OPENPediatrics

In this Complex Care Journal Club podcast episode, Ms. Emily Johnson and Dr. Florence Gagné discuss a scoping review of interventions to assess social needs for children with medical complexity. They describe the different approaches to screening and intervention in the five included studies, implications for practice, and opportunities to engage social workers in research.

SPEAKERS

Emily Johnson, MSW, LICSW

Clinical Social Worker

Boston Children's Hospital

Florence Gagné, MD

Pediatrician

Montréal Children’s Hospital

HOST

Kristina Malik, MD

Assistant Professor of Pediatrics

Medical Director

Pediatrician, Special Care Clinic‌‌

‌University of Colorado School of Medicine

KidStreet

Children’s Hospital Colorado

DATE

Initial publication date: August 11, 2026.

JOURNAL CLUB ARTICLE

Johnson ER, Hadge SM, Wachter SM, Gagné F. Interventions to assess social needs for children with medical complexity and their families: A scoping review. Patient Educ Couns. 2026;148:109555. doi:10.1016/j.pec.2026.109555.

OTHER ARTICLES REFERENCED

Ming DY, Jones KA, Sainz E, Tkach H, Stewart A, Cram A, Morreale MC, Dizon S, deJong NA. Feasibility of implementing systematic social needs assessment for children with medical complexity. Implement Sci Commun. 2021 Nov 21;2(1):130. doi: 10.1186/s43058-021-00237-3. PMID: 34802465; PMCID: PMC8606226.

TRANSCRIPT

https://cdn.bfldr.com/D6LGWP8S/as/3sgvpf2qjsvt9zqxvf37xspz/Gagne_and_Johnson_Final_Transcript_8-3-26

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]

CITATION

Johnson ER, Gagné F, Malik K. Screen and Intervene: Meeting Social Needs for Children with Medical Complexity. 08/2026. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/screen-and-intervene-meeting-social-needs-for-children-with-medical-complexity.

In this podcast, recorded at the Top Articles of 2025 Session at PEDICRITICON 2025, Dr. Traci Wolbrink interviews Drs. Ashish Agarwal and Ramesh Kumar Ramachandran about two randomized controlled trials. These studies comparing 0.9% normal saline with Ringer’s lactate in diabetic ketoacidosis and the efficacy of high flow nasal cannula versus nasal prong bubble CPAP in bronchiolitis. The conversation reveals challenges in resource-limited settings, emphasizing the importance of protocol adherence, mentorship, and resource management. Valuable insights into fluid management, respiratory support, and research execution are offered for healthcare professionals keen on advancing clinical practice and research knowledge.

Learning Objectives

- Recognize the limitations of using normal saline in diabetic ketoacidosis

- Understand the physiological benefits of balanced fluids like Ringer’s Lactate

- Identify the logistical challenges in conducting trials in resource-limited settings

- Appreciate the role of teamwork and protocol adherence in research success

AUTHORS

Ashish Agarwal, MD

Post Graduate Institute of Medical Education and Research, Chandigarh, Chandigarh, India

Ramachandran Rameshkumar, MD, DM, FRCPCH

Division of Pediatric Critical Care, Department of Pediatrics,

Jawaharlal Institute of Postgraduate Medical Education and

Research (JIPMER), Puducherry, India

Pediatric Intensive Care Unit, Department of Pediatrics,

Mediclinic City Hospital, Mohammed Bin Rashid University

of Medicine and Health Sciences, Dubai, United Arab Emirates

Traci Wolbrink, MD, MPH‌

Co-Director, OPENPediatrics

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

DATE

Initial publication date: July 1, 2026.

