OPENPediatrics

In this Complex Care Journal Club podcast episode, Dr. P. Galen DiDomizio and Dr. Dominic Moore discuss the findings of an online survey of complex care clinicians about challenges related to discussing goals of care, advance care planning and care coordination. They describe opportunities for embedding palliative care principles in the care of children with medical complexity, implications for clinical practice, and next steps from this work. If you'd like to join the complex care listserv mentioned in the episode, please visit complexcarehome.com and scroll down to the bottom of the webpage for the link to join. SPEAKERS P. Galen DiDomizio, MD Assistant Professor of Pediatrics, Division of Complex Care Medical College of Wisconsin Dominic Moore, MD Associate Professor and Division Chief, Pediatric Palliative Care Department of Pediatrics, University of Utah School of Medicine HOST Kilby Mann, MD Assistant Professor Pediatric Rehabilitation Medicine Children's Hospital Colorado DATES Initial publication: July 11, 2023 CITATION DiDomizio PG, Moore D, Mann K. Exploring Roles and Goals of Palliative Care and Complex Care. 07/2023. OPENPediatrics. Online Podcast. Links: https://youtu.be/RffkiH9pw80, https://soundcloud.com/openpediatrics/exploring-roles-and-goals-of-palliative-care-and-complex-care. ARTICLES REFERENCED DiDomizio PG, Millar MM, Olson L, Murphy N, Moore D. Palliative Care Needs Assessment for Pediatric Complex Care Providers. J Pain Symptom Manage. 2023;65(2):73-80. doi:10.1016/j.jpainsymman.2022.11.005 TRANSCRIPT https://op-docebo-images.s3.amazonaws.com/Transcripts/Exploring+Roles+and+Goals+of+Palliative+Care+and+Complex+Care_Moore+%26+DiDomizio_071123.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: 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

