Episoder
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In this World Shared Practice Forum podcast, Drs. Sapna Kudchadkar and Kate Madden discuss early mobilization programs in pediatric intensive care units (PICUs). They highlight the importance of interdisciplinary collaboration, including the need for shared mental frameworks regarding sedation practices and delirium screening and management. Dr. Kudchadkar describes the potential risks of delirium, the benefits of keeping patients oriented and engaged, and highlights the need for sustainability of early mobilization. She also discusses the implementation and challenges of the PICU UP! program.
LEARNING OBJECTIVES
Following this discussion, learners will be able to:
- Discuss the importance of early mobilization in PICU
- Explain the risks of delirium, as well as appropriate screening and management
- Identify the origins, goals, and benefits of the PICU Up! program
AUTHORS
Sapna Kudchadkar, MD, PhD, FCCM
Professor, Anesthesiologist-in-Chief of Johns Hopkins Children's Center, Vice Chair for Pediatric Anesthesiology and Critical Care Medicine, Director of the John Hopkins PICU Up! Program
Johns Hopkins University School of Medicine
Kate Madden, MD
Senior Associate, BCH Medical-Surgical ICU
Boston Children's Hospital
Assistant Professor of Anesthesiology
Harvard Medical School
DATE
Initial publication date: May 24, 2024.
ARTICLES REFERENCED
00:04:43 Wieczorek B, Ascenzi J, Kim Y, et al. PICU Up!: Impact of a Quality Improvement Intervention to Promote Early Mobilization in Critically Ill Children. Pediatr Crit Care Med. 2016;17(12):e559-e566. doi:10.1097/PCC.0000000000000983 (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5138131/)
00:06:32 Marra A, Ely EW, Pandharipande PP, Patel MB. The ABCDEF Bundle in Critical Care. Crit Care Clin. 2017;33(2):225-243. doi:10.1016/j.ccc.2016.12.005 (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5351776)
00:06:37 ICU liberation initiative (https://www.sccm.org/iculiberation)
00:33:24 Lin JC, Srivastava A, Malone S, et al. Caring for Critically Ill Children With the ICU Liberation Bundle (ABCDEF): Results of the Pediatric Collaborative. Pediatr Crit Care Med. 2023;24(8):636-651. doi:10.1097/PCC.0000000000003262 (https://pubmed.ncbi.nlm.nih.gov/37125798/)
00:34:32 Kudchadkar SR, Nelliot A, Awojoodu R, et al. Physical Rehabilitation in Critically Ill Children: A Multicenter Point Prevalence Study in the United States. Crit Care Med. 2020;48(5):634-644. doi:10.1097/CCM.0000000000004291 (https://pubmed.ncbi.nlm.nih.gov/32168030/)
00:39:40 X @SapnaKMD (https://x.com/sapnakmd)
Please visit: http://www.openpediatrics.org
OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access and thus at no expense to the user. For further information on how to enroll, please email: [email protected]
Kudchadkar SR, O’Hara JE, Madden K. PICU Up!: Collaboration for Success by S. Kudchadkar | OPENPediatrics. 05/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/picu-up-collaboration-for-success-by-s-kudchadkar-openpediatrics -
In this special Complex Care Journal Club podcast episode, co-hosts Kristie Malik, Emily Goodwin and Kathleen Huth interview presenters of posters and oral abstracts relevant to the care of children with medical complexity at the Pediatric Academic Societies (PAS) 2024 annual meeting. Speakers describe the implications of their study findings, messages for patients and families, and priority areas for research that they hope can be investigated further by the complex care community in the coming years.
SPEAKERS
Mary Arakelyan, MPH
Research Project Manager
Dartmouth Health Children's
Tammie Dewan, MD, MSc
Clinical Assistant Professor
Department of Pediatrics, University of Calgary
Pediatrician, Alberta Children's Hospital
Caleb Easterly, BA
MD/PhD Student
University of North Carolina School of Medicine
Kevin Huynh, MS
Medical Student
University of Pittsburgh School of Medicine
Ruchi Kaushik, MD, MEd, MPH
Medical Director of Education and Research
Imagine Pediatrics, Houston TX
Joanna Leyenaar, MD, PhD
Professor, Department of Pediatrics
Dartmouth Health Children's
Savithri Nageswaran, MD, MPH
Professor, Department of Pediatrics
Wake Forest University School of Medicine
Julia Reedy, MA
Qualitative Analyst
ACCORDS, University of Colorado
S. Margaret Wright, MD, MPH
Clinical Assistant Professor of Pediatrics
University of Missouri-Kansas City School of Medicine
Justin Yu, MD, MS
Assistant Professor of Pediatrics
UPMC Children’s Hospital of Pittsburgh
HOSTS
Kristina Malik, MD
Pediatrician, Special Care Clinic,
Children's Hospital Colorado
Emily J Goodwin, MD
Pediatrician, General Academic Pediatrics Beacon Program
Children’s Mercy Kansas City
Kathleen Huth, MD, MMSc
Pediatrician, Complex Care Service, Division of General Pediatrics
Boston Children's Hospital
DATE
Initial publication: May 15, 2024.
REFERENCES
Fehlings D, Agnew B, Gimeno H, Harvey A, Himmelmann K, Lin JP, Mink JW, Monbaliu E, Rice J, Bohn E, Falck-Ytter Y. Pharmacological and neurosurgical management of cerebral palsy and dystonia: Clinical practice guideline update. Dev Med Child Neurol. 2024 Apr 19. doi: 10.1111/dmcn.15921. Epub ahead of print. PMID: 38640091.
