The Cribsiders

The MS4 producers takeover The Cribsiders for a recap of our favorite clinical pearls from Season 1!

Jump into pediatric mild traumatic brain injury with our guest, Dr. Angela Lumba Brown, a pediatric emergency medicine physician and Associate Professor of Emergency Medicine, Pediatrics, and Neurosurgery at Stanford University. In this episode, we talk about the diagnosis of mild traumatic brain injury, when to get neuroimaging for head trauma, and the five concussion subtypes.  We also discuss how you can support your patients in their recovery to get them back to their daily activities and what disparities exist in head trauma. Join us to have your mind blown with this fascinating topic. 

In this episode, we cover the full spectrum from febrile seizures all the way to status epilepticus with Dr. John Gaitanis, a pediatric neurologist who specializes in care for children with epilepsy. Dr. Gaitanis teaches us what to look out for on neurologic exam, how to counsel families about safety precautions, and the differential diagnosis for seizure-like activity in infants and children. We also discuss the exciting future of epilepsy treatment.

Answer all your burning questions (and your patients’ burning questions) about the different COVID-19 vaccines currently authorized in the US. Infectious diseases / HIV expert, Dr Monica Gandhi @MonicaGandhi9 (UCSF) joins us to cover: the Pfizer-BioNTech and Moderna novel mRNA vaccine mechanisms, trial data, and practicalities of who should receive them.  We discuss data around the Oxford-AstraZeneca adenovirus vaccine, which is authorized in the UK and India, and may be available in the US later this year.  Feel confident recommending COVID-19 vaccines to your patients!

Did you know that NOWS is the new NAS? Learn more about the new AAP Clinical Report on Neonatal Opioid Withdrawal Syndrome with lead author Dr. Stephen Patrick. Dr. Patrick is the Director of the Vanderbilt Center for Child Health Policy, an Associate Professor of Pediatrics and Health Policy, and an attending neonatologist at Monroe Carol Jr. Children’s Hospital at Vanderbilt. In this episode, he teaches us about the approach to treating withdrawal in infants, the importance of keeping moms and babies together, and the need for destigmatizing addiction in healthcare.    Time Stamps 7:48 Case from Kashlak Children’s 8:38 Definition of neonatal opioid withdrawal syndrome  9:48 Clinical Presentation of NOWS 11:30 Scoring Systems 14:34 Importance of diagnosing NOWS 15:16 Opioid Crisis and Epidemiology 16:35 Risk Factors for developing NOWS 19:16 The role of structural racism and social determinants of health 21:05 Stigma of addiction 23:10 Building a therapeutic relationship 25:32 Breastfeeding 26:40 Toxicology testing 29:16 Structural racism  30:14 Non-pharmacologic management 31:58 Pharmacologic Management 35:16 Clinical course  37:40 Treatment and taper plan 40:20 Discharge planning 43:20 Outpatient Follow up 44:26 AAP Clinical Report Changes 46:46 Advocacy and Policy 47:14 Buprenorphine  50:18 Outro

With a persistent fever, Kawasaki Disease must be on your differential, but have you not seen many cases or had difficulty with the diagnosis? Look no further, as we bring an expert to walk us through the diagnosis and management of KD! We discuss Kawasaki Disease with Dr. Adriana Tremoulet who is the assistant director of the Kawasaki Disease Research Center at the University of California, San Diego. She has led numerous Phase I through III trials regarding the management of KD, and she walks us through the diagnosis and management of this fascinating disease!

Are you interested in implementing Trauma-Informed Care into your pediatric practice but unsure how to start? Join us for our conversation about TIC with Dr. Heather Forkey. Dr. Forkey is the clinical director of the Foster Children Evaluation Services (FaCES), Chief of the Division of Child Protection for the UMass Memorial Children’s Medical Center in Worcester and Associate Professor at the University of Massachusetts Medical School. Dr. Forkey is an expert in childhood trauma, child abuse and the health of foster care children.  She gives us the building blocks to integrate Trauma-Informed Care into our everyday practice!

Tie on your bib and get ready for some serious knowledge food about infant nutrition with Dr. Joan Meek! We discuss normal newborn feeding and voiding patterns, the benefits of breastfeeding, and how to counsel families about their options for supplementation. Dr. Meek also tells us about some of the origins of and existing structures driving disparities in breastfeeding. And don’t miss our feeding frenzy rapid fire questions at the end. You’ll leave this episode like an infant who just finished eating--burping yet satisfied! 

Summary Ever gotten overwhelmed by all the categories of ADHD, or interpreter the scores on a Vanderbilt form? Join us with Dr. Sarah Vinson, a triple-boarded clinician in adult psychiatry, child psychiatry, and pediatrics who helps us optimize a diagnosis and management process of ADHD. What other conditions can masquerade as ADHD? Which type of stimulant should you use? Listen to find out more!  

Learn all about Sickle Cell Disease and the pediatric to adult transition in care from Dr. Lydia Pecker, a sickle cell doctor for young adults practicing in Baltimore, Maryland. In this episode we cover diagnosing sickle cell, detecting and managing complications, and the major treatments, including new drugs and bone marrow transplants. We’ll start with the basics and build up to expertise!