OPENPediatrics

In this special Complex Care Journal Club podcast episode, co-hosts Kristie Malik, Emily Goodwin and Kathleen Huth interview presenters of posters and oral abstracts relevant to the care of children with medical complexity at the Pediatric Academic Societies (PAS) 2024 annual meeting. Speakers describe the implications of their study findings, messages for patients and families, and priority areas for research that they hope can be investigated further by the complex care community in the coming years. SPEAKERS Mary Arakelyan, MPH Research Project Manager Dartmouth Health Children's Tammie Dewan, MD, MSc Clinical Assistant Professor Department of Pediatrics, University of Calgary Pediatrician, Alberta Children's Hospital Caleb Easterly, BA MD/PhD Student University of North Carolina School of Medicine Kevin Huynh, MS Medical Student University of Pittsburgh School of Medicine Ruchi Kaushik, MD, MEd, MPH Medical Director of Education and Research Imagine Pediatrics, Houston TX Joanna Leyenaar, MD, PhD Professor, Department of Pediatrics Dartmouth Health Children's Savithri Nageswaran, MD, MPH Professor, Department of Pediatrics Wake Forest University School of Medicine Julia Reedy, MA Qualitative Analyst ACCORDS, University of Colorado S. Margaret Wright, MD, MPH Clinical Assistant Professor of Pediatrics University of Missouri-Kansas City School of Medicine Justin Yu, MD, MS Assistant Professor of Pediatrics UPMC Children’s Hospital of Pittsburgh HOSTS Kristina Malik, MD Pediatrician, Special Care Clinic, Children's Hospital Colorado Emily J Goodwin, MD Pediatrician, General Academic Pediatrics Beacon Program Children’s Mercy Kansas City Kathleen Huth, MD, MMSc Pediatrician, Complex Care Service, Division of General Pediatrics Boston Children's Hospital DATE Initial publication: May 15, 2024. REFERENCES Fehlings D, Agnew B, Gimeno H, Harvey A, Himmelmann K, Lin JP, Mink JW, Monbaliu E, Rice J, Bohn E, Falck-Ytter Y. Pharmacological and neurosurgical management of cerebral palsy and dystonia: Clinical practice guideline update. Dev Med Child Neurol. 2024 Apr 19. doi: 10.1111/dmcn.15921. Epub ahead of print. PMID: 38640091. Pediatric Academic Societies. Who we are. Accessed May 6, 2024. https://www.pas-meeting.org/about/ TRANSCRIPT Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: forms.gle/Bdxb86Sw5qq1uFhW6 Please visit: 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, thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Malik K, Goodwin EJ, Arakelyan M, Dewan T, Easterly C, Huynh K, Kaushik R, Leyenaar J, Nageswaran S, Reedy J, Wright SM, Yu J, Huth K. Practice-Changing Research in Complex Care at the Pediatric Academic Societies 2024 Annual Meeting. 5/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/practice-changing-research-in-complex-care-at-the-pediatric-academic-societies-2024-annual-meeting

Discover the pivotal role of good nutrition in pediatric intensive care during a vital discussion. Learn about the unique energy needs of critically ill children and the challenges of weight monitoring in the ICU. Explore the effects of illness on muscle mass and recovery, highlighting innovative strategies to enhance nutritional support. Get insights from experts on improving practices and ensuring the best outcomes for vulnerable young patients. It's a deep dive into how nutrition can be a game changer in critical care!

Discover the vital role families play in pediatric intensive care, including legal aspects of decision-making and family dynamics. Uncover the unique challenges faced by Latin American families in critical care settings. Explore the emotional impact on siblings and the importance of personalized interventions. Learn how empowering children during family health crises can alleviate fears and support healing. This enlightening discussion emphasizes the necessity of a multidisciplinary approach for optimal family engagement in healthcare.

This podcast episode explores the importance of early mobility and exercise in Pediatric Intensive Care Units for better patient outcomes and recovery. Guests discuss barriers and solutions in implementation, criteria for mobilization, empowering parents' role, and the benefits of a pediatric ICU mobilization program. Hear real-life examples and strategies to optimize patient well-being.

Explore the prevalence and impact of delirium in children in PICU. Learn about the evolution of delirium recognition and challenges in assessment. Discover strategies for preventing and managing delirium in critically ill patients. Understand the impact of ICU delirium on long-term recovery and quality of life.