ARTICLES REFERENCED

Agarwal A, Jayashree M, Nallasamy K, Dayal D, Attri SV. 0.9% Saline versus Ringer's lactate as initial fluid in children with diabetic ketoacidosis: a double-blind randomized controlled trial. BMJ Open Diabetes Res Care. 2025;13(2):e004623. https://pubmed.ncbi.nlm.nih.gov/40194836/

Maya M, Rameshkumar R, Selvan T, Delhikumar CG. High-Flow Nasal Cannula Versus Nasal Prong Bubble Continuous Positive Airway Pressure in Children With Moderate to Severe Acute Bronchiolitis: A Randomized Controlled Trial. Pediatr Crit Care Med. 2024;25(8):748-757. https://pubmed.ncbi.nlm.nih.gov/38639564/

TRANSCRIPT

https://cdn.bfldr.com/D6LGWP8S/as/szcrpthcfg3w4398gkvf9ch/202606_Pedicriticon_Podcast_2025_Transcript

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

Agarwal A, Rameshkumar R, Wolbrink TA. PEDICRITICON 2025: Top Articles in PICU Research. 07/2026. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/pedicriticon-2025-top-articles-in-picu-research.

In this World Shared Practice Forum Podcast, first authors Drs. Frances Balamuth and Chanu Rhee describe the objectives and methodology for their study “National Estimates of Pediatric Sepsis in US Hospitals Using Clinical Data” published in the March 2026 edition of JAMA. They discuss the process of modifying the Phoenix Sepsis Criteria to an electronic health record-based Pediatric Sepsis Event (PSE) definition and the methods for validating this definition. The authors share salient findings from their study, noting the limitations, and share their hopes for the future direction of sepsis surveillance research.

LEARNING OBJECTIVES

- Understand the derivation for the Pediatric Sepsis Event definition for electronic health record-based pediatric sepsis surveillance

- Review the validation process for the Pediatric Sepsis Event definition

- Compare the Pediatric Sepsis Event definition to the Phoenix Sepsis Criteria

- Discuss the results and limitations of the electronic health record-based study design

- Express the goals for the future direction of pediatric sepsis surveillance research

AUTHORS

Frances Balamuth, MD, PhD, MSCE

Professor of Pediatrics, Chief of Pediatric Emergency Medicine

University of Pennsylvania Perelman School of Medicine

Children's Hospital of Philadelphia

Chanu Rhee, MD, MPH

Associate Professor of Population Medicine

Harvard Medical School and Harvard Pilgrim Health Care Institute

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

DATE

Initial publication date: June 23, 2026.

ARTICLES REFERENCED

Rhee C, Balamuth F, Dysart K, et al. National Estimates of Pediatric Sepsis in US Hospitals Using Clinical Data. JAMA. 2026;335(15):1321-1331. https://pubmed.ncbi.nlm.nih.gov/41865411/

TRANSCRIPT

https://cdn.bfldr.com/D6LGWP8S/as/swj4kvkgg686b6p9whmbht/20260622_WSP_Rhee_and_Balamuth_Transcript

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

Balamuth F, Rhee C, O’Hara JE, Wolbrink TA. National Estimates of Pediatric Sepsis. 06/2026. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/new-national-estimates-of.

In this Complex Care Journal Club podcast episode, Patricia Basualto discusses a qualitative study of service provider perspectives on access to disability services for children with neurodevelopmental disabilities in British Columbia, Canada. She describes the importance of cross-sectoral collaboration, actionable policy and program recommendations, and next steps from this work.‌

SPEAKER

Patricia Basualto, MHP, PhD Candidate

Assistant Professor, Physiotherapist

Pontificia Universidad Católica de Chile

PhD Candidate in Kinesiology (Rehabilitation)

University of Calgary

HOST

Kathleen Huth, MD, MMSc

Pediatrician, Complex Care Service, Division of General Pediatrics

Boston Children's Hospital

Assistant Professor of Pediatrics

Harvard Medical School

DATE

Initial publication date: June 8, 2026.

JOURNAL CLUB ARTICLE

Basualto P, Senevirathna AM, Seth A, Dimitropoulos G, Zwicker JD. Improving Equitable Access to Disability Services and Support for Children With Neurodevelopmental Disabilities: Service Provider and Decision-Maker Perspectives. Child Care Health Dev. 2026 Jan;52(1):e70213. doi: 10.1111/cch.70213. PMID: 41457809; PMCID: PMC12746062.

