Branch of medicine that involves the medical care of infants, children, and adolescents
POPULARITY
Categories
Monday, January 26, 2026 Trump agreed to “look into reducing the number of federal agents in Minnesota” after a Border Patrol agent killed Alex Pretti, a 37-year-old ICU nurse and U.S. citizen; Trump sent border czar Tom Homan to Minnesota to oversee ICE operations; Senate Democrats threatened to block the House-passed funding package unless Republicans strip out the Department of Homeland Security bill; the CDC's vaccine advisory panel said polio, measles, and possibly all shots should be optional; and the American Academy of Pediatrics told parents to ignore the CDC's revised federal guidance and instead follow its full childhood vaccine schedule. Read more: Day 1833: "Productive." Subscribe: Get the Daily Update in your inbox for free Feedback? Let us know what you think
As the mother of a 28-year-old daughter with autism and legal guardian of her older brother with autism, Alison Singer is a natural advocate for Autism and everything surrounding it. She started the Autism Science Foundation in 2009. She also has served on the federal Interagency Autism Coordinating Committee (IACC) for 12 years, where she chaired the Safety and Housing Workgroups, and served on the subcommittee responsible for writing an annual strategic plan to guide federal spending for autism research and participated in many of the most important Autism organizations. In 2012, the American Academy of Pediatrics named her an “autism champion.” In 2017 she received the INSAR “Outstanding Research Advocate” award and in 2018 she received the New York Families for Autistic Children Research Advocacy Award. Autism: When people refer to “Autism,” they are usually talking about Autism Spectrum Disorder (ASD), a brain-based disorder that is characterized by social-communication challenges and restricted and repetitive behaviors, activities and interests. Autism is about four times more likely to affect boys than girls, and is found in all racial, ethnic, and social groups. There is no known single cause of autism, although the best available science indicates a genetic origin. Alison talks about signs to look for, support from various places, effects on family life, and so much more. You can find Alison and information at www.AutismSciencefoundation.org Website: www.heatherthomson.com Social Media: IG: https://www.instagram.com/iamheathert/ You Tube: https://youtube.com/@iamheathert?si=ZvI9l0bhLfTR-qdo SPONSOR: AirDoctorPro - Head to www.AirDoctorPro.com and use promo code HEATHER to get UP TO $300 off today! AirDoctor comes with a 30-day money back guarantee, plus a 3-year warranty—an $84 value, free! Get this exclusive, podcast-only offer now! Learn more about your ad choices. Visit megaphone.fm/adchoices
In this episode, we review the high-yield topic of Meconium Ileus from the Pediatrics section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
Dr. Chris Pernell joins the class for a conversation that is equal parts urgent and tender. As a public health physician, strategist, and NAACP Fellow, Dr. Pernell breaks down the Black maternal health crisis with unflinching clarity: racism kills. She unpacks how the medical industrial complex fails Black mothers, offers practical advocacy tools for birthing people and their loved ones, and navigates the dangerous terrain of vaccine misinformation in the current political climate.But this conversation doesn't stop at systems—it goes to the soul. Dr. Pernell shares the lessons her parents taught her: a mother with "a PhD in love" who taught her how to protect her core, and a father who was "a fighter's fighter" who cultivated in her "a sense of self that racism can't touch." This is about survival, yes—but it's also about joy, freedom, and the ancestral wisdom that keeps us fighting.IN THIS EPISODE:Why Black women are 3-4 times more likely to die from pregnancy-related complications—and what we can do about itThe difference between misinformation and disinformation (and why it matters)Practical advocacy advice: "What else might this be?"How the current administration's attack on vaccines threatens public health for generationsGuarding joy in the midst of systemic battlesThe legacy of love and resistance that fuels the fight for health equityRESOURCES SHARED:American Academy of Pediatrics: https://www.aap.orgYale School of Public HealthJohns Hopkins School of Public HealthCommonwealth FundThe Political Determinants of Health by Daniel DawesNAACP Center for Health Equity: https://naacp.orgFOLLOW DR. CHRIS PERNELL:Instagram: @thegooddoctormdLinkedIn: Dr. Chris T. PernellNAACP.orgBecome a supporter of this podcast: https://www.spreaker.com/podcast/teach-the-babies-w-dr-david-j-johns--6173854/support.
