Podcasts about pediatric sepsis

Reference: Sanchez-Pinto, L.N., et al. Development and Validation of the Phoenix Criteria for Pediatric Sepsis and Septic Shock. JAMA 2024​​. Guest Skeptic: Prof. Damian Roland is a Consultant at the University of Leicester NHS Trust and Honorary Professor for the University of Leicester's SAPPHIRE group. He specializes in Paediatric Emergency Medicine and is a passionate […] The post SGEM #463: Like the Legend of the Phoenix… Criteria for Sepsis first appeared on The Skeptics Guide to Emergency Medicine.

Session 7 ‘Closing the Needs in Pediatric Sepsis' from the 2024 WSC Spotlight. Featuring Luregn Schlapbach, Daniela de Souza, Matthew Wiens, Jhuma Sankar, Emilie Calvello-Hynes, Sally Ellis, and Brenda Morrow as your moderator.

In this World Shared Practice Forum Podcast, authors of the newly released publication, International Consensus Criteria for Pediatric Sepsis and Septic Shock, review their research and findings for treating and caring for children with sepsis and septic shock. They discuss how using the novel Phoenix Sepsis Score guided the development of this new globally applicable research model. LEARNING OBJECTIVES Upon listening to this presentation, learners will be able to: - Describe the goals and development of the new Phoenix Sepsis Score - Discuss how clinicians can apply the score in clinical practice and for research endeavors - Explain the challenges and limitations of using the Phoenix Sepsis score in lower-resource settings AUTHORS Luregn Schlapbach, MD, PhD, Prof, FCICM Head, Department of Intensive Care and Neonatology University Children's Hospital in Zurich, Switzerland Scott Watson, MD, MPH Professor of Pediatrics University of Washington School of Medicine Associate Division Chief Division of Pediatric Critical Care Medicine Seattle Children's Hospital Claudio Flauzino de Oliveira, MD, PhD Researcher Latin American Sepsis Institute Halden Scott, MD, MSCS Director of Research Section of Pediatric Emergency Medicine University of Colorado School of Medicine Children's Hospital Colorado Tellen Bennett, MD, MS Professor of Biomedical Informatics and Pediatrics Vice Chair of Clinical Informatics Department of Biomedical Informatics University of Colorado School of Medicine Attending Physician Pediatric Intensive Care Unit Children's Hospital Colorado Traci Wolbrink, MD, MPH Senior Associate in Critical Care Medicine; Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital Associate Professor of Anesthesia Harvard Medical School DATES Initial publication date: March 26, 2024. ARTICLES REFERENCED Development and Validation of the Phoenix Criteria for Pediatric Sepsis and Septic Shock https://jamanetwork.com/journals/jama/fullarticle/2814296 Global Study of Disease https://pubmed.ncbi.nlm.nih.gov/31954465/ Sepsis-3 https://jamanetwork.com/journals/jama/fullarticle/2492881 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 Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Schlapbach LJ, Bennett TD, de Oliveira CF, Scott HF, Watson RS, O'Hara JE, Wolbrink TA. New Phoenix Pediatric Sepsis Criteria. 03/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/new-phoenix-pediatric-sepsis-criteria.

