PedsCrit

Jaime Jump, DO, is a dual-trained physician specializing in pediatric critical care and palliative care. She currently serves as the Program Director of Palliative Care and is an Associate Professor in the Sections of Critical Care Medicine and Pediatric Palliative Care at Baylor College of Medicine and Texas Children’s Hospital. 

Learning Objective: By the end of this podcast, listeners should be able to discuss an evidence-based and expert-guided approach to Withdrawal of Life Sustaining Therapy (WOLST) in children.

References:

TEXAS CHILDREN’S HOSPITAL DIVISION OF PALLIATIVE CARE Withdrawal of Life-Sustaining Therapies (WOLST) Protocol

Kompanje EJ, van der Hoven B, Bakker J. Anticipation of distress after discontinuation of mechanical ventilation in the ICU at the end of life. Intensive Care Med. 2008 Sep;34(9):1593-9. doi: 10.1007/s00134-008-1172-y. Epub 2008 May 31.

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How to support PedsCrit:
Please complete our Listener Feedback Survey
Please rate and review on Spotify and Apple Podcasts!
Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.

Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at [email protected].  You can also check out our website at http://www.pedscrit.com. Thank you for listening to this episode of PedsCrit!

Learning Objectives:

By the end of this two-part series, listeners should be able to discuss an evidence-based and expert-guided approach to RBC transfusion in critically ill children.

About our Guests: 

Kailey Remien is a Pediatric Critical Care fellow at Nationwide Children’s Hospital whose research uses data science and geospatial methods to study bronchiolitis and health equity. She leads the social determinants of health ancillary group within the international BACON 2.0 study and is passionate about improving outcomes for critically ill children.

Jennifer Muszynski is a pediatric intensivist at Nationwide Children’s Hospital. A leading expert in transfusion medicine, she studies how blood products interact with the immune system and influence outcomes in critically ill children. Her ongoing clinical and translational studies are aimed at using machine learning to dissect complex interactions between host immune cell function, inflammation, blood product transfusion, and clinical outcomes in children with sepsis, trauma, acute lung injury, and multiple organ dysfunction.

Send us Fan Mail

Support the show

How to support PedsCrit:
Please complete our Listener Feedback Survey
Please rate and review on Spotify and Apple Podcasts!
Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.

Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at [email protected].  You can also check out our website at http://www.pedscrit.com. Thank you for listening to this episode of PedsCrit!

Learning Objectives:

By the end of this two-part series, listeners should be able to discuss an evidence-based and expert-guided approach to RBC transfusion in critically ill children.

About our Guests: 

Kailey Remien is a Pediatric Critical Care fellow at Nationwide Children’s Hospital whose research uses data science and geospatial methods to study bronchiolitis and health equity. She leads the social determinants of health ancillary group within the international BACON 2.0 study and is passionate about improving outcomes for critically ill children.

Jennifer Muszynski is a pediatric intensivist at Nationwide Children’s Hospital. A leading expert in transfusion medicine, she studies how blood products interact with the immune system and influence outcomes in critically ill children. Her ongoing clinical and translational studies are aimed at using machine learning to dissect complex interactions between host immune cell function, inflammation, blood product transfusion, and clinical outcomes in children with sepsis, trauma, acute lung injury, and multiple organ dysfunction.

Send us Fan Mail

Support the show

How to support PedsCrit:
Please complete our Listener Feedback Survey
Please rate and review on Spotify and Apple Podcasts!
Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.

Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at [email protected].  You can also check out our website at http://www.pedscrit.com. Thank you for listening to this episode of PedsCrit!

Tobias Straube, MD, is an Assistant Professor of Pediatrics in the Division of Critical Care Medicine at Duke University School of Medicine, where he has served since joining the faculty in July 2021. He completed his pediatric residency and critical care fellowship at Duke University Hospital following earning his medical degree from McGovern Medical School at UTHealth. 

COI disclosure: Dr. Straube is the Chief Medical Officer of VQ Biomedical working to develop a minimally-invasive oxygenator catheter. This work is unrelated to this content discussed in today's episode. 

Learning Objective:

By the end of this podcast, listeners should be able to describe an evidence-based and expert-guided clinical approach to the recognition and management of exertional heat stroke in critically-ill children.

