OPENPediatrics

In this Nursing World Shared Practice video, Dr. Ernest Grant discusses the catalysts that prompted the formation of the National Commission to Address Racism in Nursing. He identifies inequities within the nursing profession and provides examples of how nurses can become allies to confront individual and systemic racism.

LEARNING OBJECTIVES

Following this discussion, learners will be able to:

- Explain why the National Commission to Address Racism in Nursing was founded

- Define racism in nursing

- Discuss how racism in nursing is being addressed

- Identify ways to be an antiracist in nursing

- Provide examples of effective allyship in nursing

AUTHORS

Ernest J. Grant, PhD, DSc(h), RN, FAAN

Vice Dean for Diversity, Equity, Inclusion and Belonging

Duke University School of Nursing

Office of Diversity and Inclusion

Immediate Past President of the American Nurses Association

Laura J. Wood, DNP, RN, NEA-BC, FAAN

EVP Patient Care Operations & System CNO

Sporing Carpenter Chair for Nursing

Boston Children's Hospital

DATES

Initial publication: December 18, 2023.

Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access and thus at no expense to the user. For further information on how to enroll, please email: [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]

This podcast discusses trauma-informed care (TIC) for children by 1) defining trauma, 2) discussing the common types of traumatic events children can experience, 3) detailing core principles of trauma-informed care, and 4) providing recommendations for how to incorporate TIC into pediatric practice.

LEARNING OBJECTIVES

- Recognize the ubiquitous nature of trauma

- Identify the core tenets of trauma-informed care

- Identify and utilize strategies to provide such care to our patients and families

AUTHORS

Ayesha Dholakia, MD

Pediatrics Resident

Boston Combined Residency Program

Leadership in Equity and Advocacy (LEAD) Track

Boston Children's Hospital | Boston Medical Center

Catherine Coughlin, MD

Emergency Medicine Fellow

Division of Emergency Medicine

Boston Children's Hospital

Katelin Blackburn, MD

Adolescent Medicine Fellow

Division of Adolescent and Young Adult Medicine

Boston Children's Hospital

Brenna Chase, MD

Chief Resident in Pediatrics

Boston Combined Residency Program

Urban Health and Advocacy Track

Boston Children's Hospital | Boston Medical Center

Daniel O'Meara, MD

Pediatrics Resident

Boston Combined Residency Program

Boston Children's Hospital | Boston Medical Center

DATES

Initial Publication: December 12, 2023

Please visit: www.openpediatrics.org

OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.

For further information on how to enroll, please email: [email protected]

CITATION

Dholakia A, Moye B, Blackburn K, Coughlin CG, Chase B, Wills K, O'Meara D. Trauma Informed Care Part 1. 12/2023. OPENPediatrics. Online Podcast: https://on.soundcloud.com/xZ1oU.

In this Complex Care Journal Club podcast episode, Dr. Lewis First and Ms. Cara Coleman discuss the role of the journal Pediatrics in disseminating emerging evidence in complex care and disability. They describe the unique Family Partnerships column, the inclusive decision-making process for publication, and opportunities for clinicians and families to engage with the journal.

SPEAKERS

Lewis R. First, MD, MS

Editor-In-Chief, Pediatrics

Professor and Chair, Department of Pediatrics,

The University of Vermont Robert Larner, M.D. College of Medicine

Cara L. Coleman, JD, MPH

Associate Editor, Pediatrics

Instructor of Medical Education,

UVA Medicine Inova campus

HOST

Kathleen Huth, MD, MMSc

Pediatrician, Complex Care Service, Division of General Pediatrics

Boston Children's Hospital

Assistant Professor of Pediatrics

Harvard Medical School

DATES

Initial publication: December 4, 2023.

ARTICLES REFERENCED

https://publications.aap.org/pediatrics/pages/author-instructions#family_partnerships

https://publications.aap.org/pediatrics/resources/26567/commentary-from-the-council-on-children-with

Cohen E, Kuo DZ, Agrawal R, Berry JG, Bhagat SK, Simon TD, Srivastava R. Children with medical complexity: an emerging population for clinical and research initiatives. Pediatrics. 2011 Mar;127(3):529-38. doi: 10.1542/peds.2010-0910. Epub 2011 Feb 21. PMID: 21339266; PMCID: PMC3387912.