Pediatric Academic Societies. Who we are. Accessed May 6, 2024. https://www.pas-meeting.org/about/
TRANSCRIPT
Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: forms.gle/Bdxb86Sw5qq1uFhW6
Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access, thus at no expense to the user. For further information on how to enroll, please email: [email protected]
CITATION
Malik K, Goodwin EJ, Arakelyan M, Dewan T, Easterly C, Huynh K, Kaushik R, Leyenaar J, Nageswaran S, Reedy J, Wright SM, Yu J, Huth K. Practice-Changing Research in Complex Care at the Pediatric Academic Societies 2024 Annual Meeting. 5/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/practice-changing-research-in-complex-care-at-the-pediatric-academic-societies-2024-annual-meeting -
Manglende episoder?
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World PICU Awareness Week '24 aims to shine a spotlight on the tireless efforts and innovative practices implemented in the PICU, aiming for better patient outcomes and enhanced quality of life. This series of podcasts focuses on the multifaceted nature of the ICU Liberation Bundle, understanding the importance of pain control, optimizing nutrition, and ensuring safe and timely liberation from mechanical ventilation. Through the six vital elements, we unite to advocate for the well-being and recovery of our most vulnerable patients.
This episode is centered around the G Element of the Liberation bundle: Good Nutrition.
GUEST
Lynne Latten, BSc, RD
Paediatric Intensive Care Dietitian
Alder Hey Children's Hospital
Liverpool, England
HOST
Lyvonne Tume, RN, B Nurs, MSc Clinical Nursing (Crit Care) PGDE, PhD
Professor of Critical Care Nursing
Edge Hill University
Ormskirk, England, United Kingdom
DATES
Initial Publication date: May 10, 2024 -
World PICU Awareness Week '24 aims to shine a spotlight on the tireless efforts and innovative practices implemented in the PICU, aiming for better patient outcomes and enhanced quality of life. This series of podcasts focuses on the multifaceted nature of the ICU Liberation Bundle, understanding the importance of pain control, optimizing nutrition, and ensuring safe and timely liberation from mechanical ventilation. Through the six vital elements, we unite to advocate for the well-being and recovery of our most vulnerable patients.
This episode is centered around the F Element: Family Engagement and Empowerment.
GUEST
Lorena Acevedo, MD
Pediatric Intensivist
Fundación CardioInfantil
Bogota, Colombia
Elis de Pellegrin Rossi, MA
Hospital Clinical Psychologist
Hospital de Clinicas de Porto Alegre
Porto Alegre, Brazil
HOST
Cintia Johnston, Pt MsC PhD Post-doctor
Advisor Professor, Postgraduate Program, Department of Pediatrics
Faculty of Medicine of the University of São Paulo (FMUSP) – Brazil.
DATES
Initial Publication date: May 9, 2024 -
World PICU Awareness Week '24 aims to shine a spotlight on the tireless efforts and innovative practices implemented in the PICU, aiming for better patient outcomes and enhanced quality of life. This series of podcasts focuses on the multifaceted nature of the ICU Liberation Bundle, understanding the importance of pain control, optimizing nutrition, and ensuring safe and timely liberation from mechanical ventilation. Through the six vital elements, we unite to advocate for the well-being and recovery of our most vulnerable patients.
This episode is centered around the E Element: Early Mobility and Exercise.
GUESTS
Joel Lim Kian Boon, MBBS, MRCPCH, MMED
Consultant, Clinical Assistant Professor
Children's Intensive Care Unit, KK Women's and Children's Hospital
Singapore
Yang Liying, MSc
Senior Physiotherapist
KK Women's and Children's Hospital
Singapore
HOST
Qalab Abbas, MBBS, FCCM
Associate Professor
Aga Khan University
Karachi, Pakistan
DATES
Initial Publication date: May 8, 2024 -
World PICU Awareness Week '24 aims to shine a spotlight on the tireless efforts and innovative practices implemented in the PICU, aiming for better patient outcomes and enhanced quality of life. This series of podcasts focuses on the multifaceted nature of the ICU Liberation Bundle, understanding the importance of pain control, optimizing nutrition, and ensuring safe and timely liberation from mechanical ventilation. Through the six vital elements, we unite to advocate for the well-being and recovery of our most vulnerable patients.
This episode is centered around the D Element: How to Assess, Prevent, and Manage Delirium.
GUEST
Heidi Smith, MD, MSCI
Professor of Anesthesiology and Pediatrics
Vanderbilt University Medical Center
Nashville, Tennessee, USA
HOST
Karen Choong, MB BCh, MSc
Professor, Department of Pediatrics and Critical Care
Department of Health Research Methods, Evidence and Impact
McMaster University
Hamilton, Ontario, CA
DATES
Initial Publication date: May 7, 2024 -
World PICU Awareness Week '24 aims to shine a spotlight on the tireless efforts and innovative practices implemented in the PICU, aiming for better patient outcomes and enhanced quality of life. This series of podcasts focuses on the multifaceted nature of the ICU Liberation Bundle, understanding the importance of pain control, optimizing nutrition, and ensuring safe and timely liberation from mechanical ventilation. Through the six vital elements, we unite to advocate for the well-being and recovery of our most vulnerable patients.