In this Q&A episode, Host Paul Wirkus, MD, FAAP and Ophthalmologist Mitchell Strominger, MD address common clinical questions related to pediatric red eye presentations. The discussion covers key elements of the differential diagnosis, including how to approach cloudy corneas and other concerning findings. We also review practical questions pediatricians frequently encounter, such as whether massage is effective for clearing duct obstruction and important considerations for contact lens use in children and adolescents. This episode offers clear, practical guidance to support safe evaluation, counseling, and management of pediatric eye concerns. Have a question? Email questions@vcurb.com. We will have a new topic next week.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
In this episode of Bowel Sounds, hosts Dr. Peter Lu and Dr. Jenn Lee talk to Dr. Ross Maltz, pediatric gastroenterologist at Nationwide Children's Hospital and Associate Professor at The Ohio State University College of Medicine. He is Director of the Very Early Onset Inflammatory Bowel Disease (VEOIBD) Program and Research Director of the Inflammatory Bowel Disease Center at Nationwide Children's.He provides a massive update on all things IBD medications, including discussing the latest on biosimilar medications, the medications we have available and their positioning, and new things in the pipeline.Dr. Maltz does not have any conflicts of interest to disclose.Learning objectivesUnderstand the safety and efficacy of biosimilar medications for children with IBD.Review the latest guidance on medications available for treatment of children with IBD.Discuss opportunities for advocacy to provide better access to IBD medications for children.Support the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.
In this episode, we review the high-yield topic of Homocysteinuria from the Pediatrics section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
Reference: Aronson PL, et al. Prediction Rule to Identify Febrile Infants 61–90 Days at Low Risk for Invasive Bacterial Infections. Pediatrics. September 2025 Date: January 6, 2026 Guest Skeptic: Dr. Jillian Nickerson is a pediatric emergency medicine attending at Children's National Hospital and Assistant Professor of Pediatrics and Emergency Medicine at The George Washington University […] The post SGEM#501: Here it Goes Again – Another Clinical Decision Rule for Febrile Infants 61-90 Days first appeared on The Skeptics Guide to Emergency Medicine.
House Republicans break ranks in droves and vote with democrats to squeeze $16B of earmarks and garbage into the budget bill due next week, exposing their deep state true colors. Tim Walz asks for money for his legal defense and the American Academy of Pediatrics is being sued for lying to America's parents about the vaccine schedule and the safety of the shots they require of America's children. Steve Hartman returns to a child's lemonade stand for the sweetest of updates.
This week we replay an important episode from 2 years ago in which we delved into the world of antibiotic prophylaxis for dental procedures. What are the data to support its use in the congenital heart patient? Why has this been such a difficult topic to study? What do we now know about this topic and what still remains unanswered? Given the low prevalence but dire consequences of this disease, how can investigators consider studying this topic in the future? Is there adequate equipoise to proceed with a randomized controlled trial? We speak with Advanced Imaging Fellow at Boston Children's Hospital, Dr. Francesca Sperotto of Harvard University about her recent multicenter meta-analysis of 30 studies including over one million cases of endocarditis. DOI: 10.1001/jamacardio.2024.0873
I play some audio from the WEF and describe the larger plan on how the WEF has been dismantled right in front of their own faces; I play current political reaction from two corrupt board members; and a RICO lawsuit against the American Academy of Pediatrics has real weight. Lawsuit toward the AAP: https://www.skirsch.com/covid/legal/AAP.pdf Book Websites: HERE and HERE. https://www.moneytreepublishing.com/shop PROMO CODE: “AEFM” for 10% OFF, or https://armreg.co.uk PROMO CODE: "americaneducationfm" for 15% off all books and products. (I receive no kickbacks). https://www.thriftbooks.com/ Q posts book: https://drive.proton.me/urls/JJ78RV1QP8#yCO0wENuJQPH
Host: Jasmine T. Kency, M.D., Associate Professor of Internal Medicine and Pediatrics at the University of Mississippi Medical Center.Guest(s): Mildred Ridgway, M.D., Professor in the Department of Gynocology and Oncology at the University of Mississippi Medical Center. Topic: Cervical Cancer, Screenings, and Vaccinations Email the show: remedy@mpbonline.org. If you enjoy listening to this podcast, please consider contributing to MPB. https://donate.mpbfoundation.org/mspb/podcast. Hosted on Acast. See acast.com/privacy for more information.