If you practice in emergency medicine you probably live on the look out for sepsis.  You likely follow the 2016 Sepsis-3 guidelines for adults which really was a paradigm shift from an infection-associated SIRS, to infection-associated organ dysfunction with the SOFA score or sequential organ failure assessment score of at least 2 points in patients with suspected infection. However, the definition of sepsis in kids was not updated at that time in part because SOFA was not studied in children. That means that our current pediatric guidelines are from 2005! Good news though! The Phoenix sepsis criteria for sepsis and septic shock in children were derived and validated by the international SCCM Pediatric Sepsis Definition Task Force and we interviewed two of the task force members to help us operationalize it on our podcast. Connect with us on social media @empulsepodcast or at ucdavisem.com Host: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Guests: Dr. Halden Scott, Associate Professor of pediatrics a the university of Colorado and pediatric emergency physician at the children's hospital Colorado Dr. Fran Balamuth, Associate professor of pediatrics at Perlman school of medicine at the university of Pennsylvania, attending physician in the ED at CHOP, co-director of the pediatric sepsis program at CHOP Resources: The Phoenix sepsis criteria for sepsis and septic shock in children. Schlapbach LJ, Watson RS, Sorce LR, Argent AC, Menon K, Hall MW, Akech S, Albers DJ, Alpern ER, Balamuth F, Bembea M, Biban P, Carrol ED, Chiotos K, Chisti MJ, DeWitt PE, Evans I, Flauzino de Oliveira C, Horvat CM, Inwald D, Ishimine P, Jaramillo-Bustamante JC, Levin M, Lodha R, Martin B, Nadel S, Nakagawa S, Peters MJ, Randolph AG, Ranjit S, Rebull MN, Russell S, Scott HF, de Souza DC, Tissieres P, Weiss SL, Wiens MO, Wynn JL, Kissoon N, Zimmerman JJ, Sanchez-Pinto LN, Bennett TD; Society of Critical Care Medicine Pediatric Sepsis Definition Task Force. International Consensus Criteria for Pediatric Sepsis and Septic Shock. JAMA. 2024 Feb 27;331(8):665-674. doi: 10.1001/jama.2024.0179. PMID: 38245889; PMCID: PMC10900966. ***** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

JAMA Associate Editor Romain Pirracchio, MD, MPH, discusses context and implications of the new pediatric sepsis criteria with authors Hallie Prescott, MD, MSc, of the University of Michigan and Ann Arbor VA Hospital, and Roberto Jabornisky, MD, of Northeastern National Medical School in Argentina. Related Content: Context and Implications of the New Pediatric Sepsis Criteria Transitioning From SIRS to Phoenix With the Updated Pediatric Sepsis Criteria—The Difficult Task of Simplifying the Complex

Editor's Summary by Kristin Walter, MD, MS, Deputy Editor of JAMA, the Journal of the American Medical Association, for the February 27, 2024, issue. Related Content: Audio Highlights

Learning Objectives:By the end of this podcast, listeners should be able to discuss:The limitations of prior definitions of pediatric sepsis and the rationale for creating the Phoenix Sepsis Criteria.The methods and key outcomes used for deriving the Phoenix Sepsis Criteria.How to diagnose sepsis using the Phoenix Sepsis Criteria. General limitations of the Phoenix Sepsis Criteria.Next steps in implementing the Phoenix Sepsis Criteria and the direction it provides for future research.About our Guest: L. Nelson Sanchez-Pinto, MD, is a Pediatric intensivist at Lurie Children's Hospital of Chicago, where he is also an Associate Professor of Pediatrics at Northwestern University Feinberg School of Medicine. Dr. Sanchez-Pinto co-led an international group of researchers in the Society of Critical Care Medicine Pediatric Sepsis Definition Task Force for the Development and Validation of the new Phoenix Criteria for Pediatric Sepsis and Septic Shock that was featured at the recent 2024 SCCM conference. Support the showSupport the show

Learning Objectives:By the end of this podcast, listeners should be able to discuss:The limitations of prior definitions of pediatric sepsis and the rationale for creating the Phoenix Sepsis Criteria.The methods and key outcomes used for deriving the Phoenix Sepsis Criteria.How to diagnose sepsis using the Phoenix Sepsis Criteria. General limitations of the Phoenix Sepsis Criteria.Next steps in implementing the Phoenix Sepsis Criteria and the direction it provides for future research.About our Guest: L. Nelson Sanchez-Pinto, MD, is a Pediatric intensivist at Lurie Children's Hospital of Chicago, where he is also an Associate Professor of Pediatrics at Northwestern University Feinberg School of Medicine. Dr. Sanchez-Pinto co-led an international group of researchers in the Society of Critical Care Medicine Pediatric Sepsis Definition Task Force for the Development and Validation of the new Phoenix Criteria for Pediatric Sepsis and Septic Shock that was featured at the recent 2024 SCCM conference. Support the show

