OPENPediatrics

Listen as Drs. Scot Bateman and Stacey Valentine of Umass Memorial Medical Center, discuss current red blood cell (RBC) transfusion practices in critically ill children, outline an approach of creating consensus and guidance of clinical RBC transfusion practice, and present recommendations from the Transfusion and Anemia Expertise Initiative. Please visit: www.openpediatrics.org OPENPediatrics™ is...

Listen as Dr. Nadir Yehya, Assistant Professor of Anesthesiology and Critical Care Medicine at the Children's Hospital of Philadelphia and the University of Pennsylvania, discusses the advantages and disadvantages of biomarkers in critical care research. He covers the specifics of how biomarkers influence endotyping, subphenotyping, and enrichment for critical care trials (with a focus on sepsis a...

In this chapter of the Rwandan National Neonatal Protocol, Dr. Aicha Uwamahoro explains the etiology, investigation and treatments for anemia, bleeding, and polycythemia in the neonatal context. Initial publication: February 14, 2020. Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital an...

In this chapter of the Rwandan National Neonatal Protocol, Dr. Hippolyte Bwiza-Muhire discusses risk factors for hyperbilirubinemia in full term and premature infants, how to assess hyperbilirubinemia on a physical exam and how to initiate laboratory testing to determine, initiate, and manage appropriate treatment for hyperbilirubinemia in the neonate. Initial publication: February 12, 2020. Pleas...

In this chapter of the Rwandan National Neonatal Protocol, Dr. Lisine Tuyisenge describes the signs of respiratory distress in the newborn, how to identify common causes of respiratory distress, and how to resond and treat common respiratory conditions appropriately. Initial publication: February 4, 2020. Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platf...

Listen as Nancy Braudis reviews the anatomy of the heart, and how heart disease presents in newborns. Initial publication: January 28, 2020. 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 Societie...

Listen as Dr. Vinay Nadkarni, Professor and Endowed Chair in Critical Care Medicine at The Children's Hospital of Philadelphia and The University of Pennsylvania Perelman School of Medicine, discusses boot camps, orientation, and the next steps in the training of critical care fellows. He outlines the development of methodology through the years and points to some trends that we can expect for the...

Listen as Ms. Jamie Harris explains the principles of distraction free practice, and how she used them to create the “Red Zone At Home” medication safety initiative, which reduces medication errors in the home setting. Initial publication: January 14, 2020. Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston...

In this video, Kathryn Gustafson demonstrates the Infant Car Seat Tolerance Screen and explains how the screen is used to provide safe motor vehicle transportation for newborns and infants under 6 months old. LEARNING OBJECTIVES After watching this video the viewer should be able to: • Explain the steps of the Infant Car Seat Tolerance Screening • Identify approved car seats that can be used as mo...

In this podcast, the listener will learn the basic pathophysiology, recognize the clinical presentation, discuss how to diagnose and understand the management of constipation. Initial publication: December 9, 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 collabor...

Dr. Josh Nagler discusses all the relevant information needed to successfully perform pediatric orotracheal intubation. He reviews the indications and contraindications for performing an intubation, the relevant anatomy of the upper airway and larynx and the required equipment needed at the bedside. Using simulation and animations, Dr. Nagler describes the proper procedure for intubating a patient...

In this video, Dr. Ann Thompson, Vice Dean and Professor of Critical Care Medicine and Pediatrics at the University of Pittsburgh School of Medicine, outlines the history of the PICU and its place in the hospital. From the first polio units in the 1930-50s to modern PICUs today, Dr. Thompson focuses on changing roles, technological advancements, and hopes for growth and expansion in the future. Pl...

In this World Shared Practice Forum video, Dr. Heidi Dalton maps out the rapid expansion of ECMO use globally, describes challenges that providers face in the field of ECMO, and solutions to overcome these challenges in the future. Initial publication: October 12, 2019. Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponso...

In this Nursing World Shared Practice Forum, Ms. Ashley Renaud explains distraction-free practice and its implementation in the ambulatory healthcare setting through the Red Zone Initiative. She reviews how distraction-free practice for specific activities reduces patient errors and how to implement it in your unit. Learning Objectives - Explain what distraction-free practice is, and why it is imp...

Listen as Dr. Emily Barsky reviews the clinical presentation of respiratory distress in patients with cystic fibrosis and lists interventions for a patient with this diagnosis. Initial publication: September 27, 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 colla...

The listener will learn the common risk factors and basic epidemiology, pathophysiology, recognize the clinical presentation and management as well as differentiate between acute otitis media, otitis media with effusion, and middle ear effusion. Initial publication: September 24, 2019. Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare c...

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...