PedsCrit
PedsCrit
Welcome to PedsCrit! We are a collaborative educational PICU podcast working with pediatric critical care educators around the world to create high-yield podcast episodes on core PICU topics. Find us at PedsCrit.com, or reach us via email at PedsCritPodcast@gmail.com. We hope you enjoy! No financial conflicts of interest. Each clinical episode is made in coordination with a pediatric intensivist or guest that is a clinical or scholarly leader on the topic being discussed. Podcasts do not receive formal peer review prior to publication but quality and accuracy is closely monitored by the producers throughout the creation process to ensure accuracy and clarity. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. You can also find us on twitter visit @critpeds and @pedscrit on instagram. Want to support the show?Please rate and review on Spotify and Apple Podcasts! PedsCrit is a passion project and is not supported by advertisements. Donations are appreciated to support ongoing costs (podcast hosting, audio editing software, website support, etc.). Search @PedsCrit on Venmo, or 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.Thank you for listening to PedsCrit!-Alice Shanklin & Zac Hodges
Episodes
Mentioned books
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.
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!
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.
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.
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.
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!
Sep 15, 2025 • 42min
High-Frequency Percussive Ventilation (HFPV or VDR) with Dr. John Lin (2/2)
Dr. John Lin, a Professor of Pediatrics and Medical Director of Respiratory Care, shares his insights on high-frequency percussive ventilation (HFPV). He explains how the VDR ventilator works, mapping its settings to conventional terms. Listeners learn about safe percussive frequency ranges, the importance of I-time adjustments for effective ventilation, and patient management during transitions to HFPV. Dr. Lin also discusses contraindications, weaning strategies, and updates on its usage trends, emphasizing the need for clinicians to be aware of future equipment availability.
Sep 8, 2025 • 30min
High-Frequency Percussive Ventilation (HFPV or VDR) with Dr. John Lin (1/2)
Join Dr. John Lin, a pediatric critical care expert and director at St. Louis Children’s Hospital, as he delves into the innovative world of high-frequency percussive ventilation (HFPV). He discusses its key benefits for pediatric patients, especially those with complex respiratory issues, and shares insights on patient selection and collaborative care. Listeners will explore the advantages of HFPV over traditional methods, the importance of training for medical teams, and the future directions for research in this vital area of pediatric medicine.
8 snips
Aug 25, 2025 • 56min
Bronchopulmonary Dysplasia with Dr. Audrey Miller
Dr. Audrey Miller, an Attending Neonatologist at Nationwide Children's Hospital, shares her expertise on bronchopulmonary dysplasia (BPD). She discusses the complexities of managing BPD in the ICU, emphasizing individualized care strategies. Insights into ventilatory management, patient comfort, and weaning processes are explored, highlighting the importance of collaboration among healthcare teams. Additionally, she addresses the challenges of patient-ventilator asynchrony and the critical support needed for families navigating their child's care journey.
Aug 11, 2025 • 28min
Neurally Adjusted Ventilatory Assist (NAVA) with Dr. Guillaume Emeriaud (2/2)
Dr. Guillaume Emeriaud, a Professor of Pediatrics and pediatric intensivist, shares his insights on Neurally Adjusted Ventilatory Assist (NAVA) in critically ill children. He discusses optimizing non-invasive ventilation and the importance of monitoring diaphragmatic activity for effective respiratory support. Key challenges include managing airflow leaks and balancing sedation with ventilation needs. Emeriaud also highlights future directions for NAVA in pediatric care, emphasizing the necessity for personalized observation and institutional knowledge.
