OPENPediatrics

In this Complex Care Journal Club podcast episode, Dr. Sriram Ramgopal and Dr. Carolyn Foster discuss the design and key findings of a cross-sectional study examining encounters in the Emergency Department and subsequent care for children with medical complexity and mental or behavioral health needs. They describe gaps in our knowledge and systems issues related to this important intersection of care needs, implications for clinical practice, and next steps from this work.

SPEAKERS

Sriram Ramgopal, MD

Assistant Professor of Pediatrics,

Northwestern Medicine Feinberg School of Medicine

Attending Physician, Pediatric Emergency Medicine,

Ann & Robert H. Lurie Children's Hospital of Chicago

Carolyn C. Foster, MD, MS

Assistant Professor of Pediatrics,

Northwestern University Feinberg School of Medicine

Advanced General Pediatrics and Primary Care,

Ann & Robert H. Lurie Children's Hospital of Chicago

HOST

Kristina Malik, MD

Assistant Professor of Pediatrics,

University of Colorado School of Medicine

Medical Director, KidStreet

Pediatrician, Special Care Clinic,

Children's Hospital Colorado

DATES

Initial publication: May 25, 2023

CITATION

Ramgopal S, Foster CC, Malik K. Navigating the Intersection Between Medical Complexity and Mental Health in the Emergency Department. 05/2023. OPENPediatrics. Online Podcast. Links: https://youtu.be/wvA4t9nyeo0, https://soundcloud.com/openpediatrics/navigating-the-intersection-between-medical-complexity-and-mental-health-in-the-emergency-department

ARTICLES REFERENCED

Ramgopal S, Goodman DM, Kan K, Smith T, Foster CC. Children With Medical Complexity and Mental and Behavioral Disorders in the Emergency Department. Hosp Pediatr. 2023 Jan 1;13(1):9-16. doi: 10.1542/hpeds.2022-006835.

TRANSCRIPT

https://bit.ly/43gOapo

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

Please visit: 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. Ebor Jacob James discusses the current state of pediatric critical care in India. Dr. Jacob James describes clinical staffing models, fellowship and accreditation programs, as well as the impact of simulation training in these areas. He also provides background on PediSTARS, the Pediatric Simulation Training And Research Society in India, and describes the impact of the Stop the Bleed Project which provides life-saving training to first responders and non-healthcare professionals. Finally, Dr. Jacob James gives advice for learners interested in a career in medical education.

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

- Identify the current state of pediatric critical care training in India

- Describe the impact of pediatric simulation training in India on clinical practice

- Discuss several educational innovations in India including the PediSTARS program and the Stop the Bleed Project

Chapters

01:10 Current state of pediatric critical care training in India

07:21 Growth of simulation-based education and training

16:59 Virtual and distance simulation during the COVID-19 pandemic

22:06 The Stop the Bleed project

24:09 Advice for students interested in a career in medical education

Publication date:

May 23, 2023

Citation:

James EJG, O’Hara JE, Wolbrink TA. Innovations in Education and Training in India. 05/2023. OPENPediatrics. Online Video: https://youtu.be/0nSnxcnWDmY. Podcast: https://on.soundcloud.com/jASqa.

Articles Referenced:

•Bhalala U, Khilnani P. Pediatric Critical Care Medicine Training in India: Past, Present, and Future. Front Pediatr. 2018;6:34. Published 2018 Feb 26. doi:10.3389/fped.2018.00034

•Ramachandra G, Deutsch ES, Nadkarni VM. A Road Map for Simulation Based Medical Students Training in Pediatrics: Preparing the Next Generation of Doctors. Indian Pediatr. 2020;57(10):950-956.

•James EJG, Vyasam S, Venkatachalam S, et al. Low-Cost "Telesimulation" Training Improves Real Patient Pediatric Shock Outcomes in India. Front Pediatr. 2022;10:904846. Published 2022 Jul 26. doi:10.3389/fped.2022.904846

•Geethanjali Ramachandra, G.V. Ramana Rao, Shailaja Tetali, Devendar Karabu, Manideep Kanagala, Srinivas Puppala, Rani Janumpally, H.V. Rajanarsing Rao, Brendan Carr, Steven C. Brooks, Vinay Nadkarni, Active bleeding control pilot program in India: Simulation training of the community to stop the bleed and save lives from Road Traffic Injuries, Clinical Epidemiology and Global Health, Volume 11, 2021, 100729, ISSN 2213-3984, https://doi.org/10.1016/j.cegh.2021.100729.

Additional References:

Citation: James EJG, O’Hara JE, Wolbrink TA. Innovations in Education and Training in India. 05/2023. OPENPediatrics. Online Video: https://youtu.be/0nSnxcnWDmY. Podcast: https://soundcloud.com/openpediatrics/innovations-in-education-and-training-in-india-by-dr-ebor-jacob-james-for-openpediatrics.

Please visit: www.openpediatrics.org

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

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

Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by Youtube. We apologize for any inconvenience this may cause.