This episode is centered around the B Element: Both Spontaneous Awakening Trials (SATs) and Spontaneous Breathing Trials (SBTs).
GUESTS
Kuban D. Naidoo, MD, CertCritCare (Paed) (SA)
Physician
Chris Hani Baragwanath Academic Hospital, University of the Witwatersrand
Johannesburg, South Africa
HOST
Robin Saggers, MBBCh (Wits) FCPaed (SA) MMed Paed (Wits)
Physician
Chris Hani Baragwanath Academic Hospital, University of the Witwatersrand
Johannesburg, South Africa
DATES
Initial Publication date: May 6, 2024 -
World PICU Awareness Week '24 aims to shine a spotlight on the tireless efforts and innovative practices implemented in the PICU, aiming for better patient outcomes and enhanced quality of life. This series of podcasts focuses on the multifaceted nature of the ICU Liberation Bundle, understanding the importance of pain control, optimizing nutrition, and ensuring safe and timely liberation from mechanical ventilation. Through the six vital elements, we unite to advocate for the well-being and recovery of our most vulnerable patients.
This episode is centered around the A Element: Assess, Prevent, and Manage Pain and the C Element: Choice of Analgesia and Sedation.
GUESTS
Melissa Pilbeam, BPharm
Senior PICU Pharmacist
Queensland Children’s Hospital
Brisbane, Australia
Lisa Russell, BNurs
Clinical Nurse Specialist
Paeditric Intesive Care Unit (PICU)
Children’s Hospital Westmead
Sydney, Australia
HOST
Kate Madden, MD
Senior Associate, BCH Medical-Surgical ICU.
Boston Children's Hospital
Assistant Professor of Anesthesiology
Harvard University
Boston, MA, USA
DATES
Initial Publication date: May 5, 2024 -
In this World Shared Practice Forum podcast, we will explore the role of podcasts for learning and discuss the most popular pediatric critical care podcasts from across the world. Drs. Peta Alexander, Erin Bennett, Rahul Damania, Patrick Davies, Zachary Hodges, Greg Kelly, Elizabeth Mack, and Alice Shanklin will describe their podcast series and explore how podcasts have impacted pediatric critical care education.LEARNING OBJECTIVESUpon listening to this presentation, learners will be able to:- Identify the potential benefits of listening to podcasts for learning.- Describe and contrast the most popular pediatric critical care podcasts today.AUTHORSPeta Alexander, MBBS, FRACP, FCICMSenior Associate Cardiologist, Department of CardiologyBoston Children’s HospitalAssociate Professor in PediatricsHarvard Medical SchoolPodcast: Pediatrica Intensivahttps://pedsintensiva.com/Erin Bennett, MD, MPHAssociate Professor, Division of Critical Care Medicine, Department of PediatricsUniversity of Arkansas for Medical Sciences/Arkansas Children’s HospitalPodcast: PCCM Audio Summaryhttps://www.sccm.org/Research/Journals/Journal-Audio-SummariesRahul Damania, MDPediatric Critical Care PhysicianCleveland Clinic Children's HospitalPodcast: PICU Doc on Callhttps://picudoconcall.org/Patrick Davies, BMedSci, BMBS, MRCPCHConsultant in Paediatric Intensive Care, Honorary Associate ProfessorNottingham Children's Hospital Paediatric Critical Care Unit, and University of NottinghamPodcast: The PicPodhttps://picpod.net/Zachary Hodges, MDPediatric Critical Care Fellow PhysicianUniversity of Texas SouthwesternPodcast: PedsCrithttps://www.buzzsprout.com/1809998Greg Kelly, MBBS, MBA, FRACP, FCICMPediatric IntensivistChildren's Hospital at Westmead, Sydney, AustraliaPodcast: Pediatrica Intensivahttps://pedsintensiva.com/Elizabeth Mack, MD, MSPediatric Critical Care PhysicianProfessor, pediatricsMedical University of South Carolina (MUSC)Podcast: SCCM Podcasthttps://www.sccm.org/podcastAlice Shanklin, MDCritical Care FellowChildren's National HospitalPodcast: PedsCrithttps://www.buzzsprout.com/1809998Traci Wolbrink, MD, MPHSenior Associate in Critical Care Medicine; Department of Anesthesiology, Critical Care and Pain MedicineBoston Children's HospitalAssociate Professor of AnesthesiaHarvard Medical SchoolDATESInitial Publication: April 22, 2024. ARTICLES REFERENCED5:55 Cadogan article, https://pubmed.ncbi.nlm.nih.gov/24554447/6:04 Mallin article, https://pubmed.ncbi.nlm.nih.gov/24556776/6:16 Kelly article, https://pubmed.ncbi.nlm.nih.gov/34935729/7:22 Riddell article, https://pubmed.ncbi.nlm.nih.gov/31517682/15:44 Oransky/Retraction Watch podcast, https://picpod.net/2024/04/01/picpod-79-ivan-oransky-from-retraction-watch/ PODCASTS REFERENCED99% Invisible podcast, https://99percentinvisible.org/Dr. Death podcast, https://wondery.com/shows/dr-death/Huberman Lab podcast, https://www.hubermanlab.com/podcastNot Otherwise Specified podcast, https://not-otherwise-specified-podcast.nejm.org/On Purpose podcast, https://www.jayshetty.me/podcastThe Effort Report podcast, https://effortreport.libsyn.com/The Hamilcast podcast, https://thehamilcast.com/The New York Times Daily podcast, https://www.nytimes.com/column/the-dailyThe PAPERs podcast, https://paperspodcast.ki.se/CITATIONAlexander P, Bennett E, Damania R, Davies P, Hodges Z, Kelly G, Mack E, Shanklin A, Wolbrink TA. The Sound of Knowledge: Popular PICU Podcasts Today. 04/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/the-sound-of-knowledge-popular-picu-podcasts-today-by-t-wolbrink-et-al-openpediatrics?si=6a8c08da65264791a37e2ef8ce9f9d32&utm_source=clipboard&utm_medium=text&utm_campaign=social_sharing.