Agrawal R, Stille C, Editors.

Building Systems That Work for Children With Complex Health Care Needs

March 2018, Vol 141, Supplement 3

https://publications.aap.org/pediatrics/issue/141/Supplement_3

Brown TW, McLellan SE, Mann MY, Scott JA. Guest Editors

Blueprint for Change: A National Framework for a System of Services for Children and Youth with Special Health Care Needs

June 2022, Vol 149, Supplement 7

https://publications.aap.org/pediatrics/issue/149/Supplement%207

TRANSCRIPT

https://op-docebo-images.s3.amazonaws.com/Transcripts/+Collective+Voice_A+Conversation+about+Complex+Care_120523+.pdf

Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: https://forms.gle/Bdxb86Sw5qq1uFhW6

Please visit: www.openpediatrics.org

OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access and thus at no expense to the user.

CITATION

First LR, Coleman CL, Huth K. Collective Voice: A Conversation about Complex Care and Disability in the Journal Pediatrics. 12/2023. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/collective-voice-a-conversation-about-complex-care-and-disability-in-the-journal-pediatrics

In this World Shared Practice Forum Podcast, Dr. Mark Hall discusses immunology and inflammation in pediatric sepsis treatment, using immune phenotyping to personalize treatment for pediatric sepsis.

LEARNING OBJECTIVES

Upon listening to this presentation, learners will be able to:

- Recall the history of understanding the inflammatory response in critically ill children

- Identify the distinction between the pro-inflammatory response and the immune paralysis phenomenon

- Describe the study of immune phenotyping to personalize treatment for pediatric sepsis

AUTHORS

Mark W. Hall, MD, FAAP, FCCM

Chief, Division of Critical Care Medicine

Nationwide Children's Hospital

Professor in the Department of Pediatrics

Division of Critical Care Medicine

Nationwide Children's Hospital and The Ohio State University College of Medicine

Jeffrey Burns, MD, MPH

Chief and Shapiro Chair, Division of Critical Care Medicine; Executive Chair, International Health Services

Senior Associate in Critical Care Medicine; Department of Anesthesiology, Critical Care and Pain Medicine

Boston Children's Hospital

Professor of Anesthesia

Harvard Medical School

DATES

Initial publication: November 27, 2023.

ARTICLES REFERENCED

15:48: Cornell TT, Sun L, Hall MW, et al. Clinical implications and molecular mechanisms of immunoparalysis after cardiopulmonary bypass. J Thorac Cardiovasc Surg. 2012;143(5):1160-1166.e1. doi:10.1016/j.jtcvs.2011.09.011

16:10 Collaborative Pediatric Critical Care Research Network, https://www.cpccrn.org/

17:04 VanBuren JM, Hall M, Zuppa AF, et al. The Design of Nested Adaptive Clinical Trials of Multiple Organ Dysfunction Syndrome Children in a Single Study [published online ahead of print, 2023 Jul 27]. Pediatr Crit Care Med. 2023;10.1097/PCC.0000000000003332. doi:10.1097/PCC.0000000000003332

Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access and thus at no expense to the user. For further information on how to enroll, please email: [email protected]

CITATION

Hall MW, O’Hara JE, Burns JP. Immunoparalysis and the Future of Personalized Immunotherapy for Critically Ill Children. 11/2023. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/immunoparalysis-and-the-future-of-personalized-immunotherapy-for-critically-ill-children.

In this Complex Care Journal Club podcast episode, Dr. Catherine Diskin and Ms. Kate Robinson discuss their team's approach to co-developing a continuing education seminar series. They describe the value of family partnership in complex care education and research, important considerations for effectively engaging families, and next steps from this work.

SPEAKERS

Catherine Diskin, MB, BCh, BAO

Assistant Professor of Pediatrics, University of Toronto

Co-Educational Lead, Complex Care Program, Department of Paediatrics, The Hospital for Sick Children

Kate Robinson, MFA

Founder and Artistic Director, Foxservingpie.org

Mother of a child with medical complexity

HOST

Emily Goodwin, MD

Clinical Associate Professor of Pediatrics, University of Missouri Kansas City School of Medicine

Pediatrician, General Academic Pediatrics Beacon Program, Children’s Mercy Kansas City

DATES

Initial Publication: November 6, 2023.