La Sociedad de Medicina de Cuidado Crítico (Society for Critical Care Medicine, o SCCM) publicó en la revista JAMA la actualización a la definición de sepsis pediátrica en pacientes menores de 18 años. La revisión del 2016 que dio paso a la 3era definición por consenso solo aplicó a pacientes adultos. En este otro episodio del ECCpodcast discuto la definición de sepsis en pacientes adultos. Como especie, nuestra fisiología no ha evolucionado. Lo que ha evolucionado es nuestro entendimiento de la condición y por ende la forma en que definimos qué es sepsis. Definición Sepsis 3.0 del 2016 Sepsis no es solamente una infección severa. Sepsis es fallo orgánico asociado a una infección, debido a una respuesta anormal del cuerpo a la infección. Para definir el fallo orgánico, se utilizó la puntuación SOFA (Sequential Organ Failure Assessment) (también llamado Sepsis-Related Organ Failure Assessment y Systemic Organ Failure Assessment). Shock séptico fue definido como un paciente con que requiere vasopresores para mantener una presión arterial media de 65 mmHg y lactato mayor de 2 mmol/L. Debido a que la definición incluye números que aplican solamente a adultos, es necesario definirlos en el contexto de pacientes pediátricos. Debido a que la definición de Sepsis 3.0 aplica solamente a los pacientes adultos, la definición operante de sepsis pedíátrica incluía (hasta ahora) los criterios del síndrome de respuesta inflamatoria sistémica (SIRS por sus siglas en inglés). Ya sabemos, de la definición de Sepsis 3.0, que los criterios de SIRS tienen serias limitaciones a la hora de definir sepsis. No significa que no sea útiles como signos de alerta de que un paciente pudiera requerir atención médica de emergencia, pero no necesariamente están asociados a resultados adversos en pacientes pediátricos. Por lo tanto, desde que se publicó la definición de Sepsis 3.0 en el 2016 estamos esperando la definición de sepsis pediátrica. Poder hacer esto requiere el mismo rigor científico que para la contraparte adulta, pero al fin se completó y aquí lo tenemos. Conceptualmente hablando, sepsis en adultos y pediátricos es muy parecido. De hecho, desde el 2016, muchos estamos usando el fallo orgánico en el marco de referirnos a alguien con sepsis indistintamente de la edad. La razón es simple: el concepto de sepsis es que sepsis no es solamente la respuesta normal a una infección, sino una respuesta anormal que está causando una amenaza a la vida. El hecho de que el paciente tenga un fallo orgánico distal al punto de la infección original refleja la naturaleza sistémica del proceso que lleva a la sepsis. ¿Los niños son adultos pequeños? Obviamente hay diferencias entre los adultos y pediátricos: Signos vitales normales varían según la edad. Sistema inmune varía según la edad Comorbilidades son diferentes Así es que cuando se define la condición en pacientes pediátricos hay que utilizar números diferentes. Los números de la puntuación SOFA no aplican a los pediátricos. By Dr. Julio Javier Gamazo del RioServicio de Urgencias. Hospital Universitario de GaldakaoDr. Jesús Álvarez ManzanaresServicio de Urgencias. Hospital Universitario Río HortegaDr. Juan González del CastilloServicio de Urgencias. Hospital Universitario Clínico San Carlos - http://semes.org/sites/default/files/archivos/Los-Nuevos-Criterios-De-Sepsis.pdf, CC BY-SA 4.0, https://commons.wikimedia.org/w/index.php?curid=54877568 