OPENPediatrics

Dr. Patrick Kochanek, a Distinguished Professor of Critical Care Medicine and director at the University of Pittsburgh, discusses groundbreaking findings from the ADAPT trial. He shares key insights on comparing hypertonic saline and mannitol in treating severe pediatric traumatic brain injury. Unexpected results regarding intracranial pressure measurement come to light, prompting a reevaluation of current treatment methodologies. Dr. Kochanek also highlights the challenges faced in pediatric trials and the potential impact on future clinical practices.

In this podcast, Drs. Archana Patel, Lauren Sham, Agnieszka Kielien, and Leslie Hayes discuss the initial steps for seizures and epilepsy diagnosis, including classification of seizures and initial workup. Upon listening to this presentation, participants will be able to: - Discuss the definition of seizures and epilepsy - Differentiate between provoked and unprovoked seizures - Differentiate between focal and generalized seizures - Recognize which studies should be performed to guide seizure management Publication date: April 8, 2022. Citation: Hayes L, Kielian A, Sham L, Moye B, Huth K, Patel A. Introduction to Seizure and Epilepsy Diagnosis. 4/2022. Online Video. OPENPediatrics. https://learn.openpediatrics.org/learn/course/internal/view/elearning/5221/introduction-to-seizure-and-epilepsy-diagnosis. 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 and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

This podcast discusses the ways to recognize and mitigate the use of bias in written evaluations. Upon listening to this presentation, participants will be able to: - Describe the ways that implicit bias in evaluations may harm trainees developmentally, personally, and professionally - Label the elements of effective feedback - Apply a systematic approach to written feedback - List strategies to help mitigate bias in clinical evaluations Publication date: April 4, 2022 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 and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

In this podcast, Leah Abecassis reviews the most common reasons for bowel diversion, explains the common types, and discusses the fundamentals of caring for the stoma. Initial publication date: March 28, 2022 Citation: Abecassis L, Marcley S, Huth K, Hamilton S. Pediatric Ostomy Care. 3/2022. Online Video. OPENPediatrics. https://soundcloud.com/openpediatrics/pediatric-ostomy-care-by-leah-abecassis-for-openpediatrics. 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-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

In this World Shared Practice Forum podcast, Dr. Robert Tasker shares more insights from his first year as Editor-in-Chief of the Pediatric Critical Care Medicine Journal. Dr. Tasker highlights articles and subject matter themes, provides specific recommendations from among the 130 published articles in 2021, and dives deeper into specific articles of note. Dr. Tasker ends with a behind-the-scenes glimpse at the directions in which he hopes to take PCCM in the future. Following this podcast, users will be able to: - Identify Pediatric Critical Care Medicine journal articles published in 2021 that have attracted the highest rates of readership - Prioritize Dr. Tasker’s recommended authors and content - List anticipated publishing priorities for Pediatric Critical Care Medicine Publication date: March 21, 2022. Citation: Tasker R, Daniel D, Burns JP. Part II: PCCM - Year in Review: Thoughts From the Editor-in-Chief. 03/2022. Online Podcast. OPENPediatrics. https://youtu.be/HTYgMhIGc8g. Articles referenced: https://bit.ly/3wrxfTW 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-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

In this podcast, Dr. Lee discusses her research focused on closing the health inequity gap in the United States. She explains how current evidence-based practices may be widening the health inequity gap. She also reviews steps researchers can take to make sure their evidence is valid for the community or population providers are serving. Publication date: March 10, 2022. Citation: Lee H, Marcley S, DeGrazia M. Closing the Health Inequity Gap: Evidence-based Nursing Practice in Child Populations. 03/2022. Online Video. OPENPediatrics. https://youtu.be/hOls0h9OsaI. 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-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

