PedsCrit

PedsCrit
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Feb 16, 2026 • 43min

Red Blood Cell Transfusion in Critical Illness with Dr. Jennifer Muszynski (1/2)

Kailey Remien, a pediatric critical care fellow focused on data science and health equity, and Jennifer Muszynski, a pediatric intensivist studying transfusion effects on immune function, discuss why anemia is common in the PICU. They cover physiologic compensation for low hemoglobin, landmark transfusion trials and thresholds, transfusion harms, alternatives like IV iron, and using machine learning to personalize transfusion decisions.
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Jan 26, 2026 • 34min

Exertional Heat Stroke with Tobias Straube

Tobias Straube, pediatric critical care physician at Duke who researches exertional heat illness. He walks through recognizing exertional vs classic heat stroke. He highlights risk factors, prevention and acclimatization. He describes on-scene rapid cooling, monitoring core temperature, phases of illness, and common organ injuries to watch for.
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55 snips
Jan 12, 2026 • 30min

Controversies in Pediatric Critical Care Airway Management with Alex Bragg, Chichi Egbuta & Sapna Kudchadkar (2/2)

Dr. Chinyere Egbuta, a pediatric anesthesiologist at Boston Children's Hospital, joins Dr. Alex Bragg and Dr. Sapna Kudchadkar to discuss vital airway management strategies in critically-ill children. They debate the effectiveness of video laryngoscopy versus direct laryngoscopy and the importance of maintaining traditional skills. The panel shares practical tips like using patient photos for training and emphasizes humility in seeking help. They highlight how LMAs can be crucial rescue devices and the need for ongoing skill refreshers in a fast-paced environment.
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80 snips
Jan 5, 2026 • 54min

Controversies in Pediatric Critical Care Airway Management with Alex Bragg, Chichi Egbuta & Sapna Kudchadkar (1/2)

Join pediatric experts Chinyere Egbuta, a Harvard anesthesiologist, and Sapna Kudchadkar, Anesthesiologist-in-Chief at Johns Hopkins, as they dive into essential airway management techniques for critically ill children. They discuss pre-oxygenation strategies and the effective use of high-flow nasal cannula and BiPAP. The conversation touches on translating adult evidence to pediatrics, the nuances of rapid sequence intubation, and the importance of careful monitoring during procedures. This insightful discussion is a must-listen for anyone involved in pediatric critical care.
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Dec 15, 2025 • 39min

Hyperosmolar DKA with Dr. Nicole Glaser

Dr. Nicole Glaser, a leading pediatric endocrinologist at UC Davis, delves into hyperosmolar diabetic ketoacidosis (DKA), a complex condition challenging standard treatment protocols. She explains the critical differences between hyperosmolar DKA and hyperglycemic hyperosmolar state (HHS), emphasizing the importance of tailored management strategies. Listeners gain insights on fluid resuscitation, insulin timing, and the risks of cerebral edema. With her expertise in pediatric DKA guidelines, Dr. Glaser highlights pitfalls in recognition and the need for careful electrolyte monitoring.
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4 snips
Dec 8, 2025 • 20min

Nutrition in Critical Illness with Dr. Enid Martinez, 2/2

Dr. Enid Martinez, a leading expert in pediatric critical care and nutrition at Boston Children's Hospital, shares her insights on the vital role of nutrition in critically ill children. She discusses when to use trophic feeds and the pitfalls of Pedialyte. Monitoring for feeding intolerance is crucial, and she explains preferring post-pyloric feeds over prokinetics. Enid also emphasizes the impact of opioid-induced constipation on feeding and the importance of early parenteral nutrition for malnourished patients. Prepare for an enlightening discussion on optimizing pediatric care!
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16 snips
Dec 1, 2025 • 45min

Nutrition in Critical Illness with Dr. Enid Martinez, 1/2

Dr. Enid Martinez, a Senior Associate in pediatric critical care at Boston Children's Hospital, shares her expertise on nutrition's critical role in the recovery of severely ill children. She discusses alarming rates of malnutrition in the PICU and the metabolic disruptions caused by critical illness. Listeners learn about early feeding goals and the importance of accurate energy assessments using indirect calorimetry. Enid highlights the need for multidisciplinary nutrition teams and warns against the dangers of overfeeding, which can exacerbate respiratory issues.
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Nov 10, 2025 • 51min

Tricyclic Antidepressant Ingestions with Dr. Josh Nogar

Dr. Joshua Nogar, an emergency physician and board-certified medical toxicologist, shares his expertise on managing tricyclic antidepressant toxications. He discusses the complex pharmacology of TCAs and the importance of early recognition of toxicity. Key insights include the significance of QRS duration in predicting cardiac issues, strategies for airway management, and the use of sodium bicarbonate therapy. Dr. Nogar also delves into advanced treatment options like lipid emulsion therapy and emphasizes the necessity for vigilant reassessment in cases of suspected overdose.
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108 snips
Oct 27, 2025 • 48min

Diabetic Ketoacidosis with Dr. Nicole Glaser

Dr. Nicole Glaser, Chief of Pediatric Endocrinology at UC Davis, shares her expertise on managing pediatric diabetic ketoacidosis (DKA). She discusses best practices for triaging DKA patients and explains the critical risks associated with cerebral injury. Dr. Glaser highlights the importance of fluid management and the evidence supporting insulin infusion rates. She also addresses when to transition to subcutaneous insulin and the benefits of continuous glucose monitors in managing children recovering from DKA. Vigilant monitoring and reassessment are key takeaways.
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135 snips
Oct 6, 2025 • 57min

Critical Bronchiolitis with Dr. Steve Shein and Dr. Jatinder Dhami

In this insightful discussion, Dr. Steve Shein, a leading expert in pediatric critical care, and Dr. Jatinder Dhami, a pediatric intensivist with a focus on ethics in critical illness, dive into the complexities of managing critical bronchiolitis. They explore why infants are particularly vulnerable to respiratory infections and the challenges of developing strong treatment guidelines. Delving into the merits of racemic epinephrine versus albuterol, they also emphasize the importance of monitoring physiologic stress and identifying when to escalate care. Their clinical insights are both engaging and informative!

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