The Cribsiders

Dive into hemophilia with three-peat guest Dr. Weyand, the Shematologist! In this episode, we break down the basics of hemophilia A and B, from inheritance and pathophysiology to the latest advancements in diagnosis and treatment. Factor in these practical tips for managing acute bleeding, counseling families, and navigating the complexities of prophylaxis—all while keeping kids safe and active. The pearls just kept flowing and flowing!

In this episode of The Cribsiders, we explore the world of Highly Sensitive Children with expert guest Dr. Caylin Riley, a pediatrician and newborn hospitalist. Dr. Riley breaks down what it means to be a highly sensitive child and offers practical strategies for supporting these kids at home and in clinical settings. We discuss how sensitivity can be a strength, how to recognize and respond to signs of overwhelm, and how to foster resilience. Tune in for a compassionate and insightful conversation that will leave you better equipped to care for the sensitive souls in your life.

Firearm Injuries have a significant impact on the wellbeing of our pediatric population, especially after the COVID-19 pandemic. Come and join us with our guest, Dr. Noé Romo for an insightful conversation regarding firearm safety in the inpatient and outpatient setting. In this episode, you will learn how to provide non-judgemental and seamless anticipatory guidance in well-child visits. In addition, you will gain insight in hospital based violence intervention programs and the multidisciplinary approach required in the primary prevention of firearm injuries.

Brace yourself! This week, we're learning about cerebral palsy from Dr. Matthew MacCarthy, who is both a pediatric physical medicine and rehabilitation (PM&R) specialist at Prisma Health in South Carolina AND a person with cerebral palsy. We're talking NICU, Botox, and puberty, so get ready to stretch your knowledge with a thoughtful approach to CP diagnosis and management.

Join us for part 2 of our informative discussion with Dr. David Vitale, a pediatric pancreatologist at Cincinnati Children's Hospital. In this episode, we dive deep into acute recurrent and chronic pancreatitis, distinguishing the two, and exploring the causes, genetic predispositions, and available treatments. Whether you're a budding pancreatologist or a PCP, this episode offers valuable insights into managing and treating this challenging condition.

Do you develop acute belly pain when you think about pancreatitis? Grab your antiemetics and analgesics and stave off the belly pain for this inflammatory discussion! In this episode, we sit down with our expert pancreatologist, Dr. David Vitale, to discuss all things acute pediatric pancreatitis. He takes us through the causes, pathophysiology and treatment, as well as what the generalist should look out for. 

Join us to learn from our expert guest Rebecca MacDonell-Yilmaz about the difference between palliative care and hospice, how to talk about death and dying, and what services home hospice can provide. Dr. MacDonell-Yilmaz is a pediatric palliative care attending and the director of a pediatric home hospice team.

Grab a cafe au lait and settle in for a nerve-rackingly good conversation with Dr. Carlos Prada, Pediatric Genetics specialist at Northwestern University's Lurie Children's Hospital. Dr. Prada walks us through the most common presentations of NF1, the recently updated diagnostic criteria, and important follow-up screening exams and treatment options. It's an episode so good, even your nerves will be on edge!

Are you missing cases of measles, mumps, rubella, or varicella in your clinical practice without even knowing it? With declining vaccine rates, it is more important than ever to spot vaccine-preventable illnesses, diseases you may have only ever seen on board questions! Dr. Walter Dehority, a pediatric infectious disease physician at the Monroe Carell Jr. Children's Hospital at Vanderbilt and an expert in vaccines, walks us through need-to-know pearls about the MMR-V suite, including how to spot measles before your colleagues do and which complications should make you think mumps, even without the stereotypical swelling.

In this episode of The Cribsiders, we dive into the fascinating world of artificial intelligence (AI), large language models (LLM's), and its implications for pediatric medicine. Our informatics expert and pediatric hospitalist, Dr. Tristan Nichols, discusses the current applications of AI in clinical practice on the ward, ethical considerations, and what the future may hold as AI continues to expand. Tune in to learn how AI is shaping the way we diagnose, treat, and care for our youngest patients.

Join us for an insightful conversation with board-certified allergist Dr. Jessica MacDougall (OHSU). In this episode, we dive deep into the world of seasonal, food, and drug allergies. Learn when you can diagnose and treat seasonal allergies, which foods to introduce early, and how to manage the common but confusing amoxicillin rash. Plus, discover key takeaways like why intranasal treatments are the first line for seasonal allergies and why Epinephrine Autoinjector two-packs should always stay together.