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In this Complex Care Journal Club podcast episode, Dr. Lorna Fraser discusses the results of a prospective cohort study comparing outcomes for children receiving home blends vs formula via gastrostomy tube. She describes the central role of patients and families in study design, opportunities for ensuring equitable access to blended diets, and next steps from this work.
SPEAKER
Lorna Fraser, PhD, MBChB, MRCPCH, MSc, MMedSci
Professor of Palliative Care and Child Health, Cicely Saunders Institute and School of Life Sciences and Population Health
King’s College London
HOST
Kathleen Huth, MD, MMSc
Pediatrician, Complex Care Service, Division of General Pediatrics
Boston Children's Hospital
Assistant Professor of Pediatrics
Harvard Medical School
DATES
Initial Publication date: April 8, 2024
JOURNAL ARTICLES
Journal Club Article Citations
Fraser LK, Bedendo A, O'Neill M, Taylor J, Hackett J, Horridge KA, Cade J, Richardson G, Phung H, McCarter A, Hewitt CE. Safety, resource use and nutritional content of home-blended diets in children who are gastrostomy fed: Findings from 'YourTube' - a prospective cohort study. Arch Dis Child. 2023 Dec 21:archdischild-2023-326393. doi: 10.1136/archdischild-2023-326393.
Fraser LK, Bedendo A, O'Neill M, Taylor J, Hackett J, Horridge K, Cade J, Richardson G, Phung H, Mccarter A, Hewitt C. 'YourTube' the role of different diets in gastrostomy-fed children: Baseline findings from a prospective cohort study. Dev Med Child Neurol. 2023 Nov 10. doi: 10.1111/dmcn.15799.
OTHER REFERENCES
Hron B, Fishman E, Lurie M, Clarke T, Chin Z, Hester L, Burch E, Rosen R. Health Outcomes and Quality of Life Indices of Children Receiving Blenderized Feeds via Enteral Tube. J Pediatr. 2019 Aug;211:139-145.e1. doi: 10.1016/j.jpeds.2019.04.023. Epub 2019 May 23. PMID: 31128885; PMCID: PMC6660979.
Maddison J, Taylor J, O'Neill M, Cade J, Hewitt C, Horridge K, McCarter A, Fraser LK, Beresford B. Outcomes for gastrostomy-fed children and their parents: qualitative findings from the 'Your Tube' study. Dev Med Child Neurol. 2021 Sep;63(9):1099-1106. doi: 10.1111/dmcn.14868. Epub 2021 Apr 1. PMID: 33792913.
University of York. YourTube: Home blended diets for children who are gastrostomy fed. Infographic. Accessed March 13, 2024. https://www.york.ac.uk/media/healthsciences/images/research/phs/mhrc/Yourtube%20-%200102%20Infographic%20print.pdf
University of York. YourTube for parent/healthcare professional. YouTube. January 19, 2024. Accessed March 13, 2024. https://youtu.be/5POi2Cjp8og
University of York. YourTube for young people. YouTube. January 19, 2024. Accessed March 13, 2024. https://youtu.be/NlVriI0O-oI
TRANSCRIPT
https://op-docebo-images.s3.amazonaws.com/Transcripts/Building+the+Evidence+for+Blended+Diets_Fraser_040824.pdf
Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: https://forms.gle/Bdxb86Sw5qq1uFhW6
Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.For further information on how to enroll, please email: [email protected]
CITATION
Fraser L, Huth K. Building the Evidence for Blended Diets: Benefits and Barriers to Access. 4/2024. OPENPediatrics. Online Podcast. https://on.soundcloud.com/pcQSrJTHvF4H4yiY6 -
In this World Shared Practice Forum Podcast, authors of the newly released publication, International Consensus Criteria for Pediatric Sepsis and Septic Shock, review their research and findings for treating and caring for children with sepsis and septic shock. They discuss how using the novel Phoenix Sepsis Score guided the development of this new globally applicable research model.
LEARNING OBJECTIVES
Upon listening to this presentation, learners will be able to:
- Describe the goals and development of the new Phoenix Sepsis Score
- Discuss how clinicians can apply the score in clinical practice and for research endeavors
- Explain the challenges and limitations of using the Phoenix Sepsis score in lower-resource settings
AUTHORS
Luregn Schlapbach, MD, PhD, Prof, FCICM
Head, Department of Intensive Care and Neonatology
University Children’s Hospital in Zurich, Switzerland
Scott Watson, MD, MPH
Professor of Pediatrics
University of Washington School of Medicine
Associate Division Chief
Division of Pediatric Critical Care Medicine
Seattle Children’s Hospital
Claudio Flauzino de Oliveira, MD, PhD
Researcher
Latin American Sepsis Institute
Halden Scott, MD, MSCS
Director of Research
Section of Pediatric Emergency Medicine
University of Colorado School of Medicine
Children’s Hospital Colorado
Tellen Bennett, MD, MS
Professor of Biomedical Informatics and Pediatrics
Vice Chair of Clinical Informatics
Department of Biomedical Informatics
University of Colorado School of Medicine
Attending Physician
Pediatric Intensive Care Unit
Children’s Hospital Colorado
Traci Wolbrink, MD, MPH
Senior Associate in Critical Care Medicine; Department of Anesthesiology, Critical Care and Pain Medicine
Boston Children's Hospital
Associate Professor of Anesthesia
Harvard Medical School
DATES
Initial publication date: March 26, 2024.
