OPENPediatrics

In part 1 of 2, Dr. Peter Weinstock, Executive Director of Immersive Design Systems (IDS), Chair in Pediatric Simulation, and Associate Professor of Anesthesia at Harvard Medical School, describes the big picture benefits of using SIM as a tool to solve mission-critical challenges across the healthcare enterprise. In part 2, Dr. Weinstock dives deeper into the specifics of how SIM can be integrate...

Listen as Dr. K. S. Gautham, Professor of Pediatrics at Baylor College of Medicine and Section Head and Chief of Service at The Newborn Center at Texas Children's Hospital, outlines best practices for disclosure, apology, and root cause analysis following adverse events. He also describes the effects of adverse events on staff, the importance of good debriefing techniques, and defines the role of...

Listen as Dr. Benjamin Wilfond, Director at the Treuman Katz Center for Pediatric Bioethics, outlines the specific ethical challenges behind research conducted in the NICU. He emphasizes the importance of standardization in research, obtaining informed consent, the eight ethical benchmarks of clinical research, the contexts of randomized clinical trials, and how these factors apply to real world s...

Listen as Dr. Adam DeTora outlines how ethics and the law apply to situations in the NICU. He explains how statutory laws differ from case laws, and presents case studies to show how both kinds of laws influence medical decisions. He also breaks down the role of the parent or caregiver, and what happens in cases where medical decisions are not clear-cut. Please visit: http://www.openpediatrics.org...

In this chapter of the Rwandan National Neonatal Protocol, Dr. Christian Umuhoza discusses neonatal resuscitation practices. Participants will be able to prepare for delivery, identify prenatal conditions that increase the risk of needing resuscitation at the delivery, identify the equipment and the personnel needed at each delivery in preparation for neonatal resuscitation, and also they'll be ab...

In this World Shared Practice Forum video, Dr. Jeffrey Fineman speaks about the classification and epidemiology of pediatric pulmonary disease. He details the natural history of pulmonary hypertension associated with congenital heart disease, reviews evidence proving that it is an endothelial-based disease (at least initially), and outlines current and future research involving the hemodynamic for...

In this video, Dr. Wendy Jo Svetanoff discusses the anatomy of the trachea, the anatomic abnormalities in tracheobronchomalacia and the therapeutic options for patients with this condition. Initial publication: July 30, 2019. Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in coll...

Listen as Dr. Brian Kavanagh, Professor of Anesthesia at the University of Toronto and Chair of Anesthesia and the Dr. Geoffrey Barker Chair of Critical Care Medicine at the Hospital for Sick Children in Toronto, Canada, will discuss the topic of guidelines, protocols, and bundles. Initial publication: October 28, 2014. Last updated: July 22, 2019. Please visit: www.openpediatrics.org OPENPediatri...

Listen as Dr. Kathleen Stevens discusses how she pioneered the field of evidence-based practice (EBP) nursing, and reviews the steps of her Stevens STAR Model of Knowledge Transformation. Initial publication: July 11, 2019. Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collab...

In this chapter of the Rwandan National Neonatal Protocol, Marthe Kubwimana introduces the non-electric infant warmer. She outlines the circumstances when an infant warmer is useful, how it can prevent hypothermia, and how it can be used to complement Kangaroo Mother Care. She also describes the proper techniques for preparation, use, cleaning and storage of the infant warmer. Please visit: www.op...

Listen as Dr. Traube, Associate Professor of Pediatrics at Weill Cornell Medicine, maps out the landscape of pediatric delirium in the PICU setting. She identifies trends and treatments that contribute to current delirium rates, the associated costs of delirium, and what practices hospitals are adopting to reduce delirium rates. Upon viewing this presentation, participants will be able to:   • Cha...

This chapter of the Rwandan National Neonatal Protocol covers cardiology. Dr. Emmanuel Rusingiza discusses the diagnosis and management of patent ductus arteriosus in premature infants. By the end of this chapter, participants will be able to: -Identify two presenting symptoms of a patent ductus arteriosus (PDA) -Identify methods for non-pharmacologic support of an infant with PDA -Identify method...