Is there a large cleft in your knowledge of craniofacial anomalies? Dr. Matthew Blessing (Seattle Children's) joins us to break down this common condition, treatment strategies, and palate-able pearls for the PCP. 

It's Fables from the Cribside! (FFTC), our series providing a rapid review of recent Cribsiders episodes for your spaced learning. Today, we're taking a look back at three of our prior episodes with a focus on pediatric endocrine disorders - #56 Puberty, #70 Short Stature, and #78 Hypothyroidism.

Dr. Colleen Brennan, academic neonatologist at Washington University and director of neonatal outreach, walks us through the first few hours of a baby's life when things don't go as planned! She covers critical topics like recognizing respiratory distress and apnea in a neonate, practical tips for corrective steps in newborn resuscitation, how low is too low in neonatal blood glucose, and when to think about etiologies outside of normal transitional physiology!

Don't let sepsis leave you feeling septic! Tune in to our next PedsCrit Podcast collaboration episode with Dr. Chris Horvat (Pittsburgh) as we diagnose the mysteries of pediatric sepsis, decode the Phoenix criteria, and treat you to a bundle of insights

Don't let sepsis leave you feeling septic! Tune in to our next PedsCrit Podcast collaboration episode with Dr. Chris Horvat (Pittsburgh) as we diagnose the mysteries of pediatric sepsis, decode the Phoenix criteria, and treat you to a bundle of insights.

Does thinking about myocarditis make your chest hurt? In this episode, we have a fantastic heart-to-heart with Dr. Jessica Laks (Heart Failure and Transplant at Johns Hopkins All Children's Hospital). Together, we dive into the complexities of myocarditis - how to recognize the signs, how to triage patients, and what tests to order. Sit back, relax, and keep an open heart as she drops the heart facts about myocarditis.

Every week, the equivalent of a high-school classroom's worth of students (an average of 22 adolescents) dies of drug overdoses in the United States. Join us and expert guest Dr. Scott Hadland (Mass General for Children, Harvard Medical School) as we explore Opioid Use Disorder, a rapidly evolving disease affecting our youth. Dr. Hadland provides a big picture understanding of this complex problem but also gives practical day to day tools for tackling OUD in teens. Come and be surprised by how much better you can navigate opioid use among teens. 

Taking care of patients with Down Syndrome requires a careful and multidisciplinary approach. Come and join us with our wonderful guest, Dr. Hannah Keppler, as we go over everything you need to know about managing patients with Down Syndrome in a primary care setting. In this episode, we go over what to look out for during an initial newborn evaluation of a baby with Trisomy 21, the important screening tests and specialist care involved, and why we don't get routine screening X-rays for atlantoaxial instability.

Crossover Round 2! The Cribsiders reunite Pediatrics On Call hosts, Dr. David Hill and Dr. Joanna Parga-Belinkie, to recap the AAP 2024 conference plenaries. Join us as we discuss pediatricians as heroes, the importance of early literacy, how to approach social media and youth mental health, congenital syphilis, and health policies. 

Get ready for an influx of practice-changing pearls as the Cribsiders team shares what we learned at the AAP 2024 conference in Orlando, FL. Learn how to diagnose and manage GERD, common gynecologic disorders, murmurs, and hypertriglyceridemia. Find out what's new in the newborn nursery and how to counsel on marijuana use. 

Does the thought of Postural Orthostatic Tachycardia Syndrome make your heart race? Dr. Kelsey Klaas (Adolescent Medicine at Mayo Clinic) teaches us how to walk with patients and families through a POTS diagnosis. We master the art of orthostatic vitals, learn about the importance of teamwork in POTS management strategies, and touch on the stigma around this diagnosis. This episode is packed with practical tips and expert advice - you won't want to skip a beat!

Join us for our latest episode - a conversation on newborn care essentials that can sometimes become a tricky topic: the hepatitis B vaccine and vitamin K injection. With the expertise of Dr. Ha Nguyen, we'll explore why these tiny treatments pack a big punch, and how you can ease parental fears with facts. We'll break down the concerns so you can build up confidence in your conversations with new parents.

Join this fantastic conversation with Dr. Julie Leonard (Nationwide Children's) and Dr. Dan Corwin (CHOP) about the management of pediatric cervical spine injuries. This duo teaches us about the new PECARN clinical decision rule for cervical spine injuries as well as key pearls on physical exam and imaging in pediatric patients with blunt trauma.

Join us for a fantastic conversation with an expert in the field of neuromuscular disorders, Dr. Kevin Flanigan. Dr. Flanigan is the director of the Center for Gene Therapy at Nationwide Children's Hospitals, which developed the first FDA-approved gene therapy to treat Duchenne Muscular Dystrophy. He teaches us when to include muscular dystrophy in the differential, how BiPAP extends the lives of patients with Duchenne, and what the latest gene replacement therapies have to offer. 

Join us and expert guest Dr. IJ Anosike (The Children's Hospital at Montefiore) to dissect the complexities of diagnosing and managing Epstein-Barr virus!  From sneaky symptoms to tricky tests, Dr. Anosike provides insight on identifying and tackling this troublesome virus. Don't miss this infectiously enlightening episode!

PART 2. In our last episode, we discussed hyperkalemia management in an otherwise renally healthy patient. But what if your patient has chronic kidney disease? Are they okay if their potassium has been 5.9 for a long time? How does our management change? Nephrologist Dr. Jordan Symons returns to offer his advice on outpatient and inpatient management of acute-on-chronic hyperkalemia.

We've all been there - you're woken up by a critical page and a bright red potassium number blares at you from the computer screen. How do you make sense of the number? What does it mean for a potassium to be hemolyzed? And what are the steps to treating it? Dr. Jordan Symons (Seattle), walks us through all this and more as we learn all about hyperkalemia.

In this episode, pediatric nephrologist Dr. Myda Khalid (Indiana) teaches us about hemolytic uremic syndrome.  Join us as we learn about the clinical manifestations of HUS, different methods for stool testing, and the role of interventions including fluids, transfusions, and renal replacement therapy.

Recap and review the top pearls from episodes #1 (AND #100) Cystic Fibrosis, #11 Pneumonia, and #104 Obstructive Sleep Apnea with a few members of our production team! It's Fables from the Cribside! (FFTC), our series providing a rapid review of recent Cribsiders episodes for your spaced learning.

A cerebral sinus venous thrombosis (CSVT) is a blood clot in the venous system of the brain that can result in headache, emesis, double vision, and even coma. Listen to this episode to hear more from Dr. Lauren Beslow about the key risk factors for CSVT, important findings on physical exam that suggest CSVT, and the best imaging to diagnose a CSVT in your patient!

Grab your goggles and U.S. Coast Guard approved life jacket as we plunge deep into another great episode! Our special guest, Dr. Mercedes Blackstone, a pediatric emergency medicine physician, makes a SPLASH in this episode on water safety, prevention of drowning, and management of the child who drowned. We learn who's at risk for drowning, what happens when children drown, and DIVE into the management of children who drown. With all of these great pearls, you're sure to not FLOP.

U-r-ine for another urine episode, this time on proteinuria! We join the Kidney Chronicles Podcast, hosted by Drs. Emily Zangla and Annie Kouri, to discuss all scenarios proteinuria. They teach us about proteinuria in CKD, proteinuria in UTI, nephrotic range proteinuria, and why we should be ordering the urine protein to creatinine ratio!

Respiratory failure is one of the scariest presentations in the clinic, ED, and hospital. How do you generate a differential and plan for the child who cannot breath? Pulmonologists Dr. Powell and Dr. Wyatt describe how we can use our physical exam and an anatomic approach as a framework for diagnosis and initial management of respiratory failure in children. Next time you find yourself staring at the pulse ox reading 85% and hoping for it to change, take a peek at this schema.

Grab your Metformin and settle in for a sweet conversation as we chat with Dr. Nancy Crimmins, Pediatric Endocrinologist at Cincinnati Children's Hospital. Dr. Crimmins tells us about when to screen for type 2 diabetes, how to diagnose and our go-to treatment options. She won't sugarcoat it!

All is not frost, we're back to talk through the Hypothermic Infant with Dr. Sriram Ramgopal (Pediatric Emergency Medicine, Lurie Children's Hospital). How do we know if the baby is septic or is just two blankets short of euthermia? Dr. Ramgopal walks us through the latest research, a differential diagnosis, who needs an infectious workup,  and how much more we have to learn!

Eating disorders are among the most challenging and consequential mental health diagnoses in pediatric medicine. Join us and Dr. Abigail Donaldson, Medical Director of the Eating Disorders Program at Hasbro Children's Hospital, as we tackle the complexities of anorexia nervosa and other restrictive eating disorders from a clinical perspective. Tune in as we explore assessment tools, therapeutic approaches, and collaborative strategies for managing these challenging disorders in practice.