ARTICLES REFERENCED
Development and Validation of the Phoenix Criteria for Pediatric Sepsis and Septic Shock
https://jamanetwork.com/journals/jama/fullarticle/2814296
Global Study of Disease
https://pubmed.ncbi.nlm.nih.gov/31954465/
Sepsis-3
https://jamanetwork.com/journals/jama/fullarticle/2492881
Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.For further information on how to enroll, please email: [email protected]
CITATION
Schlapbach LJ, Bennett TD, de Oliveira CF, Scott HF, Watson RS, O’Hara JE, Wolbrink TA. New Phoenix Pediatric Sepsis Criteria. 03/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/new-phoenix-pediatric-sepsis-criteria. -
In this new Nursing World Shared Practice Forum video, Dr. Andrea Wallace shares the importance of implementing social determinants of health screening in healthcare delivery. She shares non-traditional strategies and resources nurses can use to participate in evidence-based practice activities. She also discusses firsthand experiences with implementing evidence-based practice in the context of improving outcomes when social determinants of health exist.
LEARNING OBJECTIVES
Following this discussion, learners will be able to:
- Describe four social health factors
- Discuss facilitators and barriers to implementing healthcare improvements when social determinants of health exist
- List traditional and non-traditional strategies and resources to help nurses participate in evidence-based practice
- Describe ways to incorporate evidence-based practice into nursing practice
AUTHORS
Andrea Wallace PhD, RN, FAAN
Associate Dean for Research
University of Utah
Julie Waitt MSN, RN, CPHON
Director of Nursing Patient Services
Hematopoietic Stem Cell Transplant Unit
Boston Children’s Hospital
DATES
Initial publication: March 18, 2024.
Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.For further information on how to enroll, please email: [email protected]
CITATION
Wallace A, Brodie K, DeGrazia M, Waitt J. Leveraging Research to Address Social Determinants of Health. 03/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/leveraging-research-to-address-social-determinants-of-health-by-a-wallace-openpediatrics -
In this Complex Care Journal Club podcast episode, Dr. Ulfat Shaikh discusses the development of an implementation toolkit to prevent medication errors in the home and community using quality improvement methodology. She describes the process of translating recommendations from a policy statement into practice, opportunities for collaboration with the Council on Quality Improvement and Patient Safety, and next steps from this work.
SPEAKER
Ulfat Shaikh, MD, MPH, MS
Professor of Pediatrics and Medical Director for Healthcare Quality
University of California Davis Health
HOST
Kristina Malik, MD
Assistant Professor of Pediatrics,
University of Colorado School of Medicine
Medical Director, KidStreet
Pediatrician, Special Care Clinic,
Children's Hospital Colorado
DATES
Initial publication: March 11, 2024.
JOURNAL CLUB ARTICLE
Shaikh U, Kim JM, Yin SH. Implementing Strategies to Prevent Home Medication Administration Errors in Children With Medical Complexity. Clin Pediatr (Phila). 2023 Aug 29:99228231196750. doi: 10.1177/00099228231196750. Epub ahead of print. PMID: 37644803.
OTHER ARTICLES REFERENCED
Agency for Healthcare Research and Quality. Health Literacy Universal Precautions Toolkit, 3rd Edition. Use the Teach-Back Method: Tool 5. Content last reviewed February 2024. https://www.ahrq.gov/health-literacy/improve/precautions/tool5.html
American Academy of Pediatrics Council on Quality Improvement and Patient Safety. Preventing home medication administration errors implementation resources. Published November/December 2021. Accessed August 16, 2023. bit.ly/44kK68W.
Yin HS, Neuspiel DR, Paul IM, Franklin W, Tieder JS, Adirim T, Alvarez F, Brown JM, Bundy DG, Ferguson LE, Gleeson SP, Leu M, Mueller BU, Connor Phillips S, Quinonez RA, Rea C, Rinke ML, Shaikh U, Shiffman RN, Vickers Saarel E, Spencer Cockerham SP, Mack Walsh K, Jones B, Adler AC, Foster JH, Green TP, Houck CS, Laughon MM, Neville K, Reigart JR, Shenoi R, Sullivan JE, Van Den Anker JN, Verhoef PA. Preventing Home Medication Administration Errors. Pediatrics. 2021 Dec 1;148(6):e2021054666. doi: 10.1542/peds.2021-054666. PMID: 34851406.