Send us Fan Mail

Support the show

How to support PedsCrit:
Please complete our Listener Feedback Survey
Please rate and review on Spotify and Apple Podcasts!
Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.

Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at [email protected].  You can also check out our website at http://www.pedscrit.com. Thank you for listening to this episode of PedsCrit!

About our Guests: 

Dr. Alexis Bragg is a Clinical Associate Professor of Anesthesiology and Pediatrics at Keck School of Medicine of USC in Los Angeles.

Dr. Chinyere Egbuta is a Senior Associate in Anesthesiology and Critical Care Medicine at Boston Children’s Hospital and Assistant Professor of Anesthesia at Harvard Medical School.

Dr. Sapna Kudchadkar is the Anesthesiologist-in-Chief of the Johns Hopkins Children's Center and Vice Chair for Pediatric Anesthesiology and Critical Care Medicine at Johns Hopkins University School of Medicine in Baltimore.

Learning Objective:

By the end of this podcast series, listeners should be able to discuss:

1. An expert approach to the peri-intubation management of the critically-ill child, including pre-oxygenation, apneic oxygenation +/- PPV, & the use of neuromuscular blockade
2. Strategies using direct vs. video laryngoscopy in academic PICUs
3. Recognize the need and discuss potential strategies for ongoing maintenance of airway management skills

Send us Fan Mail

Support the show

How to support PedsCrit:
Please complete our Listener Feedback Survey
Please rate and review on Spotify and Apple Podcasts!
Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.

Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at [email protected].  You can also check out our website at http://www.pedscrit.com. Thank you for listening to this episode of PedsCrit!

About our Guests: 

Dr. Alexis Bragg is a Clinical Associate Professor of Anesthesiology and Pediatrics at Keck School of Medicine of USC in Los Angeles.

Dr. Chinyere Egbuta is a Senior Associate in Anesthesiology and Critical Care Medicine at Boston Children’s Hospital and Assistant Professor of Anesthesia at Harvard Medical School.

Dr. Sapna Kudchadkar is the Anesthesiologist-in-Chief of the Johns Hopkins Children's Center and Vice Chair for Pediatric Anesthesiology and Critical Care Medicine at Johns Hopkins University School of Medicine in Baltimore.

Learning Objective:

By the end of this podcast series, listeners should be able to discuss:

1. An expert approach to the peri-intubation management of the critically-ill child including pre-oxygenation, apneic oxygenation +/- PPV, & the use of neuromuscular blockade
2. Strategies using direct vs. video laryngoscopy in academic PICUs
3. Recognize the need and discuss potential strategies for ongoing maintenance of airway management skills

Send us Fan Mail

Support the show

How to support PedsCrit:
Please complete our Listener Feedback Survey
Please rate and review on Spotify and Apple Podcasts!
Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.

Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at [email protected].  You can also check out our website at http://www.pedscrit.com. Thank you for listening to this episode of PedsCrit!

Dr. Nicole Glaser is the Chief of Pediatric Endocrinology and a professor of Pediatrics at UC Davis Children's Hospital. She is recognized as an international expert in pediatric diabetic ketoacidosis (DKA), an important complication of diabetes in children. She has led many of the key multi-center studies that guide DKA management. She has also been involved in the development of several national and international guidelines for DKA management in children that guide current practice worldwide.

Learning Objective:

By the end of this podcast, listeners should be able to discuss an expert guided approach to the identification and management of children with hyperosmolar DKA.

Key reference: 

Glaser N, Fritsch M, Priyambada L, Rewers A, Cherubini V, Estrada S, Wolfsdorf JI, Codner E. ISPAD clinical practice consensus guidelines 2022: Diabetic ketoacidosis and hyperglycemic hyperosmolar state. Pediatr Diabetes. 2022 Nov;23(7):835-856.

Send us Fan Mail

Support the show

How to support PedsCrit:
Please complete our Listener Feedback Survey
Please rate and review on Spotify and Apple Podcasts!
Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.

Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at [email protected].  You can also check out our website at http://www.pedscrit.com. Thank you for listening to this episode of PedsCrit!