In this chapter of the Rwandan National Neonatal Protocol, Merab Nyishime will discuss discharge planning. She outlines the four assessments that should be made when deciding whether to discharge a patient, the danger signs that would prevent discharge, examples of infants that would require rendezvous after discharge, and how to model appropriate caregiver discharge counseling. Initial publicatio...

Listen as Dr. Anne Hansen, Medical Director of the Neonatal ICU at Boston Children’s Hospital, outlines challenges facing today’s physicians and nurses in Rwanda as they care for newborns. She also introduces a non-electric infant warmer and outlines the benefits of its use in dealing with the challenge of neonatal hypothermia. After viewing this video, participants should be able to: • Understand...

This chapter of the Rwandan National Neonatal Protocol covers neurology. Dr. Febronie Mushimiyamana discusses treatment, medication, and management of neonatal neurological injury. She focuses on treatments for hypoxic ischemic encephalopathy, seizures, pain management, and appropriate use of anticonvulsant medication. By the end of the chapter, participants will be able to: -Identify appropriate...

This chapter of the Rwandan National Neonatal Protocol covers infectious diseases. Dr. Stephenson Musiime discusses the risk factors, diagnosis and management of diseases like sepsis, urinary tract infection, meningitis, and more, for both mothers and neonates. By the end of the chapter, participants will be able to: -Define serious bacterial infection of the newborn -Recognize both maternal and i...

Learn about the epidemiology, pathophysiology, and clinical presentation of bronchiolitis, and how to diagnose and care for affected children. Initial publication: April 24, 2019. 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 Pediatr...

Learn about the pathophysiology and clinical presentation of asthma, and how to diagnose and care for affected children. Initial publication: April 24, 2019. Citation: Pian J, Chiel L, Rubin L, Erickson A, McFee AM, Wolbrink TA. Asthma. 8/2018. OPENPediatrics. Online Course. https://learn.openpediatrics.org/learn/course/internal/view/elearning/2877/asthma. Video: https://youtu.be/s2WCWIE9TcI. Podc...

Listen as Dr. Umakanth Katwa, Director of the Sleep Laboratory at Boston Children's Hospital, discusses the use of non-invasive positive pressure ventilation for the treatment of sleep apnea and dysregulated breathing in children. Initial publication: April 23, 2019. Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored...

Listen as Dr. Patrick Kochanek, outlines new developments appearing in the 3rd edition of “Guidelines for the Management of Severe Traumatic Brain Injury in Children”. He covers revisions made to level II and level III treatment recommendations, and how they translate across the companion algorithm. He focuses on neuroimaging, hyperosmolar therapy, analgesics and sedatives, seizure prophylaxis, te...

Listen as the panelists discuss their research on the health of the work environment. They explain how they applied the Healthy Work Environment Assessment Tool across nursing specialties, and to other healthcare professionals. Initial publication: April 16, 2019. Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians spons...

In this video, Dr. Michelle Niescierenko discusses the leading causes of pediatric trauma, explains the steps of the trauma assessment, and reviews 3 case studies involving pediatric trauma. Initial publication: April 2, 2019. Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children’s Hospital and...

Listen as Dr. John Knight, developer of the CRAFFT Adolescent Substance Use Screening Tool, provides information for clinicians hoping to implement the CRAFFT screening tool into their practice. It includes a step-by-step guide to administering the CRAFFT along with training vignettes of clinicians providing counseling for patients at varying levels of risk for substance use disorder. Initial publ...

Listen as Dr. Ravi Thiagarajan, Chief of the Division of Cardiac Critical Care at Boston Children’s Hospital, and Professor of Pediatrics at Harvard Medical School, outlines past and present trends in ECMO use across the globe. He also reviews the major challenges faced by ECMO providers today, with a focus on ECMO use during cardiopulmonary resuscitation. Upon viewing this presentation, participa...

Listen as Dr. Brian McAlvin defines non-invasive positive pressure ventilation, discusses its physiology, and reviews the effects of BiPAP on the lungs. Initial publication: March 20, 2019. 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 Fede...