TRANSCRIPT
https://op-docebo-images.s3.amazonaws.com/Transcripts/Preventing+Pediatric+Medication+Errors+at+Home_Shaikh_030824.pdf
Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: https://forms.gle/Bdxb86Sw5qq1uFhW6
Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.For further information on how to enroll, please email: [email protected]
CITATION
Shaikh U, Malik K. Preventing Pediatric Medication Errors at Home: Putting a Policy Statement into Practice. 3/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/preventing-pediatric-medication-errors-at-home-putting-a-policy-statement-into-practice -
In this World Shared Practice Forum Podcast, Dr. Martin Kneyber discusses the implementation of the PALICC-2 guidelines in bedside monitoring and management of pediatric acute respiratory distress syndrome (PARDS). He shares insights on how the concepts of positive end-expiratory pressure (PEEP), driving pressure, patient self-inflicted lung injury (P-SILI), and the use of non-invasive ventilation are translated to the bedside management of PARDS.
LEARNING OBJECTIVES
- Explain the concept of driving pressure and its significance in the management of pediatric acute lung injury
- Identify the potential benefits and drawbacks of neuromuscular blockade in pediatric acute lung injury patients
- Describe the concept of non-invasive ventilation in the management of acute respiratory failure in pediatric patients, including its potential benefits, limitations, and challenges in implementation
AUTHORS
Martin Kneyber MD, PhD, FCCM
Chief of the Division of Paediatric Critical Care Medicine
Beatrix Children’s Hospital
University Medical Center Groningen, Groningen, the Netherlands
Jeffrey Burns MD, MPH
Chief and Shapiro Chair, Division of Critical Care Medicine; Executive Chair, International Health Services
Senior Associate in Critical Care Medicine; Department of Anesthesiology, Critical Care and Pain Medicine
Boston Children's Hospital
Professor of Anesthesia
Harvard Medical School
DATES
Initial Publication Date: February 26, 2024.
ARTICLES REFERENCED
00:58 https://pubmed.ncbi.nlm.nih.gov/36661420/
Emeriaud G, López-Fernández YM, Iyer NP, et al. Executive Summary of the Second International Guidelines for the Diagnosis and Management of Pediatric Acute Respiratory Distress Syndrome (PALICC-2). Pediatr Crit Care Med. 2023;24(2):143-168.
01:46 https://pubmed.ncbi.nlm.nih.gov/29373802/
Khemani RG, Parvathaneni K, Yehya N, Bhalla AK, Thomas NJ, Newth CJL. Positive End-Expiratory Pressure Lower Than the ARDS Network Protocol Is Associated with Higher Pediatric Acute Respiratory Distress Syndrome Mortality. Am J Respir Crit Care Med. 2018;198(1):77-89.
02:53 https://pubmed.ncbi.nlm.nih.gov/30361119/
Khemani RG, Smith L, Lopez-Fernandez YM, et al. Paediatric acute respiratory distress syndrome incidence and epidemiology (PARDIE): an international, observational study [published correction appears in Lancet Respir Med. 2018 Nov 13;:] [published correction appears in Lancet Respir Med. 2019 Mar;7(3):e12]. Lancet Respir Med. 2019;7(2):115-128.
07:45 https://pubmed.ncbi.nlm.nih.gov/25693014/
Amato MB, Meade MO, Slutsky AS, et al. Driving pressure and survival in the acute respiratory distress syndrome. N Engl J Med. 2015;372(8):747-755.
07:49 https://pubmed.ncbi.nlm.nih.gov/36661438/
Yehya N, Smith L, Thomas NJ, et al. Definition, Incidence, and Epidemiology of Pediatric Acute Respiratory Distress Syndrome: From the Second Pediatric Acute Lung Injury Consensus Conference. Pediatr Crit Care Med. 2023;24(12 Suppl 2):S87-S98.
18:09 https://pubmed.ncbi.nlm.nih.gov/20843245/
Papazian L, Forel JM, Gacouin A, et al. Neuromuscular blockers in early acute respiratory distress syndrome. N Engl J Med. 2010;363(12):1107-1116.
18:27 https://pubmed.ncbi.nlm.nih.gov/27779896/
Huang DT, Angus DC, Moss M, et al. Design and Rationale of the Reevaluation of Systemic Early Neuromuscular Blockade Trial for Acute Respiratory Distress Syndrome. Ann Am Thorac Soc. 2017;14(1):124-133.
19:26 https://pubmed.ncbi.nlm.nih.gov/27748627/
Doorduin J, Nollet JL, Roesthuis LH, et al. Partial Neuromuscular Blockade during Partial Ventilatory Support in Sedated Patients with High Tidal Volumes. Am J Respir Crit Care Med. 2017;195(8):1033-1042.
Kneyber MCJ, O’Hara JE, Burns JP. Bedside Implementation of the PALICC-2 Guidelines. 2/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/bedside-implementation-of-the-palicc-2-guidelines-by-m-kneyber-openpediatrics. -
In this Complex Care Journal Club podcast episode, Dr. Julie Hauer and Ms. Jennifer Siedman discuss the development of an anticipatory guidance tool for children with severe neurologic impairment called NeuroJourney, an initiative of the Courageous Parents Network. They describe its grounding in palliative care principles and literature, opportunities to support collaborative relationships between clinicians and families, and next steps from this work.
SPEAKERS
Julie Hauer, MD
Pediatrician, Division of General Pediatrics
Boston Children's Hospital
Medical Director
Seven Hills Pediatrics Center
Jennifer Siedman, MEd
Director of Community Engagement
Courageous Parents Network
HOST
Emily Goodwin, MD
Clinical Associate Professor of Pediatrics, University of Missouri Kansas City School of Medicine
Pediatrician, General Academic Pediatrics Beacon Program, Children’s Mercy Kansas City
DATES
Initial publication: February 5, 2024.