TRANSCRIPT

https://cdn.bfldr.com/D6LGWP8S/as/7wvf65c7rjcxkvvt4vjspx9v/Basualto_Final_Transcript_5-27‌

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]

CITATION

Basualto P, Huth K. Opening a Wider Door: Access to Services for Children with Neurodevelopmental Disabilities‌‌‌. 06/2026. OPENPediatrics. Online Podcast.

In this World Shared Practice Forum Podcast, Drs. Mark Peters and Scott Weiss provide their expert insight on the methodology and development of the 2026 International Surviving Sepsis Campaign guidelines. They discuss challenges encountered during the process and review notable changes to these guidelines compared to previous iterations. The authors share the recommendations that will most impact their personal practice for patients with sepsis, and reflect on how we can improve global research infrastructure to address salient knowledge gaps in pediatric critical care.

LEARNING OBJECTIVES

- Understand the design and methodology for the 2026 Surviving Sepsis Campaign guidelines

- Review notable changes in the 2026 sepsis guidelines compared to the 2020 edition

- Discuss the implications of the altered recommendations for clinical practice changes

- Consider methods to improve global pediatric research infrastructure and data organization

AUTHORS

Mark Peters, MBChB, PhD, MRCP, FFICM, FRCPCH

Professor of Paediatric Intensive Care

NIHR Senior Investigator

UCL Great Ormond St Institute of Child Health

Hon. Consultant Paediatric Intensivist

Paediatric Intensive Care Unit and

Children’s Acute Transport Service

Great Ormond St Hospital

Scott Weiss, MD, MSCE

Professor of Pediatrics and Pathology & Genomic Medicine,

Division Chief of Critical Care,

Vice-Chair of Research for the Department of Pediatrics,

Nemours Children's Hospital,

Sidney Kimmel Medical College at Thomas Jefferson University

Jeffrey Burns, MD, MPH

Emeritus Chief

Division of Critical Care Medicine

Department of Anesthesiology, Critical Care and Pain Medicine

Boston Children's Hospital

Professor of Anesthesia

Harvard Medical School

DATE

Initial publication date: May 26, 2026.

ARTICLES REFERENCED & ADDITIONAL REFERENCES

- Weiss SL, Peters MJ, Oczkowski SJW, et al. Surviving Sepsis Campaign International Guidelines for the Management of Sepsis and Septic Shock in Children 2026. Pediatr Crit Care Med. 2026;27(4):379-434. https://pubmed.ncbi.nlm.nih.gov/41869844/

- Balamuth F, Weiss SL, Long E, et al. Balanced Fluid or 0.9% Saline in Children Treated for Septic Shock. N Engl J Med. Published online April 24, 2026. https://pubmed.ncbi.nlm.nih.gov/42028918/

- Weiss SL, Balamuth F, Long E, et al. PRagMatic Pediatric Trial of Balanced vs nOrmaL Saline FlUid in Sepsis: study protocol for the PRoMPT BOLUS randomized interventional trial. Trials. 2021;22(1):776. Published 2021 Nov 6. https://pubmed.ncbi.nlm.nih.gov/34742327/

- Steven Pinker "Enlightenment Now” - https://stevenpinker.com/publications/enlightenment-now-case-reason-science-humanism-and-progress

- Blood Poison: The Untold Story of Sepsis - https://amplifypublishinggroup.com/product/nonfiction/health-medicine-and-wellness/general-health-medicine-and-wellness/blood-poison/

TRANSCRIPT

https://cdn.bfldr.com/D6LGWP8S/at/r9q8w9vhsbpg7wwzn35kbmz/202605_WSP_Peters_and_Weiss_Transcript.pdf

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 among healthcare providers worldwide who care for critically ill children across 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

Peters MJ, Weiss SL, O’Hara J, Burns JP. Pediatric Surviving Sepsis: Insights From the Leadership. 05/2026. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/pediatric-surviving-sepsis-insights-from-the-leadership-by-m-peters-s-weiss-openpediatrics.