In this Complex Care Journal Club podcast episode, Dr. Nancy Murphy discusses the piloting of a home monitoring application for families of children with medical complexity and the associations between the level of parental concern and clinical status changes identified in secondary data analysis. She describes the key role families played in guiding the study, implications for clinical practice, and next steps from this work. SPEAKERS Nancy Murphy, MD Professor of Pediatrics and Chief, Division of Pediatric Complex Care Department of Pediatrics, University of Utah School of Medicine HOST Emily Goodwin, MD General Academic Pediatrics/Beacon Program Children’s Mercy Kansas City Broadway Associate Director of Medical Student Education Clinical Assistant Professor of Pediatrics University of Missouri Kansas City School of Medicine Clinical Assistant Professor of Pediatrics Kansas University Medical Center DATES Initial publication: June 28, 2023. CITATION Murphy N, Goodwin E. Trust Their Gut: Family Level of Concern and Clinical Changes in Children with Medical Complexity. 06/2023. OPENPediatrics. Online Podcast. Links: https://youtu.be/4RJAzlOnDo0, https://soundcloud.com/openpediatrics/trust-their-gut-family-level-of-concern-and-clinical-changes-in-children-with-medical-complexity. ARTICLES REFERENCED Nkoy F, Stone B, Sheng X, Murphy N. High Parental Concern in Children With Medical Complexity: An Early Indicator of Illness. Hosp Pediatr. 2023;13(3):250-257. doi:10.1542/hpeds.2022-006876 TRANSCRIPT https://op-docebo-images.s3.amazonaws.com/Transcripts/Trust+Their+Gut+-+Family+Level+of+Concern+and+Clinical+Changes+in+Children+with+Medical+Complexity_Murphy_062023.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: 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 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 highlights research trends from his position as Editor-in-Chief of the Pediatric Critical Care Medicine Journal. Dr. Tasker presents notable articles from the first half of 2023, and provides his perspective on how academic journals such as PCCM are evolving to meet the needs of modern readers and clinicians. LEARNING OBJECTIVES By the end of this podcast, the learner will be able to: • Describe topic areas represented in Pediatric Critical Care Medicine publications during the first half of 2023 • Identify potential issues related to the use of ChatGPT in the submission and review of journal articles • Discuss research opportunities in the field of pediatric critical care and advice for emerging investigators AUTHORS Robert C. Tasker, MBBS, MD Editor-in-Chief, Pediatric Critical Care Medicine Pediatric Critical Care Medicine Senior Associate in Critical Care Medicine, Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital Professor of Anesthesia Harvard Medical School College Lecturer in Medicine and Graduate Tutor Selwyn College, University of Cambridge Jeffrey Burns, MD, MPH Chief and Shapiro Chair, Division of Critical Care Medicine; Executive Chair, International Health Services Senior Associate in Critical Care Medicine; Department of Anesthesiology, Critical Care and Pain Medicine Boston Childrens Hospital Professor of Anesthesia Harvard Medical School DATES Initial publication date: June 21, 2023. CITATION Tasker RC, O’Hara JE, Burns JP. Updates from the Editor-in-Chief of Pediatric Critical Care Medicine. 06/2023. OPENPediatrics. Online Podcast. Links: https://youtu.be/RBzpyBhunyk, https://soundcloud.com/openpediatrics/updates-from-the-editor-in-chief-of-pediatric-critical-care-medicine-by-dr-robert-tasker. ARTICLES REFERENCED • Verlaat CW, Zegers M, Klein R, et al. Adverse Events in Pediatric Critical Care Nonsurvivors With a Low Predicted Mortality Risk: A Multicenter Case Control Study. Pediatr Crit Care Med. 2023;24(1):4-16. doi:10.1097/PCC.0000000000003103 (4:04) • Lima-Setta F, de Moraes CL, Silami PHNC, et al. Mental Health and Emotional Disorders During the COVID-19 Pandemics: Prevalence and Extent in PICU Staff. Pediatr Crit Care Med. 2023;24(4):277-288. doi:10.1097/PCC.0000000000003119 (4:27) • Colville, Gillian PhD. “How Was Work Today?”*. Pediatric Critical Care Medicine 24(4):p 338-341, April 2023. | DOI: 10.1097/PCC.0000000000003179 (4:35) • Williams EP, Madrigal VN, Leone TA, Aponte-Patel L, Baird JD, Edwards JD. Primary Intensivists and Nurses for Long-Stay Patients: A Survey of Practices and Perceptions at Academic PICUs. Pediatr Crit Care Med. 2023;24(6):436-446. doi:10.1097/PCC.0000000000003181 (5:07) • Emeriaud G, López-Fernández YM, Iyer NP, et al. Executive Summary of the Second International Guidelines for the Diagnosis and Management of Pediatric Acute Respiratory Distress Syndrome (PALICC-2). Pediatr Crit Care Med. 2023;24(2):143-168. doi:10.1097/PCC.0000000000003147 (6:34) • Plante V, Poirier C, Guay H, et al. Elevated Diaphragmatic Tonic Activity in PICU Patients: Age-Specific Definitions, Prevalence, and Associations. Pediatr Crit Care Med. 2023;24(6):447-457. doi:10.1097/PCC.0000000000003193 (6:59) • Savorgnan F, Hassan A, Borges N, Acosta S. Pulse Oximetry and Arterial Saturation Difference in Pediatric COVID-19 Patients: Retrospective Analysis by Race. Pediatr Crit Care Med. 2023;24(6):458-462. doi:10.1097/PCC.0000000000003208 (7:45 ) • Carrol ED, Ranjit S, Menon K, et al. Operationalizing Appropriate Sepsis Definitions in Children Worldwide: Considerations for the Pediatric Sepsis Definition Taskforce. Pediatr Crit Care Med. 2023;24(6):e263-e271. doi:10.1097/PCC.0000000000003263 (12:57)

By the end of this podcast, the learner will be able to describe the fundamental elements of sickle cell disease, including pathophysiology, potential complications, and management strategies. Upon listening to this presentation, participants will be able to: - Discuss the pathophysiology of SCD - Identify the common complications seen in this condition - Describe the management options of SCD and its complications Publication date: June 9, 2023 Citation: Tran V, Callas C, Moulton H, Fantasia K, McFee AM, Wolbrink TA, Archer N. Sickle Cell Disease. 06/2023. OPENPediatrics. Online Course. https://learn.openpediatrics.org/learn/course/internal/view/elearning/5419/sickle-cell-disease. Video: https://youtu.be/CI-qlA_pAAI. Podcast: https://soundcloud.com/openpediatrics/sickle-cell-disease-by-virginia-tran-and-dr-natasha-archer-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