JOURNAL ARTICLE
Hauer J, Siedman J, Trager C, Thienprayoon R. NeuroJourney. Courageous Parents Network. Accessed Jan 25th, 2024. https://neurojourney.courageousparentsnetwork.org/
OTHER REFERENCES
Thienprayoon, R; Lord, BT; Siedman, J; Hauer, J. Creating a “Journey Map” for Children with Severe Neurologic Impairment: A Collaboration Between Private and Academic Pediatric Palliative Care, Nonprofit Organizations, and Parents. Journal of Pain and Symptom Management. 2023; 65:e270-e271.
Orkin J, Beaune L, Moore C, Weiser N, Arje D, Rapoport A, Netten K, Adams S, Cohen E, Amin R. Toward an Understanding of Advance Care Planning in Children With Medical Complexity. Pediatrics. 2020 Mar;145(3):e20192241. doi: 10.1542/peds.2019-2241.
TRANSCRIPT
https://op-docebo-images.s3.amazonaws.com/Transcripts/Shared+Journeys_+Evidence-Based+Anticipatory+Guidance_020524.pdf
Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: https://forms.gle/Bdxb86Sw5qq1uFhW6
Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.For further information on how to enroll, please email: [email protected]
CITATION
Hauer J, Siedman J, Goodwin EJ. Shared Journeys: Evidence-Based Anticipatory Guidance for Children with Severe Neurologic Impairment. 2/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/shared-journeys-evidence-based-anticipatory-guidance-for-children-with-severe-neurologic-impairment -
In this World Shared Practice Forum Podcast, Dr. Robert Tasker, Editor-in-Chief of the journal Pediatric Critical Care Medicine, discusses his efforts to help scholars improve their writing and get published. He emphasizes the importance of reading contemporary literature, mastering the basics of scientific writing, and engaging with references critically in the age of AI.
LEARNING OBJECTIVES
Upon listening to the presentation, learners will be able to:
- Recognize the importance of reading and thoroughly engaging with references in scientific writing
- Discuss the limitations and uncertain place of AI-generated content in academic writing
- Identify the role of mentors, reviewers, and editors in ensuring academic rigor in scholarly work
- Preview upcoming innovations in the journal of PCCM
AUTHORS
Robert C. Tasker, MBBS, MD
ditor-in-Chief, Pediatric Critical Care Medicine
Pediatric Critical Care Medicine
Senior Associate in Critical Care Medicine, Department of Anesthesiology, Critical Care and Pain Medicine
Boston Children's Hospital
Professor of Anesthesia
Harvard Medical School
College Lecturer in Medicine and Graduate Tutor
Selwyn College, University of Cambridge
Traci Wolbrink, MD, MPH
Senior Associate in Critical Care Medicine; Department of Anesthesiology, Critical Care and Pain Medicine
Boston Children's Hospital
Associate Professor of Anesthesia
Harvard Medical School
DATES
Initial Publication Date: January 22, 2024.
ARTICLES REFERENCED
2:17 https://pubmed.ncbi.nlm.nih.gov/33657612/
Tasker RC. Writing for PCCM: The 3,000-Word Structured Clinical Research Report. Pediatr Crit Care Med. 2021;22(3):312-317. doi:10.1097/PCC.0000000000002700
2:36 https://pubmed.ncbi.nlm.nih.gov/33790209/
Tasker RC. PCCM Narratives, Letters, and Correspondence. Pediatr Crit Care Med. 2021;22(4):426-427. doi:10.1097/PCC.0000000000002732
2:50 https://pubmed.ncbi.nlm.nih.gov/36165939/
Tasker RC. Writing for PCCM: Instructions for Authors. Pediatr Crit Care Med. 2022;23(8):651-655. doi:10.1097/PCC.0000000000003032
2:56 https://journals.lww.com/pccmjournal/fulltext/2022/08000/writing_for_pccm__instructions_for_authors.9.aspx
Tasker, Robert C. MBBS, MD, FRCP1–3. Writing for PCCM: Instructions for Authors. Pediatric Critical Care Medicine 23(8):p 651-655, August 2022. | DOI: 10.1097/PCC.0000000000003032
5:21 https://pubmed.ncbi.nlm.nih.gov/35390115/
Horvat CM, Curley MAQ, Girard TD. Selecting Intermediate Respiratory Support Following Extubation in the Pediatric Intensive Care Unit. JAMA. 2022;327(16):1550-1552. doi:10.1001/jama.2022.4637
Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access, thus at no expense to the user. For further information on how to enroll, please email: [email protected]
CITATION
Tasker RC, O’Hara JE, Wolbrink TA. The Future of Scholarly Writing in Pediatric Critical Care Medicine. 01/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/pccm-in-the-future-era-of-writing-and-reading-by-r-tasker-openpediatrics. -
In this video, the viewer will learn the clinical basics of fever as well as the physiology of body temperature and the approach to evaluation and management of fever.
Initial publication: April 9, 2019.
Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.For further information on how to enroll, please email: [email protected] -
In this Complex Care Journal Club podcast episode, Dr. Arda Hotz discusses a cross-sectional study of the use of durable medical equipment and supplies by pediatric patients. She describes implications for the care of children with complex chronic conditions, key stakeholders involved in the analysis, and next steps from this work.