Extinguish any fears you have about pediatric burns with our great guest, Dr. Tam Pham. Dr. Pham is a board-certified surgeon and Director of the University of Washington Medicine Regional Burn Center and a Professor of surgery at UW. In our episode we cover: burn classification and triage, first aid of burns, and care for burns in different clinical settings.

Unlock prescriptions for parenting success in this episode as we delve into tips to address behavior concerns! Join us and expert guest Dr. Nakiya Showell (@NShowell) as we discuss unique challenges and opportunities for addressing everything from the 'terrible twos' to teenage tumult. Tune in to learn parenting pearls tailored for the pediatric provider!

Would you like to be a part of The Cribsiders? We'd love to have you! As we're expanding, we're looking to add to our production team. If you're interested, please write to us at thecribsiders@gmail.com with a paragraph detailing why you would like to be on the show and a pilot script. The script should be a clinical vignette with approximately 10 questions to help take our expert on a deep dive through a core pediatric topic.  Looking forward to hearing from you, The Cribsiders

Recap and review the top pearls from episodes #66 Constipation, #75 Reflux, & #89 Celiac with a few members of our production team! It's Fables from the Cribside! (FFTC), our series providing a rapid review of recent Cribsiders episodes for your spaced learning.

You won't want to sleep through this eye opening review of Pediatric Obstructive Sleep Apnea with our guest, Dr. Ignacio Tapia. He is the Chief of the Division of Pediatric Pulmonology and Batchelor professor of Cystic Fibrosis and Pediatric Pulmonology at the University of Miami.He is board certified in General Pediatrics, Pediatric Pulmonology and Sleep Medicine. His main research interests are the pathophysiology of the Obstructive Sleep Apnea Syndrome (OSAS) in children, clinical trials focusing on treatment of OSAS in children, health disparities in pediatric sleep, and the consequences of OSAS in individuals with Down syndrome. He teaches us about risk factors, screening, diagnosis, and treatment of pediatric OSA. 

Dr. Buddy Creech of  Vanderbilt teaches us the core signs and symptoms of tick-borne illnesses, the importance of geographic variation in making a diagnosis, why doxycycline is the drug of choice for treatment, and not just what but also why we see lab abnormalities in Ehrlichiosis.

The Curbsiders and Cribsiders are back with a very special Med-Peds collaboration on RSV immunizations! Dr. Buddy Creech, Pediatric Infectious Disease at Vanderbilt, walks us through these breakthrough “vaccines" for both adults and kids. He teaches us about their mechanisms of action, eligibility criteria, and why it's been so challenging to find doses this season. Get ready for your next shot of fun!

Join us on this eye-opening episode as we explore the predicament of pediatric health in the face of a changing climate. From global changes to the impacts on tiny bodies, we'll delve into the health effects of climate change and opportunities to mitigate its impact. Get ready for a 'temperature checkup' on our planet and discover how we can create a healthier, greener future for the next generation.

Check out this milestone episode as we return to Cystic Fibrosis from a more pediatric perspective! Don't sweat it as Dr. Ina St. Onge returns to walk us through newborn screening,  early clinic visits, and the nuances of CFTR modulator therapy. 

Get ready for a Nap-tastic episode that will feed your parenting knowledge and potty humor! Join us and expert guest Dr. Tanya Altmann (@DrTanyaAltmann) as we unravel the secrets of infant sleep, tackle the picky eating habits of little ones, and flush out the best tips for stress-free potty training. It's a diaper-changing experience you won't want to miss!

Rapid heart rate at a rapid response? Not to worry, this collaboration with PedsCrit will give you the confidence you need to take step right in. Join Dr. Nada Mallick as she takes us through Part 2 of our Rapid Response Series, highlighting calls for tachycardia in high risk patients!

Rapid heart rate at a rapid response? Not to worry, this collaboration with PedsCrit will give you the confidence you need to take step right in. Join Dr. Nada Mallick as she takes us through Part 1 of our Rapid Response Series, highlighting calls for both respiratory distress and hypotension!

Renowned pediatric nephrologist, Michelle Starr, returns to the podcast to help unravel and simplify the approach to pediatric hyponatremia, providing valuable insights into diagnosis and treatment strategies. Tune in to elevate your salt game to the next level!

Don't “break out” from the stress of treating acne! In this episode, pediatric dermatologist Dr. Brandi Kenner-Bell teaches us about the age distribution of acne,  practical lifestyle tips to give patients, and how to step up therapy like a pro.