In this presentation, the listener will learn the developmental milestones of a newborn through 5 years of age, including parental guidance and red flags.

LEARNING OBJECTIVES

Upon viewing this presentation, participants will be able to:

• Understand the importance of monitoring child development

• Explain the difference between developmental surveillance and developmental screening

• Identify the major milestones from birth to five years of age

AUTHORS

Holly Hodges MD

Fellow, Developmental-Behavioral Pediatrics

Boston Children's Hospital

Bianca Shagrin MD

Instructor of Pediatrics

Cambridge Health Alliance

Harvard Medical School

DATES

Initial publication: December 13, 2018

CITATION

Shagrin B, Callas C, McFee A, Fantasia K, Wolbrink T, Hodges H. Developmental Milestones. 12/2018. Online Video. OPENPediatrics. https://learn.openpediatrics.org/learn/course/internal/view/elearning/3527/developmental-milestones.

In this video, the viewer will learn to define brief resolved unexplained events, recognize the clinical presentation, diagnose and risk stratify a patient and understand the principles of management.

LEARNING OBJECTIVES

Upon viewing this presentation, participants will be able to:

• Define brief resolved unexplained events (BRUEs)

• Recognize the clinical presentation of BRUE

• Diagnose and risk stratify a patient

• Understand the principles of management

AUTHORS

Jonathan Fried

Harvard Medical School

Beth Harper, MD

Pediatric Hospitalist

Boston Children's Hospital

Instructor in Medicine

Harvard Medical School

DATES

Initial publication: January 11, 2019

CITATION

Fried J, Harper B, Rubin L, Erickson A, McFee A, Wolbrink T. Approach to Brief Resolved Unexplained Events (BRUE). 1/2019. Online Video. OPENPediatrics. https://learn.openpediatrics.org/learn/course/internal/view/elearning/3538/approach-to-brief-resolved-unexplained-events-brue.

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

SPEAKERS

Eyal Cohen, MD, MSc, FRCPC

Program Head, Child Health Evaluative Sciences

Staff Physician, Division of Pediatric Medicine

The Hospital for Sick Children (SickKids), Toronto

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: April 26, 2023

CITATION

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

ARTICLE REFERENCED

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

TRANSCRIPT

https://bit.ly/41Xvaf0

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

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

- Explain what ChatGPT is and how it is trained

- Discuss potential use cases of ChatGPT in the medical community

- Identify potential issues with the use of ChatGPT and the importance of integrating accurate data sets into future versions

Publication date: April 20, 2023.

References:

• https://openai.com/blog/chatgpt

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

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

In this podcast, Dr. Helena Leahy reviews risk factors, mechanism, signs and symptomsm, and appropriate management of laryngospasm.

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

- Identify the risk factors of laryngospasm

- Describe the mechanism of laryngospasm

- Explain how to diagnose and treat laryngospasm

Publication date: April 11, 2023.

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

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

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

Following this discussion, participants will be able to:

- Explain the Distraction and Action Tool and how it is used to predict a child’s risk of distress during medical procedures

- Discuss how the research on distraction has impacted clinical practice

- Explain how the Iowa Implementation and Sustainability Framework - Tool is used to successfully implement evidence-based practice in the clinical setting

- List ways to engage parents in distraction techniques for their child

Publication date: March 6, 2023.

Articles Referenced:

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

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

Citation: Hanrahan K, DeGrazia M, Shields R. Distraction for Pediatric Painful Procedures: Implementing an Evidence-Based Approach. 03/2023. Online Video. OPENPediatrics. https://soundcloud.com/openpediatrics/distraction-for-pediatric-painful-procedures-by-dr-kirsten-hanrahan-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]

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

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

- Identify the differences between the old PALICC guidelines and new PALICC-2 guidelines

- Define patient self-inflicted lung injury

- Explain new recommendations for monitoring patients receiving invasive mechanical ventilation

Publication date: February 28, 2023.

Articles referenced:

Emeriaud G, López-Fernández YM, Iyer NP, et al. Executive Summary of the Second International Guidelines for the Diagnosis and Management of Pediatric Acute Respiratory Distress Syndrome (PALICC-2). Pediatr Crit Care Med. 2023;24(2):143-168. doi:10.1097/PCC.0000000000003147

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

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

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

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

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

- Describe the surge of RSV infections observed in 2022, with likely causes

- Explain the process of strain selection for the yearly Influenza vaccine

- Summarize available data relating to the efficacy of the bivalent COVID vaccine

Published: January 23, 2023.

Citation: Offit P, Daniel D, Burns JP. Tripledemic: What we know so far and what to expect going forward on RSV, Influenza A, and SARS-CoV-2 in Children. 01/2023. Online Podcast. OPENPediatrics. https://soundcloud.com/openpediatrics/tripledemic-what-we-know-so-far-and-what-to-expect-going-forward-by-dr-paul-offit

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]