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
Feb 3, 2025 • 37min
Gender Disparities in [Internal Medicine] Procedure Allocation with Drs. Emily Olson and Lekshmi Santhosh
Dr. Emily Olson, a fellow in pulmonary and critical care medicine, and Dr. Lekshmi Santhosh, an Associate Professor at UCSF, tackle the pressing issue of gender disparities in medical training. They share their personal journeys in medicine and discuss how gender impacts procedural opportunities for residents. Insights into implicit bias, the importance of mentorship, and strategies to foster equity in training are explored. They emphasize the need for a safe space to facilitate open discussions and enhance career progression for underrepresented groups.
Jan 13, 2025 • 14min
Building a Research Career with Dr. Sapna Kudchadkar
Dr. Sapna Kudchadkar, Anesthesiologist-in-Chief of Johns Hopkins Children's Center, shares her remarkable journey from general pediatrics to leading groundbreaking research in pediatric critical care. She emphasizes the importance of mentorship and collaboration in building a successful research career. Dr. Kudchadkar discusses her innovative 'PICU Up!' intervention, highlighting how unexpected opportunities can reshape one's path. Her anecdotes reveal a passion for improving outcomes for critically ill children through early mobility strategies and rehabilitation.
Jan 6, 2025 • 55min
An Expert Approach to Sedation and Early Mobility with Dr. Sapna Kudchadkar
Dr. Sapna Kudchadkar, Anesthesiologist-in-Chief at Johns Hopkins Children's Center, discusses innovative sedation strategies for critically ill children. She shares techniques to reduce delirium risks and the importance of effective pain management. Listeners learn about optimizing sedation practices, prioritizing 'therapeutic cuddles' for early mobility, and the human element of care. Dr. Kudchadkar emphasizes teamwork, tailored approaches, and family involvement in recovery, all aimed at enhancing outcomes in pediatric critical care.
Dec 9, 2024 • 34min
ICU Liberation with Dr. Kristina Betters & Dr. Brooke Light (2/2)
Dr. Kristina Betters, a pediatric intensivist and delirium researcher at Vanderbilt University, joins aspiring intensivist Dr. Brooke Light to discuss vital topics in pediatric critical care. They delve into the challenges of diagnosing delirium in young patients, highlighting the importance of screening tools. The duo advocates for early mobility interventions tailored to developmental needs and emphasizes family involvement in the ICU to enhance recovery. Their insights on implementing ICU bundles reveal how even partial strategies can lead to improved outcomes.
Dec 2, 2024 • 31min
ICU Liberation with Dr. Kristina Betters & Dr. Brooke Light (1/2)
In this engaging discussion, Dr. Kristina Betters, a pediatric intensivist at Vanderbilt University, and aspiring intensivist Dr. Brooke Light explore crucial aspects of ICU liberation for children. They delve into the A to F ICU liberation bundle, sharing insights on personalized sedation strategies and pain management. A powerful case study showcases the recovery of a young boy, emphasizing family involvement and evidence-based practices. They also address the critical role of nursing staff and multidisciplinary teams in enhancing patient care and safety.
Nov 18, 2024 • 49min
Hemorrhagic Shock with Dr. Matthew Borgman
Dr. Matthew Borgman, a Professor of Pediatrics specializing in Critical Care, shares his vast expertise in managing pediatric hemorrhagic shock. He delves into the complexities of recognizing and treating this condition, emphasizing careful fluid resuscitation and the strategic use of blood products. The discussion highlights the advantages of low titer group O whole blood and advanced coagulation testing methods like TEG and ROTEM. Borgman also addresses the challenges of implementing these practices in various healthcare settings, paving the way for improved trauma care.
Nov 4, 2024 • 40min
Acid-Base Diagnosis & Clinical Approach with Dr. Bill Bortcosh (2/2)
Dr. Bill Bortcosh, a pediatric critical care expert, dives deep into the acid-base status evaluation essential for patient care. He discusses the practical application of the anion gap and how it serves as a vital screening tool. The conversation explores the nuances of fluid management, focusing on the effects of normal saline versus Plasmalite on chloride levels. Bortcosh also addresses the complexities of diagnosing metabolic acidosis, including renal tubular acidosis, emphasizing the importance of continuous learning in navigating these challenges.
Oct 28, 2024 • 34min
Acid-Base Diagnosis & Clinical Approach with Dr. Bill Bortcosh (1/2)
Dr. Bill Bortcosh, a pediatric critical care expert and associate medical director of safety, shares insights into acid-base diagnosis in this engaging discussion. He emphasizes the importance of understanding acid-base status for acute care, illustrates this with a compelling case study, and explains the role of anion gap in diagnosis. Bortcosh also explores the emotional challenges in critical care and discusses his transition to pharmaceutical safety, shedding light on drug safety assessments and the complexities faced by healthcare providers.
Oct 21, 2024 • 28min
Disorders of Metabolism with Dr. Deb Regier (2/2)
In this discussion, Debra Regier, M.D., Ph.D., Chief of Genetics and Metabolism at Children's National Hospital, dives into the complexities of metabolic disorders. She explains how triglycerides convert to energy and the critical roles of carnitine and fatty acid oxidation. The podcast highlights the importance of recognizing unusual smells in diagnosing conditions like maple syrup urine disease. Dr. Regier also emphasizes the need for a collaborative approach in managing these disorders, particularly in pediatric care, addressing the unique challenges families face.
Oct 14, 2024 • 48min
Disorders of Metabolism with Dr. Deb Regier (1/2)
In this discussion, Dr. Debra Regier, Chief of Genetics and Metabolism at Children's National Hospital, shares her expertise on the complexities of inborn errors of metabolism. She emphasizes critical metabolic pathways vital for energy production and the nuances of newborn screening. The conversation then shifts to managing metabolic emergencies, focusing on lactate and ammonia levels. Additionally, Dr. Regier highlights specific disorders like PKU and GA1, outlining urgent care strategies and advancements in neonatal dialysis safety.