SPEAKERS
Arda Hotz, MD, MPH
Instructor of Pediatrics, Harvard Medical School
Pediatrician, Division of General Pediatrics, Boston Children's Hospital
HOST
Emily Goodwin, MD
Clinical Associate Professor of Pediatrics, University of Missouri Kansas City School of Medicine
Pediatrician, General Academic Pediatrics Beacon Program, Children’s Mercy Kansas City
DATES
Initial publication: January 5, 2024.
ARTICLES REFERENCED
Hotz A, Sprecher E, Bastianelli L, Rodean J, Stringfellow I, Barkoudah E, Cohen LE, Estrada C, Graham R, Greenwood J, Kyle J, Mann N, Pinkham M, Solari T, Rosen R, Saleeb S, Shah AS, Watters K, Wells S, Berry JG. Categorization of a Universal Coding System to Distinguish Use of Durable Medical Equipment and Supplies in Pediatric Patients. JAMA Netw Open. 2023 Oct 2;6(10):e2339449. doi: 10.1001/jamanetworkopen.2023.39449. PMID: 37874565; PMCID: PMC10599121.
Adegboro CO, Coller RJ. An Important Tool to Understand Durable Medical Equipment and Supply Use in Children. JAMA Netw Open. 2023 Oct 2;6(10):e2339581. doi: 10.1001/jamanetworkopen.2023.39581. PMID: 37874568
Children and Youth with Special Health Care Needs National Research Network. Emerging Investigator Program. https://cyshcnet.org/emerging-investigator-program/
Feudtner C, Feinstein JA, Zhong W, Hall M, Dai D. Pediatric complex chronic conditions classification system version 2: updated for ICD-10 and complex medical technology dependence and transplantation. BMC Pediatr. 2014 Aug 8;14:199. doi: 10.1186/1471-2431-14-199. PMID: 25102958; PMCID: PMC4134331.
TRANSCRIPT
https://op-docebo-images.s3.amazonaws.com/Transcripts/Getting+Equipped_Understanding+the+Use+of+Durable+Medical+Equipment+in+Children_Hotz_010824.pdf
Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: forms.gle/Bdxb86Sw5qq1uFhW6
Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access, thus at no expense to the user. For further information on how to enroll, please email: [email protected]
CITATION
Hotz A, Goodwin EJ. Getting Equipped: Understanding the Use of Durable Medical Equipment in Pediatrics. 1/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/getting-equipped-understanding-the-use-of-durable-medical-equipment-in-pediatrics. -
In this Nursing World Shared Practice video, Dr. Ernest Grant discusses the catalysts that prompted the formation of the National Commission to Address Racism in Nursing. He identifies inequities within the nursing profession and provides examples of how nurses can become allies to confront individual and systemic racism.
LEARNING OBJECTIVES
Following this discussion, learners will be able to:
- Explain why the National Commission to Address Racism in Nursing was founded
- Define racism in nursing
- Discuss how racism in nursing is being addressed
- Identify ways to be an antiracist in nursing
- Provide examples of effective allyship in nursing
AUTHORS
Ernest J. Grant, PhD, DSc(h), RN, FAAN
Vice Dean for Diversity, Equity, Inclusion and Belonging
Duke University School of Nursing
Office of Diversity and Inclusion
Immediate Past President of the American Nurses Association
Laura J. Wood, DNP, RN, NEA-BC, FAAN
EVP Patient Care Operations & System CNO
Sporing Carpenter Chair for Nursing
Boston Children's Hospital
DATES
Initial publication: December 18, 2023.
Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access and thus at no expense to the user. For further information on how to enroll, please email: [email protected]
CITATION
Grant EJ, DeGrazia M, Wood LJ. Antiracism in Nursing and the Importance of Allyship. 12/2023. OPENPediatrics. Online Podcast: https://soundcloud.com/openpediatrics/antiracism-in-nursing-and-the-importance-of-allyship-by-dr-ernest-grant-for-openpediatrics -
This podcast discusses trauma-informed care (TIC) for children including 1) why patients may not endorse a history of trauma, 2) why providers might not screen for trauma, and 3) what to do if a patient has a positive screen for trauma.
LEARNING OBJECTIVES
- Recognize why a patient may not endorse a history of trauma
- Define reasons why a provider might not screen for trauma
- Identify and utilize strategies to respond to a patient who does screen positive for a trauma history
AUTHORS
Ayesha Dholakia, MD
Pediatrics Resident
Boston Combined Residency Program
Leadership in Equity and Advocacy (LEAD) Track
Boston Children's Hospital | Boston Medical Center
Katelin Blackburn, MD
Adolescent Medicine Fellow
Division of Adolescent and Young Adult Medicine
Boston Children's Hospital
Brenna Chase, MD
Chief Resident in Pediatrics
Boston Combined Residency Program
Urban Health and Advocacy Track
Boston Children's Hospital | Boston Medical Center
Daniel O'Meara, MD
Pediatrics Resident
Boston Combined Residency Program
Boston Children's Hospital | Boston Medical Center
DATES
Initial publication date: December 12, 2023
CITATION
Dholakia A, Perez C, Blackburn K, Chase B, Wills K, O'Meara D. Trauma Informed Care Part 2. 12/2023. OPENPediatrics. Podcast: https://soundcloud.com/openpediatrics/pediatric-behavioral-and-mental-health-trauma-informed-care-part-2.
Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: [email protected] - Vis mere