Puntuación de Sepsis Pediátrica de Phoenix En pacientes con infección, se define sepsis pediátrica cuando el paciente pediátrico tiene al menos 2 puntos en la Escala de Sepsis Pediátrica de Phoenix, que consiste en un agregado de fallo cardiovascular, respiratorio, neurológico y de coagulación. Es importante señalar que esta escala sirve en pacientes con una infección sospechada o confirmada. No es una escala que se puede utilizar en otro contexto que no sea la evaluación de un paciente pediátrico con infección. JAMA. Published online  January 21, 2024. doi:10.1001/jama.2024.0179 Aplica a pacientes de 18 años o menos, pero no aplica a recién nacidos, o neonatos que hayan nacido menores de 37 semanas de gestación. Toda recomendación hecha en base a evidencia obtenida de pacientes adultos tiene que ser investigada en una población pediátrica antes de concluir que es aplicable. Shock séptico = sepsis + disfunción cardiovascular La disfunción cardiovascular se puede medir funcionalmente como un paciente con al menos 1 punto en los criterios cardiovasculares. Es decir, un paciente pediátrico que tenga criterios de sepsis (2 puntos o más en la Escala de Sepsis Pediátrica) de los cuales al menos 1 punto provenga de los criterios cardiovasculares: Hipotensión severa para la edad Lactato > 5 mmol/L Uso de medicamentos vasoactivos Poniéndolo todo junto JAMA. Published online  January 21, 2024. doi:10.1001/jama.2024.0179 Generalizabilidad El artículo de la nueva definición detalla la sensibilidad de la nueva definición en contextos de altos recursos versus bajos recursos. Es decir, la nueva definición de sepsis pediátrica es más fácil de medir en lugares de bajos recursos en comparación a la puntuación SOFA para adultos. La Puntuación de Sepsis de Phoenix incluye criterios como la disfunción de la coagulación que pudieran no estar disponibles fácilmente en escenarios de bajos recursos, pero los autores concluyen que existe suficiente redundancia con los demás criterios para mantener una sensibilidad adecuada. La Escala de Sepsis Pediátrica de Phoenix utiliza evalúa solamente 4 órganos. Sin embargo, existe otra variante que es la Escala Phoenix-8 que evalúa otros órganos. Estas evaluaciones adicionales pudieran no estar disponibles en lugares de bajos recursos, pero no deja de ser criterios adicionales a considerar al evaluar pacientes que requieran algún apoyo multisistémico. Para más información sobre la validación de los Criterios de Sepsis Pediátrica de Phoenix, vea este otro artículo publicado simultáneamente a la nueva definición. Limitación La Puntuación de Sepsis Pediátrica de Phoenix es una forma de definir que el paciente ya tiene sepsis. No es una herramienta para identificar el paciente en riesgo de desarrollar sepsis. Entonces, es importante recordar que solamente porque un paciente NO cumpla con los criterios de la Puntuación de Sepsis de Phoenix no significa que no requiere atención agresiva a la infección. Referencias Sanchez-Pinto LN, Bennett TD, DeWitt PE, et al. Development and Validation of the Phoenix Criteria for Pediatric Sepsis and Septic Shock. JAMA. Published online January 21, 2024. doi:10.1001/jama.2024.0196 Schlapbach LJ, Watson RS, Sorce LR, et al. International Consensus Criteria for Pediatric Sepsis and Septic Shock. JAMA. Published online January 21, 2024. doi:10.1001/jama.2024.0179