Enid Martinez, MD is a Senior Associate in Critical Care at Boston Children’s Hospital, and an Assistant Professor of Anaesthesia at Harvard Medical School. She is the Director of the Pediatric Critical Care Nutrition Program in the Division of Critical Care Medicine and Principal Investigator for a clinical-translational research program on gastrointestinal function and nutrition in pediatric critical illness.

Learning Objectives:

By the end of this podcast, listeners should be able to:

1. Recognize the impact of nutritional status on outcomes of critically-ill children.
2. Describe the key aspects of the metabolic stress response in critical illness.
3. Discuss a clinical approach to accurately estimating and prescribing nutrition in critically-ill children.
4. Reflect on an expert’s approach to managing aspects of nutrition in critically-ill children where there may not be high-quality evidence. 

Selected references:

Mehta et al. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition. JPEN J Parenter Enteral Nutr. 2017 Jul;41(5):706-742. doi: 10.1177/0148607117711387. Epub 2017 Jun 2. PMID: 28686844. 

Fivez et al. Early versus Late Parenteral Nutrition in Critically Ill Children. N Engl J Med. 2016 Mar 24;374(12):1111-22. doi: 10.1056/NEJMoa1514762. Epub 2016 Mar 15. PMID: 26975590.

Send us Fan Mail

Support the show

How to support PedsCrit:
Please complete our Listener Feedback Survey
Please rate and review on Spotify and Apple Podcasts!
Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.

Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at [email protected].  You can also check out our website at http://www.pedscrit.com. Thank you for listening to this episode of PedsCrit!

Enid Martinez, MD is a Senior Associate in Critical Care at Boston Children’s Hospital, and an Assistant Professor of Anaesthesia at Harvard Medical School. She is the Director of the Pediatric Critical Care Nutrition Program in the Division of Critical Care Medicine and Principal Investigator for a clinical-translational research program on gastrointestinal function and nutrition in pediatric critical illness. 

Learning Objectives:

By the end of this podcast, listeners should be able to:

1. Recognize the impact of nutritional status on outcomes of critically-ill children.
2. Describe the key aspects of the metabolic stress response in critical illness.
3. Discuss a clinical approach to accurately estimating and prescribing nutrition in critically-ill children.
4. Reflect on an expert’s approach to managing aspects of nutrition in critically-ill children where there may not be high-quality evidence. 

Selected references:

Mehta et al. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition. JPEN J Parenter Enteral Nutr. 2017 Jul;41(5):706-742. doi: 10.1177/0148607117711387. Epub 2017 Jun 2. PMID: 28686844. 

Fivez et al. Early versus Late Parenteral Nutrition in Critically Ill Children. N Engl J Med. 2016 Mar 24;374(12):1111-22. doi: 10.1056/NEJMoa1514762. Epub 2016 Mar 15. PMID: 26975590.

Send us Fan Mail

Support the show

How to support PedsCrit:
Please complete our Listener Feedback Survey
Please rate and review on Spotify and Apple Podcasts!
Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.

Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at [email protected].  You can also check out our website at http://www.pedscrit.com. Thank you for listening to this episode of PedsCrit!

Learning Objectives:

By the end of this podcast, listeners should be able to:

1. Describe the pathophysiology associated with anticholinergic toxidrome
2. List the initial workup and management that every TCA ingestion patient should receive 
3. Discuss best practices for initial resuscitation in TCA ingestions 

About our Guest: 

Dr. Joshua Nogar is an emergency medicine physician and toxicologist at Northwell Health and an associate professor of emergency medicine at Hofstra University. He is also the chief of the division of Medical Toxicology and the program director of the Toxicology Fellowship at North Shore University Hospital & Long Island Jewish Medical Center. 

References: 

1. https://toxandhound.com/category/dantastictox/page/2/ 
2. 2023 American Heart Association Focused Update on the Management of Patients With Cardiac Arrest or Life-Threatening Toxicity Due to Poisoning: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
3. https://emcrit.org/ibcc/nacb/

Send us Fan Mail

Support the show

How to support PedsCrit:
Please complete our Listener Feedback Survey
Please rate and review on Spotify and Apple Podcasts!
Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.

Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at [email protected].  You can also check out our website at http://www.pedscrit.com. Thank you for listening to this episode of PedsCrit!