Charting Pediatrics

We are excited to kick off Season 5 of Charting Pediatrics today! Listen to hosts David Brumbaugh, Alison Brent and Dan Nicklas preview what this season has in store. Thank you to the more than 50,000 providers in 179 countries who tune in to Charting Pediatrics each month -- your support and engagement has made this new season possible.

Do you have a suggestion for a guest or future topic? Write to us, [email protected] -- we promise to write you back!

We have spent the month of July preparing for Season 5 of the podcast where we will continue to explore everything from how the COVID-19 pandemic is impacting pediatrics, to the pediatric mental health crisis and other common topics and innovations that you can apply to your daily medical practice.

Our host team would love to hear from you – if you have a specific topic or guest you would like to suggest for the show, write to us, [email protected]

Look for Season 5 to start on Tuesday, August 24!

Our Summer 2021 Series features the rebroadcast of some of our most listened-to episodes from the last 4 seasons of Charting Pediatrics. Do you have a guest or topic suggestion for Season 5? Let us know, [email protected]

Safety and teamwork are second nature for pediatric providers. In medicine, we have long looked to the airline industry as a leader in the application of crisis response and as the ideal of high reliability. Coming from a shared reality that even the most experienced professionals are vulnerable to human error, both aviation and medical professionals rely on problem-solving strategies to optimize responses to critical incidents.

In this episode we discuss the collaborative work of physicians at Children's Colorado's Heart Institute and Human Factors and Pilot Development leaders at United Airlines.

Our guests are Robby Bishop, MD, Director of the Simulation Lab at the Children's Hospital Colorado Heart Institute; Rob Strickland, Senior Manager of Human Factors and Pilot Development at United Airlines; and Carlos Porges, Psy.D, Neuropsychologist, Boeing 757/767 Pilot and member of the Human Factors and Development Team at United Airlines.

Paper: Crisis Resource Management in Medicine: A Clarion Call for Change

Video: Crisis Resource Management in Medicine: A Clarion Call for Change

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

Our Summer 2021 Series features the rebroadcast of some of our most listened-to episodes from the last 4 seasons of Charting Pediatrics. Do you have a guest or topic suggestion for Season 5? Let us know, [email protected]

In Season 2 on the podcast we discussed the initial diagnosis and lifestyle management of hypertension in pediatric patients. If you have not had the opportunity to listen to that episode, go back and check out Season 2, Episode 36 as it will set the back drop for today's discussion as we dive more specifically into medication management for pediatric hypertension patients.

In this episode we discuss medication management for pediatric hypertension patients with a pediatric cardiologist, Steve Daniels, MD, PhD and a clinical pharmacist, Dr. Megan Greene.

Dr. Greene is a pediatric clinical pharmacist at Children's Hospital Colorado with a specialization in critical care and kidney and liver transplant pharmaceutical support, and also works in our pediatric hypertension clinic.

Dr. Daniels is the Pediatrician-in-Chief at Children's Hospital Colorado and L. Joseph Butterfield Chair of Pediatrics within the University of Colorado School of Medicine, where he is a professor of pediatrics and epidemiology. He is a cardiologist by training and a sought-out expert in the fields of pediatric hypertension, dyslipidemia, and pediatric nutrition.

Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

Our Summer 2021 Series features the rebroadcast of some of our most listened-to episodes from the last 4 seasons of Charting Pediatrics. Do you have a guest or topic suggestion for Season 5? Let us know, [email protected]

In this episode we discuss seizures and spells, and the diagnosis and management of events that worry us. This episode was recorded at the 2019 American Academy of Pediatrics NCE in New Orleans with Mered Parnes, MD and Shavonee Massey, MD, MSCE.

Dr. Massey is is a pediatric neurologist in the Division of Neurology at Children's Hospital of Philadelphia, specializing in the care of children with epilepsy and a Clinical Instructor in Pediatrics and Neurology.

Dr. Parnes is the Director of the Pediatric Movement of Disorders Clinic and an Assistant Professor of Child Neurology at Texas Children's Hospital and Baylor College of Medicine.

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

Our Summer 2021 Series features the rebroadcast of some of our most listened-to episodes from the last 4 seasons of Charting Pediatrics. Do you have a guest or topic suggestion for Season 5? Let us know, [email protected]

Our guest for this episode is Jessica Hawks, PhD the Clinical Director of Outpatient Services at the Pediatric Mental Health Institute and assistant professor of child psychiatry at CU School of Medicine.

Dr. Hawks talks us through a common behavioral issues of school-aged children – school refusal – and provides insights, advice and tools to help prevent, manage and understand this behavior.