In this World Shared Practice Forum podcast, Dr. Robert Tasker discusses highlights from his first year as Editor-in-Chief of the Pediatric Critical Care Medicine Journal. Dr. Tasker shares his views on some of the most active areas of research and discussion in the field of pediatric critical care medicine in 2021, along with an in-depth look at reach and impact data for a number of the most widely read articles of the year published by PCCM. Learning Objectives -Identify areas of active investigation and discussion in the field of pediatric critical care medicine in 2021 -List prominent articles published in the Pediatric Critical Care Medicine journal published in 2021, as recommended by the Editor-in-Chief of Pediatric Critical Care Medicine -Identify some of the guiding principles of the Editor-in-Chief of Pediatric Critical Care Medicine applied in selecting articles for publication Initial publication date: February 18, 2022 Citation: Tasker R, Daniel D, Burns JP. Part 1: PCCM - Year in Review: Thoughts From the Editor-in-Chief. 2/2022. Online Podcast. OPENPediatrics. https://youtu.be/F995J0JnlZ4. Articles referenced -Tasker R. C. (2021). 2021 in Review. Pediatric critical care medicine: a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 22(12), 1009–1010. (4:07) -https://journals.lww.com/pccmjournal/pages/collectiondetails.aspx?TopicalCollectionId=25 (5:17) -Wong HR, Reeder RW, Banks R, et al. Biomarkers for Estimating Risk of Hospital Mortality and Long-Term Quality-of-Life Morbidity After Surviving Pediatric Septic Shock: A Secondary Analysis of the Life After Pediatric Sepsis Evaluation Investigation. Pediatr Crit Care Med. 2021;22(1):8-15. (11:35) -Rimensberger PC, Kneyber MCJ, Deep A, et al. Caring for Critically Ill Children With Suspected or Proven Coronavirus Disease 2019 Infection: Recommendations by the Scientific Sections' Collaborative of the European Society of Pediatric and Neonatal Intensive Care. Pediatr Crit Care Med. 2021;22(1):56-67. (9:37) -Jonat B, Gorelik M, Boneparth A, et al. Multisystem Inflammatory Syndrome in Children Associated With Coronavirus Disease 2019 in a Children's Hospital in New York City: Patient Characteristics and an Institutional Protocol for Evaluation, Management, and Follow-Up. Pediatr Crit Care Med. 2021;22(3):e178-e191. (9:58) -Tripathi S, Gist KM, Bjornstad EC, et al. Coronavirus Disease 2019-Associated PICU Admissions: A Report From the Society of Critical Care Medicine Discovery Network Viral Infection and Respiratory Illness Universal Study Registry. Pediatr Crit Care Med. 2021;22(7):603-615. (10:08) -Woods KS, Horvat CM, Kantawala S, et al. Intracranial and Cerebral Perfusion Pressure Thresholds Associated With Inhospital Mortality Across Pediatric Neurocritical Care. Pediatr Crit Care Med. 2021;22(2):135-146. (11:58) -Mitting RB, Peshimam N, Lillie J, et al. Invasive Mechanical Ventilation for Acute Viral Bronchiolitis: Retrospective Multicenter Cohort Study. Pediatr Crit Care Med. 2021;22(3):231-240. (12:36) -Sleeper LA, Mulone M, Diallo F, et al. Stratification of Bleeding Risk Using Thromboelastography in Children on Extracorporeal Membrane Oxygenation Support. Pediatr Crit Care Med. 2021;22(3):241-250. (13:04) -Patel RV, Redivo J, Nelliot A, et al. Early Mobilization in a PICU: A Qualitative Sustainability Analysis of PICU Up!. Pediatr Crit Care Med. 2021;22(4):e233-e242. (13:32) -https://journals.lww.com/pccmjournal/pages/collectiondetails.aspx?TopicalCollectionId=27 (18:10) -Tasker RC. PCCM Narratives, Letters, and Correspondence. Pediatr Crit Care Med. 2021;22(4):426-427. (18:35) -Schober ME, Pavia AT, Bohnsack JF. Neurologic Manifestations of COVID-19 in Children: Emerging Pathophysiologic Insights. Pediatr Crit Care Med. 2021;22(7):655-661. (19:43)

Hector Wong, MD, Vice Chair of the Department of Pediatrics at Cincinnati Children’s Hospital Medical Center, passed away unexpectedly in January 2022. Dr. Wong was known as a brilliant scientist, mentor, and leader who dedicated his career to pediatric critical care research and fighting pediatric sepsis. He spent the majority of his career caring for patients and their families at Cincinnati Children’s Hospital Medical Center where he served as Director of the Pediatric Critical Care Fellowship Program until 2004 and Director of the Division of Critical Care Medicine until 2020. Dr. Wong developed the Pediatric Sepsis Biomarker Risk Model PERSEVERE which helped for early identification and treatment of sepsis. Dr. Wong spoke about the use of his Pediatric Sepsis Biomarker Risk Model PERSEVERE in sepsis clinical trials at the 2016 PICC World Congress. This updated video contains a special tribute introduction by Dr. Paul Shanley, President and CEO of Ann and Robert H. Lurie Children's Hospital of Chicago. Publication date: February 17, 2022. Initial publication date: August 11, 2017. 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-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

Dr. John Downes was a pioneer in the fields of Anesthesiology and Critical Care Medicine who changed the lives of thousands. He will always be remembered as a devoted clinician and visionary leader. In this podcast, Dr. Robert Berg, Division Chief and Russell C. Raphaely Endowed Chair in Critical Care Medicine at Children's Hospital of Philadelphia, remarks on the career and accomplishments of Dr. Downes as an introduction to an honorary republication of the World Shared Practice presentation by Dr. Downes, previously published on May 26, 2017. In that presentation, Dr. John Downes gives his unique perspective on the growth of the modern Intensive Care Unit from its origins while recounting some of his own experiences as a pediatric intensivist. Upon viewing this presentation, participants will be able to: - Identify the impacts made on Modern Medicine by the discovery of anesthesia, expansion of nursing care, and application of asepsis - Recognize influential medical professionals who advocated for the rights of sick children in the early 20th century - Reference significant historical milestones in the development of respiratory therapies and best practices in the Intensive Care Unit Publication date: January 24, 2022. 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-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

This podcast will provide information about the impact of immunizations on disease incidence, how immunizations work, and the recommended immunization schedule for children. Learning Objectives: - Understand the impact of childhood immunizations on disease incidence and morbidity - Describe how immunizations work - Explain which immunizations are given at each well-child visit. - Recognize special circumstances that affect the immunization schedule Initial Publication: January 5, 2022 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-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu