Peds-Centered podcast

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All About Change

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Gary Sinise: Doing More for Our veterans with the Gary Sinise Foundation 27:29

vor 10 Tagen27:29

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27:29

Gary Sinise is an award winning actor, on the stage, TV and big screen. He is best known for playing Lieutenant Dan in Forrest Gump. Inspired by this role and his family members, Gary is now the head of the Gary Sinise Foundation, which offers support for service members who need help with mental wellness, trauma, physical recovery, and loss. He Also plays concerts worldwide for our nation’s defenders and their families, boosting morale and offering gratitude for their sacrifices as part of the Lt. Dan Band. Jay and Gary discuss the changing needs of American service members and their families, the many services the Gary Sinise Foundation provides, how Gary’s work helped him through personal loss and much more. Today's episode was produced by Tani Levitt and Mijon Zulu. To check out more episodes or to learn more about the show, you can visit our website Allaboutchangepodcast.com. If you like our show, spread the word, tell a friend or family member, or leave us a review on your favorite podcasting app. We really appreciate it. All About Change is produced by the Ruderman Family Foundation. Episode Chapters (0:00) intro (1:11) Veterans’ changing needs over the past half century (7:57) Veterans’ appreciation of Gary’s portrayal of Lt. Dan (10:25) By helping others, we step out of ourselves (11:46) The Lt. Dan Band (15:29) How the death of Gary’s son Mac impacts his activism (17:33) Bringing services to American heroes wherever they are (19:45) Accurate portrayals of veterans in film and TV (20:58) How can people get involved with the Gary Sinise foundation (24:24) Goodbye For video episodes, watch on www.youtube.com/@therudermanfamilyfoundation Stay in touch: X: @JayRuderman | @RudermanFdn LinkedIn: Jay Ruderman | Ruderman Family Foundation Instagram: All About Change Podcast | Ruderman Family Foundation To learn more about the podcast, visit https://allaboutchangepodcast.com/ Looking for more insights into the world of activism? Be sure to check out Jay’s brand new book, Find Your Fight , in which Jay teaches the next generation of activists and advocates how to step up and bring about lasting change. You can find Find Your Fight wherever you buy your books, and you can learn more about it at ⁠⁠www.jayruderman.com⁠⁠ .…

Peds-Centered

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Peds-Centered provides leading-edge information and conversations with experts in the fields of Pediatric Emergency Medicine and Urgent Care, and Pediatric Hospital Medicine.

28 Episoden

#Arts #Michelle

Peds-Centered

updated vor etwa einem Tag

Serie-Home•Feed

Peds-Centered provides leading-edge information and conversations with experts in the fields of Pediatric Emergency Medicine and Urgent Care, and Pediatric Hospital Medicine.

28 Episoden

#Arts #Michelle

Alle Folgen

Peds-Centered

1
Caring for Kids in Conflict Zones 1:03:27

vor 1 day1:03:27

1:03:27

Send us a text In this episode, I meet with Dr. Mike Falk, a Pediatric Emergency Medicine physician with extensive experience providing medical care in combat zones. We discuss the scope and realities of children affected by war, readiness in conflict situations, maintaining safety as a healthcare provider in conflict and disaster situations, and how to support children affected by conflict. Below are medical literature and policy statements referenced by Dr. Falk during this episode. Note: Dr. Falk mentions "RAF" when talking about Sudan, but is referring to RSF (Rapid Support Forces), a Sudanese paramilitary group, not to be confused with Britain's Royal Air Force. 1. Ayesha Kadir, Sherry Shenoda, Jeffrey Goldhagen, Shelly Pitterman, SECTION ON INTERNATIONAL CHILD HEALTH, Parminder S. Suchdev, Kevin J. Chan, Cynthia R. Howard, Patrick McGann, Nicole E. St Clair, Katherine Yun, Linda D. Arnold; The Effects of Armed Conflict on Children. Pediatrics December 2018; 142 (6): e20182586. 10.1542/peds.2018-2586 2. Molloy, E.J., Bearer, C.F. Advocacy for children in global conflicts: the value of children in our world. Pediatr Res 95 , 1386–1387 (2024). https://doi.org/10.1038/s41390-024-03044-3 3. Shenoda S, Kadir A, Pitterman S, Goldhagen J; SECTION ON INTERNATIONAL CHILD HEALTH. The Effects of Armed Conflict on Children. Pediatrics. 2018 Dec;142(6):e20182585. doi: 10.1542/peds.2018-2585. Epub 2018 Nov 5. PMID: 30397166. 4. Ferrara P, Cammisa I, Zona M, Corsello G, Giardino I, Vural M, Pastore M, Bali D, Pettoello-Mantovani M. The Global Issue of Violence Toward Children in the Context of War. J Pediatr. 2024 Jun;269:114007. doi: 10.1016/j.jpeds.2024.114007. Epub 2024 Mar 7. PMID: 38458606.…

Peds-Centered

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Measles, Mumps, Rubella, Pertussis - Increasing Vaccine-Preventable Diseases and How to Prepare for Them 46:07

vor 4 weeks46:07

46:07

Send us a text In this episode, I speak with Dr. Steve Eppes, a Pediatric Infectious Disease specialist, about the rising rates and re-emergence of various vaccine-preventable diseases. We discuss who is at risk, how and when to test for and diagnose these illnesses, and challenges and creative solutions to infection control in our hospitals and clinics. Below is a link to the Texas Department of State Health and Human Services page, which has compiled CDC recommendations for vaccination, testing and PEP, ongoing tracking of cases, infographics that can be printed into posters or handouts, and parent, school, and clinic resources regarding measles (I have no financial interest or association with the Texas DHHS, just found this to be a thorough, consolidated resource) . https://www.dshs.texas.gov/measles…

Peds-Centered

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Ethics in the ED: Part 2 47:55

vor 9 weeks47:55

47:55

Send us a text This is the second of a two-part series on medical ethics with Dr. Kristina Brumme. In this episode, we discuss ethics in prehospital decision-making, resuscitation and termination protocols, debriefing and conversations around death and poor outcomes, the ethics of trainees in medicine, and navigating rapidly shifting laws and policies about medical care. Below are some of the studies Dr. Brumme referenced in the podcast: CARES study: https://pubmed.ncbi.nlm.nih.gov/39299508/ Yale qualitative study: https://pubmed.ncbi.nlm.nih.gov/28376068/ Parental consent for emergency medical services: https://pubmed.ncbi.nlm.nih.gov/21788221/…

Peds-Centered

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Ethics in the ED: Part 1 46:00

vor 11 weeks46:00

46:00

Send us a text In this episode, the first of a two-part series, I speak with Dr. Kristina Brumme, who is a Pediatric Emergency Medicine physician with expertise in medical ethics. This episode focuses on the frameworks of ethical principles, coercion vs. persuasion in health decisions, end-of-life decisions, the ethics of pediatric readiness, and our duty as subspecialists to partner with and provide support to hospitals and health systems that do not have high levels of resources. Below is one of the AAP Policy Statements relevant to our discussions: Weise KL, Okun AL, Carter BS, Christian CW; COMMITTEE ON BIOETHICS; SECTION ON HOSPICE AND PALLIATIVE MEDICINE; COMMITTEE ON CHILD ABUSE AND NEGLECT. Guidance on Forgoing Life-Sustaining Medical Treatment. Pediatrics. 2017 Sep;140(3):e20171905. doi: 10.1542/peds.2017-1905. PMID: 28847979.…

Peds-Centered

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Concussion Care in the ED 52:18

vor 15 weeks52:18

52:18

Send us a text In this episode, I speak with Dr. Charlene Jones, a Pediatric Sports Medicine Physician, about updates on concussion management in the acute setting (and subacute for those kids who re-present to urgent care and emergency care settings). Below are links to the SCAT-6, and child SCAT-6, and information about the new SCOAT-6 for listeners who practice in the office setting. SCAT-6 Tool (for kids ages 13 and up): https://bjsm.bmj.com/content/57/11/622 Child SCAT-6 (for kids ages 8-12 years): https://bjsm.bmj.com/content/57/11/636 SCOAT-6 Article: https://bjsm.bmj.com/content/57/11/668.full…

Peds-Centered

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Being a Great Educator - Reflections on 15 Years of BASE Camp 44:36

vor 20 weeks44:36

44:36

Send us a text In this episode, I speak with Dr. Kevin Ching about his experience teaching and developing experiential learning through BASE Camp, a multidisciplinary simulation boot camp for PEM fellows, nurses, child life staff, and others. He shares evidence-based approaches to medical education and his insights on engaging and supporting learners to create high-yield educational experiences.…

Peds-Centered

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A Word from the Nurses 42:13

vor 24 weeks42:13

42:13

Send us a text In this episode, I speak with Chris Barbour and Mel Lebron, two of the many amazing nurses I've worked with over the years. We talk about trends in the nursing field, changes since the pandemic, and overall physician and nursing interactions, collaboration, and team dynamics.

Peds-Centered

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Signing Out Early - Mid-Career Transitioning and Grappling with Burnout 45:33

vor 33 weeks45:33

45:33

Send us a text In this episode, I speak with Dr. Jess Schnell, DO MBA, who transitioned from Pediatric Emergency Medicine and hospital administration to utilization management. We talk about career longevity, deciding to transition away from clinical medicine, and dealing with burnout. Articles and Resources We Discuss: Gettel CJ, Courtney DM, Agrawal P, Madsen TE, Rothenberg C, Mills AM, Lall MD, Keim SM, Kraus CK, Ranney ML, Venkatesh AK. Emergency medicine physician workforce attrition differences by age and gender . Acad Emerg Med. 2023 Nov;30(11):1092-1100. doi: 10.1111/acem.14764. Epub 2023 Jun 23. PMID: 37313983; PMCID: PMC10973949. Chen YW, Orlas C, Kim T, Chang DC, Kelleher CM. Workforce Attrition Among Male and Female Physicians Working in US Academic Hospitals, 2014-2019 . JAMA Netw Open. 2023 Jul 3;6(7):e2323872. doi: 10.1001/jamanetworkopen.2023.23872. Erratum in: JAMA Netw Open. 2023 Sep 5;6(9):e2334513. doi: 10.1001/jamanetworkopen.2023.34513. PMID: 37459094; PMCID: PMC10352856. COVID Coach App Psychologytoday.com…

Peds-Centered

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Coming to America - Vector-Born Illnesses and their Expanding Ranges 40:48

vor 38 weeks40:48

40:48

Send us a text In this episode, I speak with Dr. Allison Messina, an Assistant Professor of Pediatric Infectious Disease in Florida at Johns Hopkins All Children's Hospital. We talk about vector-born illnesses - their presentation and management, and where and when to look out for them. Ranges of many of these illnesses are expanding, both northward from the tropics, and for diseases like Lyme disease, to broadening regions within North America, so many of us will be seeing these illnesses in areas where they weren't previously found. Dr. Messina provides recommendations for us as treating physicians and for those of us planning to travel to areas with illnesses not endemic to where we're living. We talk about the CDC Yellow Book as a guide for travel medicine and when treating patients who have recently traveled. Here is a link to the website - we both use this regularly and find it really helpful. https://wwwnc.cdc.gov/travel/page/yellowbook-home…

Peds-Centered

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Emergency Management of Pediatric Diabetes 43:21

vor 44 weeks43:21

43:21

Send us a text In this episode, I speak with Dr. Kathy Sumpter, who is Division Chief of Pediatric Endocrinology at Le Bonheur Children's Hospital. We talk about diagnosing diabetes in children and risk-stratifying kids coming in with new-onset diabetes, as well as fluid and insulin management strategies for kids in DKA. Dr. Sumpter specializes in helping kids who struggle to control their diabetes improve their health, and shares insights about her successes and about the future of medical care for diabetes. Some articles we mention in this episode include: Kathleen M. Brown, et al, for the Pediatric Emergency Care Applied Research Network Diabetic Ketoacidosis FLUID Study Group; Rehydration Rates and Outcomes in Overweight Children With Diabetic Ketoacidosis. Pediatrics December 2023; 152 (6): e2023062004. 10.1542/peds.2023-062004 Kuppermann N, et al. Clinical Trial of Fluid Infusion Rates for Pediatric Diabetic Ketoacidosis. N Engl J Med . 2018;378(24):2275-2287. doi:10.1056/NEJMoa1716816…

Peds-Centered

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PFX Isn't a Four-Letter Word: High-Value Care and Meeting the Quadruple Aim 58:15

vor 47 weeks58:15

58:15

Send us a text In this episode I meet with Dr. Jay Pershad from Children's National Hospital in Washington, DC. Dr. Pershad is an expert in high-value care and shares strategies for improving our quality of care to benefit patients, families, and healthcare providers together. A few studies that he mentions are here below for those who are interested in a deeper dive: Bodenheimer T, Sinsky C. From Triple Aim to Quadruple Aim: Care of the Patient Requires Care of the Provider. Ann Fam Medicine 2014;12(6):573-576. doi: 10.1370/afm.1713 Foster C, et. al. Emergency Care Connect: Extending Pediatric Emergency Care Expertise to General Emergency Departments Through Telemedicine. Academic Pediatrics 2020;20(5):577-584. https://doi.org/10.1016/j.acap.2020.02.028 Paydar-Darien N, et al. Improving Discharge Safety in a Pediatric Emergency Department. Pediatrics 2022;150(5).…

Peds-Centered

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Sentinel Injuries and Reporting Child Abuse 51:22

vor 1 year51:22

51:22

Send us a text April is Child Abuse Awareness Month, so in this episode I am speaking with Dr. Antonia Chiesa, a Child Abuse Medicine Specialist. We discuss sentinel injuries and how to navigate evaluating and reporting these injuries, positive news about the demographics and trends in the US regarding child abuse rates, and the broader conversation about child abuse and child health outside of the acute setting. I would like to add a clarification here regarding a statement I make in this episode - I talk about the low rates of child abuse in Costa Rica, where I live, and the social protective factors here. This is in reference to child physical abuse, but I did not talk about sex trafficking, including minors, which is rampant in Central America and Costa Rica. We will leave that topic for another conversation. For a review of the TEN4-FACES Clinical Decision Rule for Sentinel Bruises, this recent article does a great job breaking down sensitivity, specificity, and predictive values: Validation of a Clinical Decision Rule to Predict Abuse in Young Children Based on Bruising Characteristics…

Peds-Centered

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Hematologic Emergencies 34:37

vor 1 year34:37

34:37

Send us a text In this episode, I meet with Dr. Chinni Pokala to talk about the assessment and management of hematologic disorders in the acute setting. We discuss how to think about kids presenting with signs and symptoms of new hematologic disorders as well as thrombotic and hemorrhagic risks for kids with established heme/onc diagnoses or other chronic medical conditions.…

Peds-Centered

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Pediatric Readiness - Tackling Training, the C-suite, and Everything in Between 47:57

vor 1 year47:57

47:57

Send us a text In this episode, I talk with Dr. Alana Arnold about our experiences with pediatric readiness projects in community and urgent care settings, both as partnering with academic pediatric centers and via private consulting. Below, in order, are the seminal paper regarding pediatric readiness in general emergency departments, its associated assessment tool, the Wall Street Journal article about pediatric readiness referenced in this episode, findings from the ImPACTS project, and contact information for Dr. Arnold. Gausche-Hill M, Ely M, Schmuhl P, et al. A national assessment of pediatric readiness of emergency departments [published correction appears in JAMA Pediatr. 2015 Aug;169(8):791]. JAMA Pediatr . 2015;169(6):527-534. doi:10.1001/jamapediatrics.2015.138 National Emergency Medical Services for Children Pediatric Readiness Assessment and Scoring Resource Document https://www.wsj.com/health/healthcare/hospitals-emergency-rooms-cost-childrens-lives-d6c9fc23?reflink=desktopwebshare_permalink Auerbach MA, Whitfill T, Montgomery E, et al. Factors Associated With Improved Pediatric Resuscitative Care in General Emergency Departments. Pediatrics . 2023;152(2):e2022060790. doi:10.1542/peds.2022-060790 Dr. Alana Arnold: email: Alana@PremierPediatricSolutions.com website: www.linktr.ee/pempal…

Peds-Centered

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Leadership 58:32

vor 1 year58:32

58:32

Send us a text In this episode I meet up with Dr. Dan Park, who is the medical director of the pediatric emergency department at University of North Carolina. We'll be talking about the components of leadership and navigating careers in medicine. We discuss metacognition and cognitive biases, developing our expertise, leadership skills, and resiliency, and how these all interplay. Here is Dan's article about cognitive biases that we discussed during this episode: https://pubmed.ncbi.nlm.nih.gov/24488159/…

Peds-Centered

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Navigating the Fourth Quarter - Career Transitions and Exiting Medicine 1:05:50

vor 2 years1:05:50

1:05:50

Send us a text In this episode, I'm speaking with Drs. Fred Henretig (Penn) and Carl Baum (Yale) about career transitions and exiting medicine. We discuss the current literature surrounding retirement and attrition in medicine, reasons physicians cite for staying vs going, and strategies for handling major career and life transitions. Below is the information for a few of the articles mentioned in this podcast: Henretig F, et. al. PEM Physicians' Perceptions of Colleagues' Clinical Competencies Over Four Age Categories. Pediatrics (2022);149:457. https://publications.aap.org/pediatrics/article/149/1%20Meeting%20Abstracts%20February%202022/457/186078/PEM-Physicians-Perceptions-of-Colleagues-Clinical Pizzo PA. Navigating Transitions and Charting New Paths. JAMA (2017);317(16):1625-6. https://jamanetwork.com/journals/jama/article-abstract/2620092 David Brooks - The New Old Age: https://www.theatlantic.com/culture/archive/2023/08/career-retirement-transition-academic-programs/675085/…

Peds-Centered

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Pediatric Transport Medicine 26:51

vor 2 years26:51

26:51

Send us a text In this episode, I'll be talking with Dr. Matt Harris from Cohen Children's Hospital about medical transport of kids, both in the prehospital and interfacility settings. We will discuss level of skills, training, and equipment available with various teams, factors to consider when choosing transport options, safety and legal concerns, and transport cost. After recording this episode, Dr. Harris and I were discussing the components of the safety checklist his institution uses for transport of kids with behavioral health emergencies. His team does a huddle prior to transfer and answers these questions: Who participates in huddle (referring doc, EMS clinicians, occasionally tele-psych physician). Was a complete report given? Was the patient aware of the intent to transfer (transparency with patients reduces discord) Type of transfer (voluntary, involuntary, etc) Any concerns from the sending physician? Does the patient appear compliant and willing to transfer? Is crew comfortable transporting the patient as presented?…

Peds-Centered

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Acetaminophen and Ibuprofen Overdoses - Strategies for Management in Kids, Teens, and Adults 47:54

vor 2 years47:54

47:54

Send us a text In this episode, I talk with Dr. Sing-Yi Feng, a Pediatric Emergency Medicine physician and Toxicologist, about ingestions of acetaminophen and ibuprofen, and general guidelines for evaluation of ingestions. We discuss important knowledge points for diagnosis, management, and continuation of care for our patients at home, in the inpatient unit, and in the critical care setting. Although Dr. Feng is a pediatrician first, she reviews care for patients of all ages, as ibuprofen and acetaminophen are among the most common ingestions of people at any age.…

Peds-Centered

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Sticks and Stones...and Banana Leaves? - Tips and Tricks for Fracture Management in Kids 38:10

vor 2 years38:10

38:10

Send us a text In this episode I chat with Dr. Chris Amato about pediatric fractures - management of pain, when to call Orthopedics, and practical tips on splinting and immobilization strategies. Side note: I mention in this that a femur fracture will heal if you get the two ends "in the same room together" - I should clarify, "in the same room together AND in a spica cast." Cast those femur fractures, people!…

Peds-Centered

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Kidney Stones and Pyelonephritis- Not Just for the Grownups Anymore 45:03

vor 2 years45:03

45:03

Send us a text In this episode I talk with Dr. David Sas, a Pediatric Nephrologist from the Mayo Clinic, about kids and kidney stones, with a discussion of stone diagnosis, management, and complications. We also discuss pyelonephritis, dysfunctional voiding, and long-term management and recurrence prevention after the initial diagnosis of all of these issues. Spoiler alert: Dr. Sas mentions briefly in this episode the work he has done to develop a CURE for a rare genetic cause of renal stones, and his team at Mayo has a special interest in the evaluation of kids with kidney stones for genetic and underlying causes that can be managed to prevent future stones and kidney injury. If you have a patient with renal stones who needs assessment, I have listed his contact information and department website here: https://www.mayoclinic.org/departments-centers/pediatric-nephrology-clinic Sas.David@Mayo.edu…

Peds-Centered

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Teens and STIs 37:37

vor 2 years37:37

37:37

Send us a text In this episode I speak with Dr. Deb Kahal, Medical Director of the Holloway Community Program in Delaware, which provides testing and treatment for HIV, AIDS, and Hep C, and with Dr. Steve Eppes, Pediatric Infectious Disease Physician. We'll be reviewing the epidemiology of adolescent STIs, screening recommendations, treatment, and why it's important for us non-PCPs to address adolescent STIs. Here is the link for the USPSTF (US Preventive Services Task Force) Infectious Disease Screening Recommendations: uspreventiveservicestaskforce.org . These are the summary statements and are pretty detailed if you like in-depth reviews of the literature behind the decision making. For a quicker reference table, the CDC has a table of screening guidelines: https://www.cdc.gov/std/treatment-guidelines/screening-recommendations.htm…

Peds-Centered

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Button Batteries and Kids 23:59

vor 2 years23:59

23:59

Send us a text In this episode, I'll be reviewing button battery ingestions and superficial/mucosal injuries, including risk factors, pathophysiology, and management of known and suspected ingestions. Below is the link I mentioned to a time-lapse video modeling a button battery's effects on tissue, made by Dr. Robert Kramer who is a pediatric gastroenterologist. It's pretty impressive to watch! https://youtu.be/-wI_Vl3LH78…

Peds-Centered

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Toxidromes 43:42

vor 2 years43:42

43:42

Send us a text In this episode I'll be speaking with Carl Baum, a Pediatric Toxicologist and Emergency Medicine Physician from Yale School of Medicine about common pediatric toxidromes. We'll also cover assessment and management of the obtunded child, polysubstance ingestion, and some interesting toxicology tidbits.…

Peds-Centered

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Pediatric Anaphylaxis Care 35:22

vor 2 years35:22

35:22

Send us a text In this episode, I'll review pediatric anaphylaxis, including diagnosis, management best practice, and aftercare for kids treated in the acute care setting.

Peds-Centered

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Pediatric Neurologic Emergencies 47:56

vor 2 years47:56

47:56

Send us a text In this episode, I'll be chatting with Pediatric Neurologists Drs. Richard Fischer and Mitra Assadi-Khansari about common neurologic emergencies in kids. We will focus on seizure evaluation and management (febrile, epileptic, and non-epileptiform) as well as a review of pediatric migraine headache. For further reading about pediatric headache, the American Headache Society website provides practice guidelines summarizing literature on a variety of headache syndromes: https://americanheadachesociety.org/news/?tag=pediatric-headache…

Peds-Centered

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Bronchiolitis Care - What Works and What Doesn't 31:26

vor 2 years31:26

31:26

Send us a text In this episode, I'll be reviewing best practice recommendations for bronchiolitis management, and evidence behind the advice for and against some of the most popular treatment options.

Peds-Centered

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Pediatric Behavioral Health Emergencies 26:30

vor 2 years26:30

26:30

Send us a text In this episode, I talk with Jennifer Calahan and Jennifer Valdez, two behavioral health experts, about the process for evaluating behavioral health emergencies, with general tips on medical screening and assessment as well as specific requirements for Delaware and neighboring states, and for the ChristianaCare hospital system. Links to the assessment tools described today are: https://cssrs.columbia.edu/ - Columbia Suicide Severity Rating Scale https://www.nimh.nih.gov/research/research-conducted-at-nimh/asq-toolkit-materials - ASQ Screener (Ask Suicide-Screening Questions) by the NIH…

Peds-Centered

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Steroids in Pediatric Respiratory Illness 27:56

vor 2 years27:56

27:56

Send us a text In this episode, I talk with Jenn Empfield, a pediatric emergency medicine pharmacist, about the use of steroids in croup, asthma, chronic lung disease exacerbations, and (not) bronchiolitis. We review literature and AAP recommendations regarding best medication choices, dosing, frequency, and cost/benefits of different regimens. If you're interested in reading further about these topics, click the links below for some of the literature reviewed in this session. AAP Clinical Practice Guideline: The Diagnosis, Management, and Prevention of Bronchiolitis (free full text) Single-Dose Dexamethasone is Not Inferior to 2 Doses in Mild to Moderate Pediatric Asthma Exacerbations in the Emergency Department PMID: 35507383 DOI: 10.1097/PEC.0000000000002727 Two regimens of dexamethasone versus prednisolone for acute exacerbations in asthmatic Egyptian children (free full text)…

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