In this episode:

• Outlining and identifying the underlying symptoms and signs associated with a child refusing to attend school
• How primary care providers (PCPs) can assist parents who are experiencing guilt
• Identifying the four most common reasons that children refuse to go to school
• Exploring the effects of social media on children's behavior when it comes to school refusal
• How a PCP can approach treatment of school refusal
• The recommended frequency of follow-up care for kids who are refusing to go to school
• The importance of connecting parents to community-based resources
• Preventative practices parents can set up in the home to prevent this behavioral issue
• What an excellent prognosis looks like for children experiencing school refusal
• When it's time to refer to a mental health professional
• PCPs in the Denver Metro Area can refer patients to the Children's Hospital Colorado Outpatient Psychiatry Clinic or to a local community mental health center

Resources for dealing with school refusal:

• School Refusal: Information for Educators (.pdf) from the National Association for School Psychologists
• School Refusal in Children and Adolescents from American Family Physician
• The Functional Assessment of School Refusal Behavior
• Effective Child Therapy
• Division 53 of the Society of Clinical Child & Adolescent Psychology website
• School Refusal from the American Academy of Child & Adolescent Psychiatry

Our Summer 2021 Series features the rebroadcast of some of our most listened-to episodes from the last 4 seasons of Charting Pediatrics. Do you have a guest or topic suggestion for Season 5? Let us know, [email protected]

In today's episode we dive in to the topic of toxicity and the most common overdoses in pediatric medicine. Our guest is Sam Wang, MD, returning from earlier this season when we covered the topic of Marijuana as Medicine (S2:E14).

Dr. Wang is a Pediatric Emergency Medicine Physician and Medical Toxicologist at Children's Hospital Colorado and the University of Colorado School of Medicine.

Let us know what you thought of today's episode: Tweet Dr. Brent (@AlisonBrentMD) or write to us, [email protected].

Our Summer 2021 Series features the rebroadcast of some of our most listened-to episodes from the last 4 seasons of Charting Pediatrics. Do you have a guest or topic suggestion for Season 5? Let us know, [email protected]

Respiratory diseases account for nearly a quarter of all pediatric consultations. And in addition to the usual suspects on our differentials, we now have the consideration of COVID-19. In today's episode, we talk with Ben Hughes, MD about the most common breathing issues during respiratory season, important diagnostic considerations and treatments options.

Dr. Hughes is a pediatric pulmonologist at Children's Hospital Colorado and lives locally on the Western Slope of Colorado in Grand Junction; he is Assistant Professor of Pediatrics and Pulmonary Medicine at the University of Colorado School of Medicine.

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

Our Summer 2021 Series features the rebroadcast of some of our most listened-to episodes from the last 4 seasons of Charting Pediatrics. Do you have a guest or topic suggestion for Season 5? Let us know, [email protected]

Sepsis remains one of the leading causes of morbidity and mortality in children despite improved understanding of the pathophysiology leading to better clinical management and survival. Recent studies have identified several areas that must be addressed by the clinician in order to continue to impact the morbidity and mortality associated with sepsis. In today's episode we talk with Halden Scott, MD about the presentation, management and follow-up care of pediatric patients with sepsis.

Dr. Scott is an Associate Professor of Pediatrics and Emergency Medicine at the University of Colorado School of Medicine and a Pediatric Emergency Medicine Physician at Children's Hospital Colorado.

Resources mentioned in today's episode:

• The Children's Hospital Association Improving Pediatric Sepsis Outcomes Collaborative
• Children's Hospital Colorado Pathways: Scroll to Emergency Department/Urgent Care Sepsis for the sepsis pathway
• The most recent pediatric sepsis guidelines

Articles that Dr. Scott referred to in the podcast about the role of lactate in sepsis, and the problems with SIRS criteria for sepsis screening:

https://jamanetwork.com/journals/jamapediatrics/fullarticle/2595569

https://www.ncbi.nlm.nih.gov/pubmed/26711848/

https://www.ncbi.nlm.nih.gov/pubmed/25778743/

Season 4 of Charting Pediatrics is a wrap! Thank you for listening, writing in and creating this dynamic pediatric podcast community.

Throughout the month of July 2021 we will be re-broadcasting some of our most popular episodes from Season 4 and we look forward to launching Season 5 in August. If you are looking for new content and want to brush up on your Spanish skills, check out our new Spanish podcast for pediatric providers, Pediatras En Línea.

Until next time, keep on keeping kids safe out there.

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]