This podcast discusses the importance of the B Element in the ICU Liberation Bundle applied to pediatrics, specifically focusing on Spontaneous Awakening Trials and Spontaneous Breathing Trials. Guests share insights on managing pediatric critical care units efficiently, proposing modifications to enhance patient outcomes, and addressing challenges in implementing liberation bundle strategies in a pediatric ICU.

This podcast delves into the A & C Elements of the ICU Liberation Bundle, focusing on pain control, sedation choices, and improving patient outcomes. Discussions include reducing benzodiazepine use, staff adoption of scoring systems, implementing sword pumps for sedation, challenges in bundle implementation, and the importance of team dynamics for patient well-being.

In this World Shared Practice Forum podcast, we will explore the role of podcasts for learning and discuss the most popular pediatric critical care podcasts from across the world. Drs. Peta Alexander, Erin Bennett, Rahul Damania, Patrick Davies, Zachary Hodges, Greg Kelly, Elizabeth Mack, and Alice Shanklin will describe their podcast series and explore how podcasts have impacted pediatric critical care education. LEARNING OBJECTIVES Upon listening to this presentation, learners will be able to: - Identify the potential benefits of listening to podcasts for learning. - Describe and contrast the most popular pediatric critical care podcasts today. AUTHORS Peta Alexander, MBBS, FRACP, FCICM Senior Associate Cardiologist, Department of Cardiology Boston Children’s Hospital Associate Professor in Pediatrics Harvard Medical School Podcast: Pediatrica Intensiva https://pedsintensiva.com/ Erin Bennett, MD, MPH Associate Professor, Division of Critical Care Medicine, Department of Pediatrics University of Arkansas for Medical Sciences/Arkansas Children’s Hospital Podcast: PCCM Audio Summary https://www.sccm.org/Research/Journals/Journal-Audio-Summaries Rahul Damania, MD Pediatric Critical Care Physician Cleveland Clinic Children's Hospital Podcast: PICU Doc on Call https://picudoconcall.org/ Patrick Davies, BMedSci, BMBS, MRCPCH Consultant in Paediatric Intensive Care, Honorary Associate Professor Nottingham Children's Hospital Paediatric Critical Care Unit, and University of Nottingham Podcast: The PicPod https://picpod.net/ Zachary Hodges, MD Pediatric Critical Care Fellow Physician University of Texas Southwestern Podcast: PedsCrit https://www.buzzsprout.com/1809998 Greg Kelly, MBBS, MBA, FRACP, FCICM Pediatric Intensivist Children's Hospital at Westmead, Sydney, Australia Podcast: Pediatrica Intensiva https://pedsintensiva.com/ Elizabeth Mack, MD, MS Pediatric Critical Care Physician Professor, pediatrics Medical University of South Carolina (MUSC) Podcast: SCCM Podcast https://www.sccm.org/podcast Alice Shanklin, MD Critical Care Fellow Children's National Hospital Podcast: PedsCrit https://www.buzzsprout.com/1809998 Traci Wolbrink, MD, MPH Senior Associate in Critical Care Medicine; Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital Associate Professor of Anesthesia Harvard Medical School DATES Initial Publication: April 22, 2024. ARTICLES REFERENCED 5:55 Cadogan article, https://pubmed.ncbi.nlm.nih.gov/24554447/ 6:04 Mallin article, https://pubmed.ncbi.nlm.nih.gov/24556776/ 6:16 Kelly article, https://pubmed.ncbi.nlm.nih.gov/34935729/ 7:22 Riddell article, https://pubmed.ncbi.nlm.nih.gov/31517682/ 15:44 Oransky/Retraction Watch podcast, https://picpod.net/2024/04/01/picpod-79-ivan-oransky-from-retraction-watch/ PODCASTS REFERENCED 99% Invisible podcast, https://99percentinvisible.org/ Dr. Death podcast, https://wondery.com/shows/dr-death/ Huberman Lab podcast, https://www.hubermanlab.com/podcast Not Otherwise Specified podcast, https://not-otherwise-specified-podcast.nejm.org/ On Purpose podcast, https://www.jayshetty.me/podcast The Effort Report podcast, https://effortreport.libsyn.com/ The Hamilcast podcast, https://thehamilcast.com/ The New York Times Daily podcast, https://www.nytimes.com/column/the-daily The PAPERs podcast, https://paperspodcast.ki.se/ CITATION Alexander P, Bennett E, Damania R, Davies P, Hodges Z, Kelly G, Mack E, Shanklin A, Wolbrink TA. The Sound of Knowledge: Popular PICU Podcasts Today. 04/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/the-sound-of-knowledge-popular-picu-podcasts-today-by-t-wolbrink-et-al-openpediatrics?si=6a8c08da65264791a37e2ef8ce9f9d32&utm_source=clipboard&utm_medium=text&utm_campaign=social_sharing.