Illness severity scores are commonly used for mortality prediction and risk stratification in pediatric critical care research. However, as mortality has steadily declined in the pediatric intensive care unit there has been increasing attention given to evaluating non-mortality outcomes in survivors. In this episode we meet Early Career Investigator Elizabeth Killien from Seattle Children's Hospital. In order to evaluate the ability of two commonly used illness severity scores to predict morbidity outcomes, she performed a secondary analysis of the Life After Pediatric Sepsis Evaluation (LAPSE) multicenter longitudinal cohort study of functional and health-related quality of life outcomes among survivors of septic shock.Read the full article here: Predicting functional and quality-of-life outcomes following pediatric sepsis: performance of PRISM-III and PELOD-2 | Pediatric Research (nature.com) Hosted on Acast. See acast.com/privacy for more information.

Not many things are scarier than a sick child... In the Spirit of Halloween let's cover Pediatric Sepsis- the tricks of the trade and how to not miss infections, as well as what to know for the test. Want to experience the greatest in board studying? Check out our interactive question bank podcast- the FIRST of its kind here. Cite this podcast as: Briggs, Blake. 199. Peds Sepsis: Nightmare on Epi Street. October 30th, 2023. Accessed [date].

July is pediatric sepsis month and we sit down with our partners at Nationwide Children's Hospital Transport Team to learn all about it.  This is another one of those time sensitive disease processes where early recognition and management become so important in surviving pediatric sepsis.     Just like always we start basic and then move more into advanced treatment for this disease process.   This podcast has something for everybody from first responders to the most advanced transport personnel staff member.    Come listen in.. 

Join your cohosts, Dr. Starlin and Sarah, as they interview Dr. Andrea Green Hines for Pediatric Sepsis Week. Dr. Green Hines is an Associate Professor in the Division of Pediatric Infectious Diseases at UNMC and is board certified in Internal Medicine, Pediatrics, Adult Infectious Diseases and Pediatric Infectious Diseases. Pediatric Sepsis Week is April 18-24 and is held annually to help raise awareness of the signs and symptoms of sepsis in children. You can find more information at: https://sepsis.org/pediatric-sepsis-week/ This podcast is brought to you by Nebraska ICAP. This team is grant funded to provide infection control and infectious disease support for facilities across Nebraska. You can find more information about Nebraska at https://icap.nebraskamed.com/ Don't forget to follow us on Twitter at @dirty_drinks and reach out to us if you want to be a guest on the show!

Dr Julia Lloyd visits the studio as we consider rapid recognition and first-hour management of pediatric sepsis. All who treat children must recognize this life-threatening condition and stand ready to intervene quickly. Tune in to learn how!

Join host Dr. Bob Belfer as he talks PEDIATRIC SEPSIS with Dr. Scott Weiss [PICU], Dr. Fran Balamuth [PEM] and PEM RN Mary Kate Abbadessa

Join doctors Smitha Mathew, Kaitlin Verdone, Zac Hodges, and Dan McCollum as they navigate the difficult waters of pediatric sepsis.  What exactly is sepsis?  Are there any differences in the treatment of pediatric sepsis compared to adult sepsis?  What should I do if I see a septic child at a small community Emergency Department?  We discuss this and more in this episode!

It it the end of Sepsis Awareness Month, but there is a BONUS Monday (Sept. 30th), so why not a BONUS episode! Join the EMGuideWire Team as they explore the challenges the children bring to this clinical condition. Let's review Pediatric Sepsis! Pearls: Screening should be age adjusted. Identify severe sepsis. Treat w/early antibiotics, balanced fluid administration, and EPI if needed.   SIRS in children must be age-adjusted. HR & RR > 2 standard deviations of nml; WBC age adjusted.  Screen: high risk medical history + vital sign abnormalities (age based SIRS) require check of cap refill, mental status, and general appearance followed by a physician assessment. Identify: Severe sepsis = sepsis + organ dysfunction (CV/resp/neuro/renal/hepatic dysfunction). Order a lactate, CBC, CMP, and blood cultures, and consider CXR and UA. CRP is helpful for inpatient team.  Higher lactate has higher mortality and is associated with septic shock. Treat: Start 20cc/kg bolus LR and reassess. Those with heart disease can’t take anymore fluids after this, so only add pressors if needed. Continue to 40cc/kg and up to 60cc/kg total bolus prior to pressors for other patients.  If still hypotensive, start 0.1 mcg/kg/min of EPI (peripheral or IO).  Early antibiotics saves lives.  LR is better than NS.   Summarized by: Travis Barlock, MD PGY-1 References: Emrath ET, Fortenberry JD, Travers C, McCracken CE, Hebbar KB. Resuscitation With Balanced Fluids Is Associated With Improved Survival in Pediatric Severe Sepsis. Critical Care Medicine. 2017 Jul;45(7):1177-1183 Ventura et al. Double-Blind Prospective Randomized Controlled Trial of Dopamine Versus Epinephrine as First-Line Vasoactive Drugs in Pediatric Septic Shock. Critical Care Medicine. 2015; 43(11):2292-302  

This week, Sepsis Alliance launched Pediatric Sepsis Week to raise awareness of the signs and symptoms of sepsis in children and to recognize the tens of thousands of children that develop sepsis every year in the U.S. Joining me today to talk about pediatric sepsis and the importance of this week is Niranjan Kissoon, MD. Dr Kissoon is Vice-President of Medical Affairs at BC Children's Hospital and Professor of Pediatrics and Surgery with the Department of Pediatrics at the University of British Columbia in Vancouver, BC. In addition, he is the vice chair of the Global Alliance for Sepsis

