47 Physical Examination
8:20 Differential Diagnosis
11:18 Laboratory Testing
12:29 Imaging
13:47 Summary

Citation: Stoeck P, Callas C, Fantasia K, Marques B, Wills K. Approach to Abdominal Pain. 09/2022. Online Video. OPENPediatrics. learn.openpediatrics.org/learn/course/internal/view/elearning/5265/approach-to-abdominal-pain.

Initial Publication: September 9, 2022

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.

Indications for Gastrostomy Tube Placement by Dr. Lindsey Armstrong, for OPENPediatrics

OPENPediatrics 2022-08-08 | Quick Concepts are short videos that describe a key physiological or theoretical concept or demonstrate a brief procedure. In this video, Dr. Lindsey Armstrong reviews the indications for gastrostomy tube placement. If you are interested in learning more about this topic, please watch the full video "Gastrostomy Tube Primer" on YouTube youtu.be/4sBLiX-SS0k

Initial publication: August 8, 2022

Citation: Armstrong L, Marcley S, Huth K, Schlosser K. Indications for Gastrostomy Tube Placement. 08/2022. Online Video. OPENPediatrics. youtu.be/6RfBmxvzps0.

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.