For World PICU Day on May 12, 2023, The World Federation of Pediatric Intensive and Critical Care Societies (WFPICCS) organized a panel discussion with regional speakers discussing Sepsis guidelines for early recognition, resuscitation, and management: Global perspectives. The panelists provided a brief summary of: • Their participation in the development of the implementation of guidelines for use in facilities for either recognition, resuscitation or management of sepsis. • ONE success in either the development or implementation of sepsis guidelines in their institution. • ONE challenge/ failure in either the development or implementation of sepsis guidelines in their institutions. Introduction: Brenda Morrow, PhD, BSc Physiotherapist/Professor Department of Paediatrics University of Cape Town (UCT) Cape Town, South Africa Moderator: Mark Ansermino MBBCh, MMed, MSC, FFA (SA), FRCPC Investigator, BC Children's Hospital Director, Centre for International Child Health, BC Children's Hospital Vancouver, BC, Canada Panelists: John Adabie Appiah MBChB, MWACP, MGCPS, Cert. Crit. Care, MPhil Crit. Care (UCT) Senior Specialist and Founding Head of PICU Komfo Anokye Teaching Hospital Kumasi, Ghana Werther Bruno de Carvalho MD, PhD, FCCM Professor of Pediatric Intensive Care/Neonatology Department of Pediatrics Faculty of Medicine - University of São Paulo São Paulo, Brazil Ener Çağri Dinleyici MD, PhD Eskisehir Osmangazi University Faculty of Medicine Department of Pediatrics Eskisehir, Turkey Cintia Johnston RRT, MsC, PhD Physiotherapist Clinical Research Assistent Professor of Neonatology and Intensive Care Pediatrics Department Medical University of São Paulo - FMUSP São Paulo, Brazil Teresa Bleakly Kortz MD, MS, PhDc Pediatrician and Assistant Clinical Professor, Division of Pediatric Critical Care Associate Professor of Clinical Pediatrics in Critical Care Medicine Affiliate Faculty of the Institute for Global Health Sciences Co-director of the Pediatric Global Health Pathway,UCSF San Francisco, California, USA Suchitra Ranjit MD, FCCM Head of the Department of Pediatric Emergency and Critical Care Apollo Children's Hospital Chennai, India Gerri Sefton PhC, MSc, BSc, RGN/RSCN Advanced Nurse Practitioner/PICU Alder Hey Children's Hospital Liverpool, England, United Kingdom

In this Complex Care Journal Club podcast episode, Dr. Sriram Ramgopal and Dr. Carolyn Foster discuss the design and key findings of a cross-sectional study examining encounters in the Emergency Department and subsequent care for children with medical complexity and mental or behavioral health needs. They describe gaps in our knowledge and systems issues related to this important intersection of care needs, implications for clinical practice, and next steps from this work. SPEAKERS Sriram Ramgopal, MD Assistant Professor of Pediatrics, Northwestern Medicine Feinberg School of Medicine Attending Physician, Pediatric Emergency Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago Carolyn C. Foster, MD, MS Assistant Professor of Pediatrics, Northwestern University Feinberg School of Medicine Advanced General Pediatrics and Primary Care, Ann & Robert H. Lurie Children's Hospital of Chicago HOST Kristina Malik, MD Assistant Professor of Pediatrics, University of Colorado School of Medicine Medical Director, KidStreet Pediatrician, Special Care Clinic, Children's Hospital Colorado DATES Initial publication: May 25, 2023 CITATION Ramgopal S, Foster CC, Malik K. Navigating the Intersection Between Medical Complexity and Mental Health in the Emergency Department. 05/2023. OPENPediatrics. Online Podcast. Links: https://youtu.be/wvA4t9nyeo0, https://soundcloud.com/openpediatrics/navigating-the-intersection-between-medical-complexity-and-mental-health-in-the-emergency-department ARTICLES REFERENCED Ramgopal S, Goodman DM, Kan K, Smith T, Foster CC. Children With Medical Complexity and Mental and Behavioral Disorders in the Emergency Department. Hosp Pediatr. 2023 Jan 1;13(1):9-16. doi: 10.1542/hpeds.2022-006835. TRANSCRIPT https://bit.ly/43gOapo 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

In this World Shared Practice Forum podcast, Dr. Ebor Jacob James discusses the current state of pediatric critical care in India. Dr. Jacob James describes clinical staffing models, fellowship and accreditation programs, as well as the impact of simulation training in these areas. He also provides background on PediSTARS, the Pediatric Simulation Training And Research Society in India, and describes the impact of the Stop the Bleed Project which provides life-saving training to first responders and non-healthcare professionals. Finally, Dr. Jacob James gives advice for learners interested in a career in medical education. Upon listening to this presentation, learners will be able to: - Identify the current state of pediatric critical care training in India - Describe the impact of pediatric simulation training in India on clinical practice - Discuss several educational innovations in India including the PediSTARS program and the Stop the Bleed Project Chapters 01:10 Current state of pediatric critical care training in India 07:21 Growth of simulation-based education and training 16:59 Virtual and distance simulation during the COVID-19 pandemic 22:06 The Stop the Bleed project 24:09 Advice for students interested in a career in medical education Publication date: May 23, 2023 Citation: James EJG, O’Hara JE, Wolbrink TA. Innovations in Education and Training in India. 05/2023. OPENPediatrics. Online Video: https://youtu.be/0nSnxcnWDmY. Podcast: https://on.soundcloud.com/jASqa. Articles Referenced: •Bhalala U, Khilnani P. Pediatric Critical Care Medicine Training in India: Past, Present, and Future. Front Pediatr. 2018;6:34. Published 2018 Feb 26. doi:10.3389/fped.2018.00034 •Ramachandra G, Deutsch ES, Nadkarni VM. A Road Map for Simulation Based Medical Students Training in Pediatrics: Preparing the Next Generation of Doctors. Indian Pediatr. 2020;57(10):950-956. •James EJG, Vyasam S, Venkatachalam S, et al. Low-Cost "Telesimulation" Training Improves Real Patient Pediatric Shock Outcomes in India. Front Pediatr. 2022;10:904846. Published 2022 Jul 26. doi:10.3389/fped.2022.904846 •Geethanjali Ramachandra, G.V. Ramana Rao, Shailaja Tetali, Devendar Karabu, Manideep Kanagala, Srinivas Puppala, Rani Janumpally, H.V. Rajanarsing Rao, Brendan Carr, Steven C. Brooks, Vinay Nadkarni, Active bleeding control pilot program in India: Simulation training of the community to stop the bleed and save lives from Road Traffic Injuries, Clinical Epidemiology and Global Health, Volume 11, 2021, 100729, ISSN 2213-3984, https://doi.org/10.1016/j.cegh.2021.100729. Additional References: Citation: James EJG, O’Hara JE, Wolbrink TA. Innovations in Education and Training in India. 05/2023. OPENPediatrics. Online Video: https://youtu.be/0nSnxcnWDmY. Podcast: https://soundcloud.com/openpediatrics/innovations-in-education-and-training-in-india-by-dr-ebor-jacob-james-for-openpediatrics. 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-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by Youtube. We apologize for any inconvenience this may cause.