CITATION

Diskin C, Robinson K, Goodwin EJ. Partnering in Pedagogy: Reflections of a Family Leader and Clinician-Educator. 11/2023. OPENPediatrics. Online Podcast. Links: https://youtu.be/o7qTC7WsAKg, https://soundcloud.com/openpediatrics/partnering-in-pedagogy-reflections-of-a-family-leader-and-clinician-educator.

JOURNAL ARTICLE REFERENCED

Diskin C, Robinson K, Agrawal R, Masterson D, Coleman C, Cohen E. Family Partnership in Continuing Medical Education: A Collaborative Experience. Pediatrics. 2023;151(5):e2022060280. doi:10.1542/peds.2022-060280

ADDITIONAL ARTICLES CITED

Diskin C, Malik K, Gill PJ, Rashid N, Chan CY, Nelson KE, Thomson J, Berry J, Agrawal R, Orkin J, Cohen E. Research priorities for children with neurological impairment and medical complexity in high-income countries. Dev Med Child Neurol. 2022 Feb;64(2):200-208. doi: 10.1111/dmcn.15037. Epub 2021 Aug 30. PMID: 34462917; PMCID: PMC9291325.

TRANSCRIPT

https://op-docebo-images.s3.amazonaws.com/Transcripts/Partnering+in+Pedagogy+Reflections+of+a+Family+Leader+and+Clinician-Educator.pdf

Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: https://forms.gle/Bdxb86Sw5qq1uFhW6

Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access thus at no expense to the user. For further information on how to enroll, please email: [email protected]

This podcast discusses pediatric behavior management counseling covering a wide range of topics including: 1) common challenging behaviors encountered at various stages of childhood and adolescence, 2) ways to create a safe space for children, adolescents, and caretakers to share their thoughts and concerns regarding challenging behaviors, and 3) strategies to incorporate de-escalation and behavior modification strategies into routine well-child visits in order to teach parents these skills.

LEARNING OBJECTIVES

- Describe common challenging behaviors encountered at various stages of childhood and adolescence.

- Create a safe space for children, adolescents, and their caretakers to share thoughts and concerns about behaviors.

- Describe a framework for behavior dysregulation and an approach to its management.

- Incorporate de-escalation and behavior modification strategies into routine well child visits.

AUTHORS

Daniel O'Meara, MD

Pediatrics Resident

Boston Combined Residency Program

Boston Children's Hospital | Boston Medical Center

Beverly Aiyanyor, MD

Pediatrics Resident

Boston Combined Residency Program

Boston Children's Hospital | Boston Medical Center

Brenna Chase, MD

Chief Resident in Pediatrics

Boston Combined Residency Program

Urban Health and Advocacy Track

Boston Children's Hospital | Boston Medical Center

Katelin Blackburn, MD

Adolescent Medicine Fellow

Division of Adolescent and Young Adult Medicine

Boston Children's Hospital

DATES

Initial Publication: November 3, 2023

CITATION

O'Meara D, Perez C, Aiyanyor B, Chase B, Wills K, Blackburn K. Outpatient Behavior Management Counseling. 11/2023. OPENPediatrics. Online Course: https://learn.openpediatrics.org/learn/course/internal/view/elearning/5493/pediatric-behavioral-and-mental-health-outpatient-behavior-management-counseling. Video: https://youtu.be/wyo5oaMtFS0. Podcast: https://soundcloud.com/openpediatrics/pediatric-behavioral-and-mental-health-outpatient-behavior-management-counseling.

Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access and thus at no expense to the user. For further information on how to enroll, please email: [email protected]

In this World Shared Practice Forum podcast, Dr. Brenda Morrow discusses the structure of the World Federation of Pediatric Intensive & Critical Care Societies, her journey to become President of the Federation, and shares a preview of features in the upcoming World Congress.

LEARNING OBJECTIVES

Upon listening to this presentation, learners will be able to:

- Recognize the goals and organizational framework of the World Federation of Pediatric Intensive and Critical Care Societies or WFPICCS

- Describe examples of some of the WFPICCS subgroups, subcommittees, and the multidisciplinary evolution of the Federation

- Preview features of and review deadlines for the upcoming WFPICCS Congress

- Provide suggestions for those that might be trying to submit their work, particularly those coming from lower middle-income countries

AUTHORS

Brenda Morrow, PhD

President

World Federation of Pediatric Intensive & Critical Care Societies (WFPICCS)

Physiotherapist and Full Professor

Department of Paediatrics

University of Cape Town, South Africa

Traci Wolbrink MD, MPH

Senior Associate in Critical Care Medicine

Boston Children's Hospital

Associate Professor of Anaesthesia

Harvard Medical School

DATES

Initial Publication: October 24, 2023.