This week, Sepsis Alliance launched Pediatric Sepsis Week to raise awareness of the signs and symptoms of sepsis in children and to recognize the tens of thousands of children that develop sepsis every year in the U.S. Joining me today to talk about pediatric sepsis and the importance of this week is Niranjan Kissoon, MD. […] The post Pediatric sepsis with Niranjan Kissoon, MD appeared first on Outbreak News Today.

Dr. Scott Weiss and colleagues discuss their recent article, "Major Adverse Kidney Events in Pediatric Sepsis".

Dr. Scott Weiss and colleagues discuss their recent article, "Major Adverse Kidney Events in Pediatric Sepsis".

Margaret Parker, MD, MCCM, speaks with Stefanie G. Ames, MD, about the article Hospital Variation in Risk-Adjusted Pediatric Sepsis Mortality, published in the May 2018 issue of Pediatric Critical Care Medicine.

Margaret Parker, MD, MCCM, speaks with Stefanie G. Ames, MD, about the article Hospital Variation in Risk-Adjusted Pediatric Sepsis Mortality, published in the May 2018 issue of Pediatric Critical Care Medicine.

In this podcast, Dr. Thomas P. Shanley, Chairman of Pediatrics at Lurie Children’s Hospital, and Chief Research Officer at the Stanley Manne Research Institute, analyzes his experiences treating pediatric septic patients in the PICU and provides his strategy for successfully undertaking clinical challenges and improving patient outcomes. Please visit: http://www.openpediatrics.orgOPENPediatrics™ 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 Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

Host Tom Balga and his guests Dr. Richard Pierce and Dr. Marc Auerbach will discuss the recognition and approach of the septic pediatric patient in the Community Emergency Department setting.

Sepsis is frequently underrepresented by the media. The truth is that sepsis is something many children and adults are at risk for. Sepsis is a leading cause of death for kids worldwide and can trigger. While most are familiar with those risks, many are unfamiliar with sepsis. As difficult it is for parents to be aware of what to look for that might indicate sepsis, it can sometimes be difficult for even providers to diagnose sepsis. In this episode of the Cerner Podcast, we’re joined by Dr. Matthew Eisenberg and Dr. Kate Madden, both from Boston Children’s Hospital. They discuss pediatric sepsis and septic shock, as well as their investigation of electronic health record data to proactively identify potentially septic children with an early-detection pediatric sepsis algorithm.

Hot on the heels of our previous recording, new guidelines were published on the care of pediatric sepsis by the American College of Critical Care Medicine/Society of Critical Care Medicine. Host Jason Woods MD and Halden Scott MD evaluate how these new guidelines change our previous discussion on the use of lactate measurement in the treatment… The post Episode 2b: Guidelines Update for Pediatric Sepsis appeared first on Little Big Med.

Host Jason Woods MD sits down with Halden Scott MD to discuss the state of pediatric sepsis, and specifically the use of lactate measurements in the Emergency Department. Dr. Scott is a leading expert in pediatric sepsis in the Emergency Department, with multiple articles published on the topic of the use of lactate measurement in the… The post Episode 2a: Lactate in Pediatric Sepsis with Halden Scott appeared first on Little Big Med.

"Pediatric Sepsis: Optimizing Management to Improve Patient Outcomes" by Adrienne Randolph by OPENPediatrics

Dr. Adrienne Randolph, Senior Associate in Critical Care Medicine, and Director of the Immunobiology of Critical Illness Laboratory at Boston Children’s Hospital, and Professor of Anesthesia and Pediatrics at Harvard Medical School, discusses recent developments and progress in the diagnosis and classification of pediatric sepsis. 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 Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu

The first recording from Little Patients, Big Medicine: the Pediatric Emergency Medicine Podcast. This is an exciting interview with Dr. Halden Scott, a PEM physician at Children's Hospital Colorado, about the use of lactate measurement in pediatric sepsis.