Dr. Chris Goss (Medicine, Pediatrics; Associate Dean for Clinical Research) discusses ways faculty can partner with industry to fund clinical research, serving their patients with cutting-edge science. Dr. Goss recommends working with your department and the UW Clinical Trials Office who can help with the entire study process including conversations with industry partners, IRB questions, and site-specific resources. He walks through the timeline and responsibilities involved with being a principal investigator in a clinical trial and provides tips for how to be successful amidst common bottlenecks and challenges. Clinical research at UW has grown significantly and may be an excellent pathway for faculty looking to diversify their research funding.Learn about the UW Clinical Trials Office here.Music by Kevin MacLeod (https://incompetech.com/)
HelixTalk - Rosalind Franklin University's College of Pharmacy Podcast
In this episode, we review the clinical presentation, diagnosis, and treatment of uncomplicated urinary tract infections. Key Concepts Uncomplicated urinary tract infections (UTI) are defined as an infection localized to the bladder without any systemic signs or symptoms of infection in someone who is not immunocompromised, pregnant, catheterized, and has normal urologic anatomy. UTIs are most commonly seen in younger women. E. coli is by far the most common urinary pathogen. Symptoms alone drive most of the diagnosis of UTI; however, urinalysis and urine culture can be helpful in some circumstances. Nitrofurantoin (Macrobid) is recommended for men and women for first-line therapy in most patients. Fosfomycin, Bactrim, pivmecillinam, and certain B-lactams can be considered in certain circumstances. Women are usually treated for 3-5 days and men 5-7 days. Some evidence suggests inferior clinical outcomes for B-lactam; however, the amount of data in general is lacking for B-lactams. Recommended B-lactams (aside from pivmecillinam) include amoxicillin/clavulanate, cephalexin, cefadroxil, cefpodoxime, and cefdinir. References Nelson Z, Aslan AT, Beahm NP, et al. Guidelines for the Prevention, Diagnosis, and Management of Urinary Tract Infections in Pediatrics and Adults: A WikiGuidelines Group Consensus Statement. JAMA Netw Open. 2024;7(11):e2444495. Published 2024 Nov 4. doi:10.1001/jamanetworkopen.2024.44495 Gupta K, Hooton TM, Naber KG, et al. International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women: A 2010 update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases. Clin Infect Dis. 2011;52(5):e103-e120. doi:10.1093/cid/ciq257 Kurotschka PK, Gágyor I, Ebell MH. Acute Uncomplicated UTIs in Adults: Rapid Evidence Review. Am Fam Physician. 2024;109(2):167-174. https://www.wikiguidelines.org/
Email the show at kids@mpbonline.orgHost: Dr. Morgan McLeod, Asst. Professor of Pediatrics and Internal Medicine at the University of Mississippi Medical Center.If you enjoyed listening to this podcast, please consider contributing to MPB: https://donate.mpbfoundation.org/mspb/podcast Hosted on Acast. See acast.com/privacy for more information.