CITATION

Morrow BM, O’Hara JE, Wolbrink TA. The World Federation of Pediatric Intensive & Critical Care Societies: Insights from President Dr. Brenda Morrow. 10/2023. OPENPediatrics. Online Podcast. Links: https://youtu.be/2hdssv7N6qA, https://soundcloud.com/openpediatrics/the-world-federation-of-pediatric-intensive-critical-care-societies-insights-from-the-president.

REFERENCES

https://wfpiccs.org/

Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access and thus at no expense to the user. For further information on how to enroll, please email: [email protected]

This podcast explains the pathophysiology of single ventricle cardiac lesions, and reviews the three-step surgical procedure used for palliation.

0:00 Introduction

1:55 Anatomy & Pathophysiology

3:56 Typical Palliation

8:50 Long Term Complications After Repair

LEARNING OBJECTIVES

After listening to this podcast, the learner should be able to:

• Explain the pathophysiology of single ventricle heart disease

• Discuss the different stages of palliation for single ventricle heart disease

• Describe the physiological consequences of the Fontan circulation

• Recognize long term problems associated with the Fontan circulation

AUTHORS

Madeleine Alvin, MD

Pediatric Anesthesiology Fellow

Boston Children's Hospital

Annette Schure, MD

Senior Associate in Cardiac Anesthesia

Boston Children's Hospital

DATES

Initial publication: October 19, 2023

CITATION

Alvin ML, Marcley S, Soohey R, McFee AM, Wolbrink TA, Schure AY. Surgical Palliation for Single Ventricle Lesions. 10/2023. OPENPediatrics. Online Course: https://learn.openpediatrics.org/learn/course/internal/view/elearning/5439/Surgical-Palliation-for-Single-Ventricle-Lesions. Video: https://youtu.be/zptfxT1pjxg. Podcast: https://soundcloud.com/openpediatrics/surgical-palliation-for-single-ventricle-lesions-by-madeleine-alvin-for-openpediatrics/s-j1wNCnQ9ZIX.

Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: [email protected]

This podcast discusses the preoperative, operative, and postoperative considerations for patients undergoing surgical treatment for moyamoya disease including: anatomy and pathophysiology, clinical presentation, diagnosis, preoperative evaluation, anesthetic management, operative approach, and postoperative care.

LEARNING OBJECTIVES

Upon listening this podcast, learners will be able to:

• Describe the anatomy and pathophysiology of moyamoya disease

• Explain the common preoperative evaluation for surgery to treat moyamoya disease

• Provide an anesthetic management plan to be used during surgery to treat moyamoya disease

• Describe several operative approaches used to treat moyamoya disease

• Anticipate the postoperative considerations following surgery to treat moyamoya disease

AUTHORS

Weston Northam, MD

Shilito Clinical Staff Associate

Boston Children's Hospital

Edward Smith, MD, MBA

Director, Pediatric Neurovascular Surgery

Boston Children's Hospital

Jessica Laird-Gion, MD

Clinical Fellow in Pediatrics

Boston Children's Hospital

Jennifer Perez, MD

Associate in Critical Care Medicine, Department of Anesthesiology, Critical Care and Pain Medicine

Boston Children's Hospital

DATES

Initial Publication: October 9, 2023.

CITATION

Northam W, Laird-Gion J, Soohey R, Marcley S, Marques B, Perez J, Smith ER, Wolbrink TA. Moyamoya. 10/2023. OPENPediatrics. Online Course. https://learn.openpediatrics.org/learn/course/internal/view/elearning/5472/moyamoya-disease. Video: https://youtu.be/2PWwtLTZAUs. Podcast: https://soundcloud.com/openpediatrics/moyamoya-disease/s-H6ggQgYd6xw.

Please visit: www.openpediatrics.org

OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.

For further information on how to enroll, please email: [email protected]

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