Margaret Parker, MD, MCCM, speaks with Mirjana Cvetkovic, FRCA. Dr. Cvetkovic works as a Clinical Fellow at the Children's Acute Transport Service at Great Ormond Street Hospital in London and a Consultant Intensivist in Anesthesia at Leicester Hospital.

Margaret Parker, MD, MCCM, speaks with Mirjana Cvetkovic, FRCA. Dr. Cvetkovic works as a Clinical Fellow at the Children's Acute Transport Service at Great Ormond Street Hospital in London and a Consultant Intensivist in Anesthesia at Leicester Hospital.

Kids aren't little adults. Pediatric sepsis and septic shock usually presents as 'cold shock' where as adult septic shock usually presents as 'warm shock', for example. In this episode, a continuation of our discussion on Fever from with Ottawa PEM experts, Sarah Reid and Gina Neto, we discuss the pearls and pitfalls in the recognition and management of pediatric sepsis and septic shock. We review the subtle clinical findings that will help you pick up septic shock before it's too late as well as key maneuvers and algorithms to stabilize these patients. We cover tips for using IO in children, induction agents of choice, timing of intubation, ionotropes of choice, the indications for steroids in septic shock, and much more..... The post Episode 50 Recognition and Management of Pediatric Sepsis and Septic Shock appeared first on Emergency Medicine Cases.

Kids aren't little adults. Pediatric sepsis and septic shock usually presents as 'cold shock' where as adult septic shock usually presents as 'warm shock', for example. In this episode, a continuation of our discussion on Fever from with Ottawa PEM experts, Sarah Reid and Gina Neto, we discuss the pearls and pitfalls in the recognition and management of pediatric sepsis and septic shock. We review the subtle clinical findings that will help you pick up septic shock before it's too late as well as key maneuvers and algorithms to stabilize these patients. We cover tips for using IO in children, induction agents of choice, timing of intubation, ionotropes of choice, the indications for steroids in septic shock, and much more..... The post Episode 50 Recognition and Management of Pediatric Sepsis and Septic Shock appeared first on Emergency Medicine Cases.

Ottawa this year, I had the pleasure of discussing pediatric shock and sepsis with Dr. Sarah Reid, a good medical school friend of mine from the Gretzky Year ('99) graduating class. I knew back then that she was heading for PEM educator stardom. Lo and behold, she is the now the director of CME at the Children's Hospital of Eastern Ontario and a national PEM speaker extraordinaire. After recording an eye-opening session on Pediatric Fever Without a Source and Pediatric Sepsis, she told me the story of her Best Case Ever where the initial presumptive diagnosis was sepsis. Maximize your learning and submit your questions on 'Pediatric Fever Without a Source' on the Next Time on EM Cases page. The post Best Case Ever 27: Pediatric Shock appeared first on Emergency Medicine Cases.

Ottawa this year, I had the pleasure of discussing pediatric shock and sepsis with Dr. Sarah Reid, a good medical school friend of mine from the Gretzky Year ('99) graduating class. I knew back then that she was heading for PEM educator stardom. Lo and behold, she is the now the director of CME at the Children's Hospital of Eastern Ontario and a national PEM speaker extraordinaire. After recording an eye-opening session on Pediatric Fever Without a Source and Pediatric Sepsis, she told me the story of her Best Case Ever where the initial presumptive diagnosis was sepsis. Maximize your learning and submit your questions on 'Pediatric Fever Without a Source' on the Next Time on EM Cases page. The post Best Case Ever 27: Pediatric Shock appeared first on Emergency Medicine Cases.

Margaret Parker, MD, FCCM, associate podcast editor, speaks with Denise M. Goodman, MD, MS, about her article published in the July Pediatric Critical Care Medicine

Margaret Parker, MD, FCCM, associate podcast editor, speaks with Denise M. Goodman, MD, MS, about her article published in the July Pediatric Critical Care Medicine

Jerry J. Zimmerman, MD, PhD, FCCM, discusses his article published in the January Pediatric Critical Care Medicine