In this Complex Care Journal Club podcast episode, Dr. Lorna Fraser discusses the results of a prospective cohort study comparing outcomes for children receiving home blends vs formula via gastrostomy tube. She describes the central role of patients and families in study design, opportunities for ensuring equitable access to blended diets, and next steps from this work. SPEAKER Lorna Fraser, PhD, MBChB, MRCPCH, MSc, MMedSci Professor of Palliative Care and Child Health, Cicely Saunders Institute and School of Life Sciences and Population Health King’s College London HOST Kathleen Huth, MD, MMSc Pediatrician, Complex Care Service, Division of General Pediatrics Boston Children's Hospital Assistant Professor of Pediatrics Harvard Medical School DATES Initial Publication date: April 8, 2024 JOURNAL ARTICLES Journal Club Article Citations Fraser LK, Bedendo A, O'Neill M, Taylor J, Hackett J, Horridge KA, Cade J, Richardson G, Phung H, McCarter A, Hewitt CE. Safety, resource use and nutritional content of home-blended diets in children who are gastrostomy fed: Findings from 'YourTube' - a prospective cohort study. Arch Dis Child. 2023 Dec 21:archdischild-2023-326393. doi: 10.1136/archdischild-2023-326393. Fraser LK, Bedendo A, O'Neill M, Taylor J, Hackett J, Horridge K, Cade J, Richardson G, Phung H, Mccarter A, Hewitt C. 'YourTube' the role of different diets in gastrostomy-fed children: Baseline findings from a prospective cohort study. Dev Med Child Neurol. 2023 Nov 10. doi: 10.1111/dmcn.15799. OTHER REFERENCES Hron B, Fishman E, Lurie M, Clarke T, Chin Z, Hester L, Burch E, Rosen R. Health Outcomes and Quality of Life Indices of Children Receiving Blenderized Feeds via Enteral Tube. J Pediatr. 2019 Aug;211:139-145.e1. doi: 10.1016/j.jpeds.2019.04.023. Epub 2019 May 23. PMID: 31128885; PMCID: PMC6660979. Maddison J, Taylor J, O'Neill M, Cade J, Hewitt C, Horridge K, McCarter A, Fraser LK, Beresford B. Outcomes for gastrostomy-fed children and their parents: qualitative findings from the 'Your Tube' study. Dev Med Child Neurol. 2021 Sep;63(9):1099-1106. doi: 10.1111/dmcn.14868. Epub 2021 Apr 1. PMID: 33792913. University of York. YourTube: Home blended diets for children who are gastrostomy fed. Infographic. Accessed March 13, 2024. https://www.york.ac.uk/media/healthsciences/images/research/phs/mhrc/Yourtube%20-%200102%20Infographic%20print.pdf University of York. YourTube for parent/healthcare professional. YouTube. January 19, 2024. Accessed March 13, 2024. https://youtu.be/5POi2Cjp8og University of York. YourTube for young people. YouTube. January 19, 2024. Accessed March 13, 2024. https://youtu.be/NlVriI0O-oI TRANSCRIPT https://op-docebo-images.s3.amazonaws.com/Transcripts/Building+the+Evidence+for+Blended+Diets_Fraser_040824.pdf Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: https://forms.gle/Bdxb86Sw5qq1uFhW6 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 CITATION Fraser L, Huth K. Building the Evidence for Blended Diets: Benefits and Barriers to Access. 4/2024. OPENPediatrics. Online Podcast. https://on.soundcloud.com/pcQSrJTHvF4H4yiY6

L. Schlapbach, author of new pediatric sepsis criteria, discusses the Phoenix Sepsis Score's development and global applicability. Topics include challenges in lower-resource settings, clinicians' use of the score, and limitations. The podcast explores the evolution of sepsis criteria, evidence-based approaches in creating new criteria, and the importance of early identification for improved patient outcomes.