In this special Complex Care Journal Club podcast episode, co-hosts Drs. Emily Goodwin, Kristie Malik, 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) 2026 annual meeting, as well as at a pre-PAS event focused on home- and community-based care and training in complex care. Speakers describe their key findings, messages for care teams including patients and families, and opportunities to translate their findings into practice.‌

SPEAKERS

Flor Arellano, MPH

Clinical Research Coordinator,

University of California, Los Angeles

Jennifer Arnold, MD, MSc

Medical Director, Skeletal Health,

Boston Children’s Hospital

Ryan Brewster, MD

Neonatal- Perinatal Medicine Fellow,

Stanford University School of Medicine

Meg Comeau, MHA

Senior Project Director, Center for Innovation in Social Work & Health,

Boston University School of Social Work

John Greenwood, PT

Executive Director for Physical Therapy, Occupational Therapy and Rehabilitation Services,

Boston Children’s Hospital

Elaine Lin, MD

Complex Care Pediatrician,

Boston Children’s Hospital

Michelle Macy, MD, MS

Professor of Pediatrics, Northwestern University Feinberg School of Medicine

Scientific Director, Community, Population Health, and Outcomes, Research and Evaluation Center,

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

Ashley Nmoh, BA

Medical Student,

Duke University School of Medicine

Jennifer Peralta, MD, MSHPN

Assistant Clinical Professor,

University of California, Los Angeles

Nora Renthal, MD, PhD

Assistant Professor of Pediatric Endocrinology,

Boston Children’s Hospital

Erin Ward, MEd

Patient Engagement Consultant, Complex Care Service,

Boston Children’s Hospital

HOSTS

Emily J. 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

Kristina Malik, MD

Assistant Professor of Pediatrics,

University of Colorado School of Medicine

Medical Director, KidStreet

Pediatrician, Special Care Clinic,

Children’s Hospital Colorado

Kathleen Huth, MD, MMSc

Pediatrician, Complex Care Service, Division of General Pediatrics,

Boston Children's Hospital

Assistant Professor of Pediatrics,

Harvard Medical School

DATE

Initial publication date: May 11, 2026.

ARTICLES REFERENCED

- Brewster RC, Kats DJ, Elborki M, Chilukuri N, Ray M, Shaar N, Hron J, Khan A. Clinical Outcomes of Postedited Artificial Intelligence Translation for Discharge Instructions. Hosp Pediatr. 2026 Apr 10:e2025008986. doi: 10.1542/hpeds.2025-008986. Epub ahead of print. PMID: 41956490.

- FamilyCIRCLE. University of Wisconsin–Madison, Department of Pediatrics. Accessed May 4, 2026. https://familycircle.pediatrics.wisc.edu/

- Pediatric Academic Societies. Online program guide. Accessed May 4, 2026. https://2026.pas-meeting.org/

- Pediatric Academic Societies. Who we are. Accessed May 4, 2026. https://www.pas-meeting.org/about/

- Pediatric Academic Societies. Academic Pediatric Association (APA) awards. Accessed May 4, 2026. https://www.pas-meeting.org/2026-awards-apa/‌

TRANSCRIPT

https://cdn.bfldr.com/D6LGWP8S/as/k7qqm93qqpqgb5k3jw4f3w2t/PAS_2026_conference_transcript_5-8-26‌

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.

CITATION

Goodwin EJ, Malik K, Arellano F, Arnold J, Brewster R, Comeau M, Greenwood J, Lin E, Macy M, Nmoh A, Peralta J, Renthal N, Ward E, Huth K. Practice-Changing Research in Complex Care at the Pediatric Academic Societies 2026 Annual Meeting. 05/2026. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/practice-changing-research-in-complex-care-pediatric-academic-societies-2026.

This episode of the World PICU Awareness Week 2026 podcast series explores the realities of working in pediatric intensive care across the Middle East, with a focus on the wellbeing of healthcare professionals.

Through expert insights and real-life experiences, the discussion highlights the emotional impact of high-intensity PICU environments – moving beyond burnout to address deeper challenges such as moral distress and moral injury. Practical strategies are shared, from simple daily practices that strengthen team connection to structured organizational initiatives that support resilience and retention.