In this presentation, the listener will learn the developmental milestones of a newborn through 5 years of age, including parental guidance and red flags. LEARNING OBJECTIVES Upon viewing this presentation, participants will be able to: • Understand the importance of monitoring child development • Explain the difference between developmental surveillance and developmental screening • Identify the major milestones from birth to five years of age AUTHORS Holly Hodges MD Fellow, Developmental-Behavioral Pediatrics Boston Children's Hospital Bianca Shagrin MD Instructor of Pediatrics Cambridge Health Alliance Harvard Medical School DATES Initial publication: December 13, 2018 CITATION Shagrin B, Callas C, McFee A, Fantasia K, Wolbrink T, Hodges H. Developmental Milestones. 12/2018. Online Video. OPENPediatrics. https://learn.openpediatrics.org/learn/course/internal/view/elearning/3527/developmental-milestones.

In this video, the viewer will learn to define brief resolved unexplained events, recognize the clinical presentation, diagnose and risk stratify a patient and understand the principles of management. LEARNING OBJECTIVES Upon viewing this presentation, participants will be able to: • Define brief resolved unexplained events (BRUEs) • Recognize the clinical presentation of BRUE • Diagnose and risk stratify a patient • Understand the principles of management AUTHORS Jonathan Fried Harvard Medical School Beth Harper, MD Pediatric Hospitalist Boston Children's Hospital Instructor in Medicine Harvard Medical School DATES Initial publication: January 11, 2019 CITATION Fried J, Harper B, Rubin L, Erickson A, McFee A, Wolbrink T. Approach to Brief Resolved Unexplained Events (BRUE). 1/2019. Online Video. OPENPediatrics. https://learn.openpediatrics.org/learn/course/internal/view/elearning/3538/approach-to-brief-resolved-unexplained-events-brue.

In this Complex Care Journal Club podcast episode, Dr. Eyal Cohen discusses the design and key findings of a randomized controlled trial evaluating the effectiveness of a structured complex care program in Ontario, Canada. He describes implications for clinical practice, opportunities for family partnership in research, and the next steps from this work. SPEAKERS Eyal Cohen, MD, MSc, FRCPC Program Head, Child Health Evaluative Sciences Staff Physician, Division of Pediatric Medicine The Hospital for Sick Children (SickKids), Toronto 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: April 26, 2023 CITATION Cohen E, Huth K. Measuring What Matters in a Multicenter RCT: Partnering With Patients/Families and Policymakers. 04/2023. OPENPediatrics. Online Podcast. Links: https://youtu.be/tTimlHM9Oj8, https://soundcloud.com/openpediatrics/measuring-what-matters-in-a-multicenter-rct-partnering-with-patientsfamilies-and-policymakers. ARTICLE REFERENCED Cohen E, Quartarone S, Orkin J, et al. Effectiveness of Structured Care Coordination for Children With Medical Complexity: The Complex Care for Kids Ontario (CCKO) Randomized Clinical Trial [published online ahead of print, 2023 Mar 20]. JAMA Pediatr. 2023;e230115. doi:10.1001/jamapediatrics.2023.0115 https://pubmed.ncbi.nlm.nih.gov/36939728/ TRANSCRIPT https://bit.ly/41Xvaf0 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: 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