OPENPediatrics

In this Complex Care Journal Club podcast episode, Dr. Mark Brittan discusses a qualitative study of stakeholders in a family-certified nursing assistant program in Colorado. He describes the limitations of the paid family caregiver model, opportunities for advocacy, and the next steps from this work.

SPEAKER

Mark Brittan, MD, MPH

Associate Professor of Pediatrics, University of Colorado Anschutz Medical Campus

Section of Pediatric Hospital Medicine, Children's Hospital Colorado

HOST

Kilby Mann, MD

Assistant Professor of Pediatrics, University of Colorado Anschutz Medical Campus

Pediatric Rehabilitation Medicine, Children's Hospital Colorado

DATES

Initial Publication: October 9, 2023

CITATION

JOURNAL ARTICLE REFERENCED

Brittan MS, Chavez C, Blakely C, Holliman BD, Zuk J. Paid Family Caregiving for Children With Medical Complexity. Pediatrics. 2023;151(6):e2022060198. doi:10.1542/peds.2022-060198

OTHER ARTICLES REFERENCED

Foster CC, Kwon S, Blakely C, Carter K, Sobotka SA, Goodman DM, Agrawal R, Brittan M. Paying Family Medical Caregivers for Children's Home Healthcare in Colorado: A Working Medicaid Model. J Pediatr. 2023 Feb 10;261:113347. doi: 10.1016/j.jpeds.2022.12.043. Epub ahead of print. PMID: 36775189; PMCID: PMC10412725.

Kaye N, Teshale S. Medicaid Supports for Family Caregivers. National Academy for State Health Policy. October 2020. Accessed September 22, 2023. https://www.nashp.org/wp‐content/uploads/2020/10/Medicaid‐Supports‐for‐Family‐Caregivers.pdf

TRANSCRIPT

https://op-docebo-images.s3.amazonaws.com/Transcripts/Financial+Compensation+of+Family+Caregivers_Brittan_100923.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]

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: https://youtu.be/P0KQZVpKKuY. https://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: 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. 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: https://youtu.be/xkoS0qhCtiE, https://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

https://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: 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]

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: https://youtu.be/AK6Uz_hZ_SY SC: https://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: 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. 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 7, 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: https://youtu.be/N8tSUjCFR80, https://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

https://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: [email protected]

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. 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 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: https://youtu.be/RffkiH9pw80, https://soundcloud.com/openpediatrics/exploring-roles-and-goals-of-palliative-care-and-complex-care.

ARTICLES REFERENCED

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

https://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: [email protected]

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 families played in guiding the study, 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

General Academic Pediatrics/Beacon Program

Children’s Mercy Kansas City Broadway

Associate Director of Medical Student Education

Clinical Assistant Professor of Pediatrics

University of Missouri Kansas City School of Medicine

Clinical Assistant Professor of Pediatrics

Kansas University Medical Center

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: https://youtu.be/4RJAzlOnDo0, https://soundcloud.com/openpediatrics/trust-their-gut-family-level-of-concern-and-clinical-changes-in-children-with-medical-complexity.

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

TRANSCRIPT

https://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: 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: [email protected]

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.

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: https://youtu.be/RBzpyBhunyk, https://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)

By the end of this podcast, the learner will be able to describe the fundamental elements of sickle cell disease, including pathophysiology, potential complications, and management strategies.

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

- Discuss the pathophysiology of SCD

- Identify the common complications seen in this condition

- Describe the management options of SCD and its complications

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

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]

For World PICU Day on May 12, 2023, The World Federation of Pediatric Intensive and Critical Care Societies (WFPICCS) organized a panel discussion with regional speakers discussing Sepsis guidelines for early recognition, resuscitation, and management: Global perspectives.

The panelists provided a brief summary of:

• Their participation in the development of the implementation of guidelines for use in facilities for either recognition, resuscitation or management of sepsis.

• ONE success in either the development or implementation of sepsis guidelines in their institution.

• ONE challenge/ failure in either the development or implementation of sepsis guidelines in their institutions.

Introduction:

Brenda Morrow, PhD, BSc

Physiotherapist/Professor

Department of Paediatrics

University of Cape Town (UCT)

Cape Town, South Africa

Moderator:

Mark Ansermino MBBCh, MMed, MSC, FFA (SA), FRCPC

Investigator, BC Children's Hospital

Director, Centre for International Child Health, BC Children's Hospital

Vancouver, BC, Canada

Panelists:

John Adabie Appiah MBChB, MWACP, MGCPS, Cert. Crit. Care, MPhil Crit. Care (UCT)

Senior Specialist and Founding Head of PICU

Komfo Anokye Teaching Hospital

Kumasi, Ghana

Werther Bruno de Carvalho MD, PhD, FCCM

Professor of Pediatric Intensive Care/Neonatology

Department of Pediatrics

Faculty of Medicine - University of São Paulo

São Paulo, Brazil

Ener Çağri Dinleyici MD, PhD

Eskisehir Osmangazi University Faculty of Medicine

Department of Pediatrics

Eskisehir, Turkey

Cintia Johnston RRT, MsC, PhD

Physiotherapist

Clinical Research Assistent Professor of Neonatology and Intensive Care

Pediatrics Department

Medical University of São Paulo - FMUSP

São Paulo, Brazil

Teresa Bleakly Kortz MD, MS, PhDc

Pediatrician and Assistant Clinical Professor, Division of Pediatric Critical Care

Associate Professor of Clinical Pediatrics in Critical Care Medicine

Affiliate Faculty of the Institute for Global Health Sciences

Co-director of the Pediatric Global Health Pathway,UCSF

San Francisco, California, USA

Suchitra Ranjit MD, FCCM

Head of the Department of Pediatric Emergency and Critical Care

Apollo Children's Hospital

Chennai, India

Gerri Sefton PhC, MSc, BSc, RGN/RSCN

Advanced Nurse Practitioner/PICU

Alder Hey Children's Hospital

Liverpool, England, United Kingdom