The episode also examines the role of leadership in fostering psychologically safe environments, as well as the influence of culture, family dynamics, and faith in shaping care across the region.

HOST

Raghad Al Abdwani

Head of Division of Pediatric Critical Care

Sultan Qaboos. University Hospital, University Medical City, Muscat, Oman

GUEST

Marianne Majdalani

Head of Division of Pediatric Critical Care

American University of Beirut Medical Center

Ashley Cowan

Clinical Nurse Facilitator

Sidra Hospital

Caroline McIntire

Manager of Child Life Services

Sidra Medicine

DATE

Initial publication date: May 8, 2026

TRANSCRIPTS

English - https://cdn.bfldr.com/D6LGWP8S/as/qjxhnqx8jt9zvn848svp2955/Middle_East_26_transcript

Spanish - https://cdn.bfldr.com/D6LGWP8S/as/qjxhnqx8jt9zvn848svp2955/Middle_East_26_transcript?position=7

French - https://cdn.bfldr.com/D6LGWP8S/as/qjxhnqx8jt9zvn848svp2955/Middle_East_26_transcript?position=3

Portuguese - https://cdn.bfldr.com/D6LGWP8S/as/qjxhnqx8jt9zvn848svp2955/Middle_East_26_transcript?position=6

Italian - https://cdn.bfldr.com/D6LGWP8S/as/qjxhnqx8jt9zvn848svp2955/Middle_East_26_transcript?position=5

German - https://cdn.bfldr.com/D6LGWP8S/as/qjxhnqx8jt9zvn848svp2955/Middle_East_26_transcript?position=4

Arabic - https://cdn.bfldr.com/D6LGWP8S/as/qjxhnqx8jt9zvn848svp2955/Middle_East_26_transcript?position=2

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]

Please note: OPENPediatrics does not support or control any related videos in the sidebar; these are placed by YouTube. We apologize for any inconvenience this may cause.

In this North America episode of the World PICU Awareness Week 2026 podcast, leading experts explore how leadership directly influences caregiver wellbeing and burnout in pediatric intensive care.

Through practical examples and evidence-based insights, the discussion highlights the importance of listening to teams, addressing system-level challenges, and fostering a culture where wellbeing is embedded into everyday practice.

From leadership behaviors to institutional support, this episode emphasizes a clear message: sustainable PICU care starts with how we lead.

HOST

Leah Harris

Professor and Chair, Department of Pediatrics

Dell Medical School at the University of Texas at Austin - Dell Children's Hospital

GUEST

Asha N Shenoi

Professor, Associate Dean

University of Kentucky

Will Border

Chief Physician Wellness Officer, Director of Noninvasive Cardiac Imaging

Children's Healthcare of Atlanta and Emory University School of Medicine

Wendy Quiroz Nasser

Pediatric Nurse Practitioner

Baylor College of Medicine (BCM) | Texas Children's Hospital

DATE

Initial publication date: May 7, 2026

TRANSCRIPTS

English - https://cdn.bfldr.com/D6LGWP8S/as/jcbg3x5x35f4sb3wct2kx89w/North_America_26_transcript

Spanish - https://cdn.bfldr.com/D6LGWP8S/as/jcbg3x5x35f4sb3wct2kx89w/North_America_26_transcript?position=7

French - https://cdn.bfldr.com/D6LGWP8S/as/jcbg3x5x35f4sb3wct2kx89w/North_America_26_transcript?position=3

Portuguese - https://cdn.bfldr.com/D6LGWP8S/as/jcbg3x5x35f4sb3wct2kx89w/North_America_26_transcript?position=6

Italian - https://cdn.bfldr.com/D6LGWP8S/as/jcbg3x5x35f4sb3wct2kx89w/North_America_26_transcript?position=5

German - https://cdn.bfldr.com/D6LGWP8S/as/jcbg3x5x35f4sb3wct2kx89w/North_America_26_transcript?position=4

Arabic - https://cdn.bfldr.com/D6LGWP8S/as/jcbg3x5x35f4sb3wct2kx89w/North_America_26_transcript?position=2

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]

Please note: OPENPediatrics does not support or control any related videos in the sidebar; these are placed by YouTube. We apologize for any inconvenience this may cause.

In this episode of the World PICU Awareness Week 2026 podcast series, we explore caregiver wellbeing through the perspective of PICU teams across Africa.

Moderated by Dr. Charlyne Kilba, this discussion brings together multidisciplinary voices from across the continent, highlighting both the shared challenges and the strength of teams working in resource-limited, high-demand environments.

The conversation provides an honest reflection on the realities of pediatric critical care in Africa – including staff shortages, high patient volumes, ethical dilemmas, and limited access to essential resources – and how these factors impact the wellbeing of healthcare professionals.

At the same time, the episode showcases powerful and practical approaches to support caregivers, including team-based support systems, debriefing practices, spirituality, and community-driven initiatives. A strong emphasis is placed on resilience – not only at the individual level, but as a collective and system-supported effort.

HOST

Marie-Charlyne Kilba

Paediatric Intensivist, Head of Department

Child Health, Greater Accra Regional Hospital, Ghana

GUEST

Ireen Primrose Machira

Nursing Officer

PICU in the Mercy James Centre, Malawi

Rohini Kalagouda Patil

Lead Paediatric Intesivist

Nairobi Hospital, Kenya

Susan Zakariah

Paediatric emergency and critical care specialist, Head of the PICU

Korle Bu Teaching Hospital, Ghana

Brenda Morrow

Physiotherapist

University of Cape Town, South Africa

DATE

Initial publication date: May 6, 2026

TRANSCRIPTS

English - https://cdn.bfldr.com/D6LGWP8S/as/4rpjqpv6nxzcxf7w78z9h4z/Africa_26_transcript

Spanish - https://cdn.bfldr.com/D6LGWP8S/as/4rpjqpv6nxzcxf7w78z9h4z/Africa_26_transcript?position=6

French - https://cdn.bfldr.com/D6LGWP8S/as/4rpjqpv6nxzcxf7w78z9h4z/Africa_26_transcript?position=7

Portuguese - https://cdn.bfldr.com/D6LGWP8S/as/4rpjqpv6nxzcxf7w78z9h4z/Africa_26_transcript?position=5

Italian - https://cdn.bfldr.com/D6LGWP8S/as/4rpjqpv6nxzcxf7w78z9h4z/Africa_26_transcript?position=4

German - https://cdn.bfldr.com/D6LGWP8S/as/4rpjqpv6nxzcxf7w78z9h4z/Africa_26_transcript?position=3

Arabic - https://cdn.bfldr.com/D6LGWP8S/as/4rpjqpv6nxzcxf7w78z9h4z/Africa_26_transcript?position=2

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]

Please note: OPENPediatrics does not support or control any related videos in the sidebar; these are placed by YouTube. We apologize for any inconvenience this may cause.

This podcast reviews cyanotic congenital heart disease in newborns, including truncus arteriosus, transposition of the great arteries, tricuspid atresia, tetralogy of Fallot, and total anomalous pulmonary venous return. It summarizes their key pathophysiology, presentation, imaging findings, and initial management leading to neonatal cyanosis.

LEARNING OBJECTIVES

• Explain the pathophysiology for each of the diseases

• Recognize the physical exam findings for these heart defects

• Identify the different diseases based on imaging

• Formulate an initial treatment plan

AUTHORS

Julia Pian, MD, MBA

Pediatric Hospitalist

Boston Medical Center

Jaclyn McKinstry, MD

Pediatric Critical Care Fellow

Boston Children's Hospital

DATE

Initial publication date: May 5, 2026.

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

Pian J, McKinstry J, Fantasia K, Marques B, Wills K, Wolbrink TA. Congenital Heart Disease. 05/2026. Online Podcast. OPENPediatrics. https://soundcloud.com/openpediatrics/congenital-heart-disease-by-j-pian-j-mckinstry-for-openpediatrics.