Given the prevalence of screen use in children under two years of age, as a champion for child development and well-being, the negative impacts must be addressed. There is a plethora of research that emphasizes the importance of healthy touch, serve-and-return patterns that build trust, and the chemical changes in the brain that either support or inhibit emotional regulation. We will discuss the growing divide between recommendations for screen use and secure attachment, and some practical strategies and activities that are more developmentally sound, particularly in supporting children with adverse childhood experiences. References: The 5 Cs of Screen Use: The American Academy of Pediatrics
Renue Healthcare https://Renue.Healthcare/ToddYour journey to a better life starts at Renue Healthcare. Visit https://Renue.Healthcare/Todd Bulwark Capital https://KnowYourRiskPodcast.comFind out how the future of AI could impact your retirement during Zach Abraham's free “New Year Reset” live webinar January 29th 3:30pm Pacific. Register at KnowYourRiskPodcast.com.Alan's Soaps https://www.AlansArtisanSoaps.comUse coupon code TODD to save an additional 10% off the bundle price.Bonefrog https://BonefrogCoffee.com/ToddThe new GOLDEN AGE is here! Use code TODD at checkout to receive 10% off your first purchase and 15% on subscriptions.LISTEN and SUBSCRIBE at:The Todd Herman Show - Podcast - Apple PodcastsThe Todd Herman Show | Podcast on SpotifyWATCH and SUBSCRIBE at: Todd Herman - The Todd Herman Show - YouTubeYou wouldn't believe the excuse a judge has used to allow pharma to continue to harm your kids...Episode Links:Aaron Siri: "They reported two children died of measles in Texas recently. We represent one of those families. That child did not die of measles. We have all the medical records… The other child we don't represent but… that also wasn't measles."“The judge said the American Academy of Pediatrics can sue RFK Jr. to block the revised vaccine schedule because its members will have to talk more about vaccines with patients, harming their financial interests.”Doctors STILL telling patients: "You're NOT vaccine injured!" Former CDC Director Dr. Robert Redfield: "We don't have a lot of honesty about vaccine injury. I spend my clinical time on long COVID patients with vaccine injury from the mRNA vaccines."WATCH: Peter Hotez tells woman her repeated COVID infections are basically her fault for skipping boosters.Bill Maher Delivers a Brutal Message to the COVID “Experts” Who Got It Wrong
Welcome to Season 2 of the Orthobullets Podcast. Today's show is Podiums, where we feature expert speakers from live medical events. Today's episode will feature Dr. Cecilia Pascual-Garrido is titled "Persistent Pain Following Hip Arthroscopy and Borderline Dysplasia Straight to PAO."Follow Orthobullets on Social Media:FacebookInstagramTwitterLinkedInYouTube
Tara Eicher is a postdoctoral research fellow in the Department of Biostatistics at the Harvard T.H. Chan School of Public Health. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. T. Eicher, J. Quackenbush, and A. Ne'eman. Challenging Claims of an Autism Epidemic — Misconceptions and a Path Forward. N Engl J Med 2026;394:313-315.
Limiting screentime is no longer enough to promote healthy social habits in children. ABC News Correspondent, Jim Ryan, talks about the new guidance given by the American Academy of Pediatrics.
Welcome to Season 2 of the Orthobullets Podcast.In this episode, we review the high-yield topic of Kohler's Disease from the Pediatrics section.Follow Orthobullets on Social Media:FacebookInstagramTwitterLinkedInYouTube
Smartphones feel inevitable… until you see what early access actually does to a child’s mental health, sleep, and happiness. In this episode, Dr Justin & Kylie Coulson break down new research from Pediatrics and share the family standard that finally ended the phone wars in their home (after one very big mistake). KEY POINTS New study: earlier smartphones = worse outcomes for kids. The four real reasons parents give phones (and why they’re flawed). Why “safety” doesn’t require a smartphone. How to replace phones with smarter solutions (incl. dumb phones + watches). The research consensus: delay improves outcomes. The family rule that ends entitlement (“when you can afford it…”). Boundaries if you already handed over a phone (it’s not too late). The real question: approval now or wellbeing later? QUOTE OF THE EPISODE “Kids don’t need smartphones — they need smart parents. And smart parents give their kids dumb phones.” RESOURCES MENTIONED Pediatrics research on smartphone age & outcomes (referenced in episode) SpaceTalk Watch G-Mee Phone Free Range Kids by Lenore Skenazy Lisa Damour — Adolescent Psychology Resources ACTION STEPS FOR PARENTS Define the real problem you’re solving (safety, logistics, social connection, or training). Offer alternatives (dumb phone, landline, watch). Create a family standard — e.g. “When you can pay for it, you can have it.” If they already have a phone: Bedrooms & bathrooms = no-phone zones No phones at meals or short car rides Time limits & age limits on social media Review + scale back where possible See omnystudio.com/listener for privacy information.
In this episode, Andrea Cruz, MD, MPH, FAAP, deputy editor for Pediatrics, offers a rundown of the January issue. David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also speak with Meg Parker, MD, MPH, FAAP, about promoting human milk and breastfeeding for the very low birth weight infant. For resources go to aap.org/podcast.
In this episode, we turn our focus to allergic conjunctivitis. Host Paul Wirkus, MD, FAAP and Ophthalmologist Mitchell Strominger, MD guests review the clinical features of ocular allergy and discuss how characteristics such as discharge and symptom patterns can help distinguish allergic conjunctivitis from viral, bacterial, and other etiologies. The conversation also covers important mimics and red flags, including chemical conjunctivitis, corneal abrasions, and foreign bodies, with guidance on evaluation and management. This episode equips pediatricians with practical tools to accurately assess red eye complaints and determine when further intervention is needed. Have a question? Email questions@vcurb.com. They will be answered next week.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Host(s): Dr. Susan Buttross, Professor of Pediatrics at the University of Mississippi Medical Center, and Abram NanneyGuest(s): Dr. Anson WalkerTopic: What it takes to be resilient.You can join the conversation by sending an email to: family@mpbonline.org. Hosted on Acast. See acast.com/privacy for more information.
Norton Healthcare's Parenting With You is the podcast that helps you keep your kids healthy and safe by providing practical, down to earth advice for parents of children of any age, from babies through the teen years. In this Episode: BullyingIn this episode, our host, Dr. Erin Frazier speaks with Dr. Katy Hopkins, PHD, HSPP. Katy specializes in Pediatric Behavioral Health and Clinical Child and Adolescent Psychology. In this episode, to topic is bullying, and our host and guest cover a wide range of topics, including recognizing potential signs of bullying, how to effectively talk with your children about bullying, and tips and strategies for effectively intervening when necessary. Two resources were mentioned in this episode: the Family Media Plan from the American Academy of Pediatrics and the website StopBullying.com. Links for both resources are included below. https://www.aap.org/en/patient-care/media-and-children/ https://www.stopbullying.gov About Norton Children's Center for Prevention and Wellness A healthy kid is a happy kid. Norton Children's Prevention & Wellness provides resources to help you and your child build healthy habits. Established in 1991, the Office of Child Advocacy of Norton Children's Hospital, now Norton Children's Prevention & Wellness, takes an active leadership role in teaching healthy habits in children, including injury prevention and educating children and their families on healthy lifestyle choices. Advocacy and outreach educational programs are at the heart of the Norton Children's mission. Norton Children's Prevention & Wellness is funded through donations to the Norton Children's Hospital Foundation. Our efforts are focused around: Safety and injury prevention Promoting healthy lifestyles Key community partnerships Government relations Norton Children's Prevention and Wellness Classes: https://nortonchildrens.com/prevention-wellness/classes-events/ Find a pediatrician go to https://nortonchildrens.com/locations/pediatrician-offices/ or call 502-629-KIDS, option 3.
We discuss the diagnosis and management of SCAPE in the ED. Hosts: Naz Sarpoulaki, MD, MPH Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/SCAPEv2.mp3 Download Leave a Comment Tags: Acute Pulmonary Edema, Critical Care Show Notes Core EM Modular CME Course Maximize your commute with the new Core EM Modular CME Course, featuring the most essential content distilled from our top-rated podcast episodes. This course offers 12 audio-based modules packed with pearls! Information and link below. Course Highlights: Credit: 12.5 AMA PRA Category 1 Credits™ Curriculum: Comprehensive coverage of Core Emergency Medicine, with 12 modules spanning from Critical Care to Pediatrics. Cost: Free for NYU Learners $250 for Non-NYU Learners Click Here to Register and Begin Module 1 The Clinical Case Presentation: 60-year-old male with a history of HTN and asthma. EMS Findings: Severe respiratory distress, SpO₂ in the 60s on NRB, HR 120, BP 230/180. Exam: Diaphoretic, diffuse crackles, warm extremities, pitting edema, and significant fatigue/work of breathing. Pre-hospital meds: NRB, Duonebs, Dexamethasone, and IM Epinephrine (under the assumption of severe asthma/anaphylaxis). Differential Diagnosis for the Hypoxic/Tachypneic Patient Pulmonary: Asthma/COPD, Pneumonia, ARDS, PE, Pneumothorax, Pulmonary Edema, ILD, Anaphylaxis. Cardiac: CHF, ACS, Tamponade. Systemic: Anemia, Acidosis. Neuro: Neuromuscular weakness. What is SCAPE? Sympathetic Crashing Acute Pulmonary Edema (SCAPE) is characterized by a sudden, massive sympathetic surge leading to intense vasoconstriction and a precipitous rise in afterload. Pathophysiology: Unlike HFrEF, these patients are often euvolemic or even hypovolemic. The primary issue is fluid maldistribution (fluid shifting from the vasculature into the lungs) due to extreme afterload. Bedside Diagnosis: POCUS vs. CXR POCUS is the gold standard for rapid bedside diagnosis. Lung Ultrasound: Look for diffuse B-lines (≥3 in ≥2 bilateral zones). Cardiac: Assess LV function and check for pericardial effusion. Why not CXR? A meta-analysis shows LUS has a sensitivity of ~88% and specificity of ~90%, whereas CXR sensitivity is only ~73%. Importantly, up to 20% of patients with decompensated HF will have a normal CXR. Management Strategy 1. NIPPV (CPAP or BiPAP) Start NIPPV immediately to reduce preload/afterload and recruit alveoli. Settings: CPAP 5–8 cm H₂O or BiPAP 10/5 cm H₂O. Escalate EPAP quickly but keep pressures to avoid gastric insufflation. Evidence: NIPPV reduces mortality (NNT 17) and intubation rates (NNT 13). 2. High-Dose Nitroglycerin The goal is to drop SBP to < 140–160 mmHg within minutes. No IV Access: 3–5 SL tabs (0.4 mg each) simultaneously. IV Bolus: 500–1000 mcg over 2 minutes. IV Infusion: Start at 100–200 mcg/min; titrate up rapidly (doses > 800 mcg/min may be required). Safety: ACEP policy supports high-dose NTG as both safe and effective for hypertensive HF. Use a dedicated line/short tubing to prevent adsorption issues. 3. Refractory Hypertension If SBP remains > 160 mmHg despite NIPPV and aggressive NTG, add a second vasodilator: Clevidipine: Ultra-short-acting calcium channel blocker (titratable and rapid). Nicardipine: Effective alternative for rapid BP control. Enalaprilat: Consider if the above are unavailable. Troubleshooting & Pitfalls The “Mask Intolerant” Patient Hypoxia is the primary driver of agitation. NIPPV is the best sedative. * Pharmacology: If needed, use small doses of benzodiazepines (Midazolam 0.5–1 mg IV). AVOID Morphine: Data suggests higher rates of adverse events, invasive ventilation, and mortality. A 2022 RCT was halted early due to harm in the morphine arm (43% adverse events vs. 18% with midazolam). The Role of Diuretics In SCAPE, diuretics are not first-line. The problem is redistribution, not volume excess. Diuretics will not help in the first 15–30 minutes and may worsen kidney function in a (relatively) hypovolemic patient. Delay Diuretics until the patient is stabilized and clear systemic volume overload (edema, weight gain) is confirmed. Disposition Admission: Typically requires CCU/ICU for ongoing NIPPV and titration of vasoactive infusions. Weaning: As BP normalizes and work of breathing improves, infusions and NIPPV can be gradually tapered. Take-Home Points Recognize SCAPE: Hyperacute dyspnea + severe HTN. Trust your POCUS (B-lines) over a “clear” CXR. NIPPV Immediately: Don’t wait. It saves lives and prevents tubes. High-Dose NTG: Use boluses to “catch up” to the sympathetic surge. Don’t fear the dose. Avoid Morphine: Use small doses of benzos if the patient is struggling with the mask. Lasix Later: Prioritize afterload reduction over diuresis in the hyperacute phase. Read More
This week we review a follow-up work from the team at USC and Children's LA led by Dr. Yaniv Bar-Cohen on a novel micropacemaker. How has the device changed and improved over the past 3-5 years since his last visit to Pediheart? What are some of the difficulties of designing a device that is both stable on the epicardium but not inclined to develop inflammation? Why did the team move from a screw in eletrode model to a different design? What applications could this device have both for infants but also adults? Dr. Bar-Cohen shares his deep knowledge of both electrophysiology and device design this week.DOI: 10.1016/j.hrthm.2025.01.036For those interested in stepping back in time to hear Dr. Bar-Cohen's first description of an earlier version of this novel pacemaker, here is the link from 2018:https://podcasts.apple.com/us/podcast/pediheart-podcast-26-novel-means-of-epicardial/id1341472214?i=1000498801107
Send us a textThis week on Neo News, we tackle the recent and controversial divergence between CDC and AAP guidelines regarding the birth dose of the Hepatitis B vaccine. With the CDC now recommending a deferred schedule for infants of Hepatitis B-negative mothers, we explore the clinical implications, the risks of vertical transmission, and the challenge of navigating discordant public health advice. We discuss how to handle shared decision-making in an era of waning vaccine confidence and why the "birth dose" remains a critical safety net in a community setting. Join us as we break down the data behind the headlines.----American Academy of Pediatrics. (2025, December 15). AAP: CDC decision on universal birth dose of hepatitis B vaccine irresponsible and purposely misleading. AAP News. https://publications.aap.org/aapnews/news/33980/AAP-CDC-decision-on-universal-birth-dose-of?searchresult=1?autologincheck=redirectedSupport the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
Self-Care Is PRIMARY CareWelcome to Episode 290 of Autism Parenting Secrets.If you've been listening for a while, you already know this truth: how you show up as a parent has a huge impact on your child's progress.This week, we go deeper—because when your child struggles, it's easy to focus on fixing what's outside of you. But the real key often starts within, with your own calm and self-care.My guest, Dr. Lawrence Rosen, is an integrative pediatrician, author, and founder of the Whole Child Center. His wisdom and compassion made a lasting difference in my family's journey with our son, Ry, and he's helped countless parents take a more holistic, heart-centered approach to care.The secret this week is… Self-Care Is PRIMARY CareYou'll Discover:Why Parents Lose Themselves While Trying To Do Everything Right (2:03)How Guilt Quietly Pushes Self-Care Off The Table (4:19)Why Isolation Feels Protective—but Often Slows Healing (17:53)How To Make Sense Of Conventional, Integrative, And Functional Pediatric Care (22:51)A Simple Five-Minute Practice To Support Your Own Well-Being (31:55)About Our Guest:Lawrence Rosen, MD, is an integrative pediatrician and founder of the Whole Child Center. He is the co-author of Treatment Alternatives for Children, an evidence-informed guide for parents interested in natural solutions for common childhood ailments. Dr. Rosen serves as Associate Professor of Pediatrics and Assistant Director of the Human Dimension Course at Hackensack Meridian School of Medicine. A founding member and former Chair of the AAP Section on Integrative Medicine, he received the AAP's Pioneer in Integrative Medicine Award in 2015. He is a certified yoga teacher, teaches mindfulness to medical students, and serves as Senior Advisor and Chair of the Health Advisory Board for WholeHealthED, a nonprofit bringing whole-health learning to U.S. schools.
Listen to this podcast featuring highlights from our expert roundtable discussion to learn about the most pressing issues in pediatric influenza vaccines, including current vaccine technologies, recent vaccine uptake and epidemiologic trends, and how to discuss the vast benefits of timely vaccination in pediatric patients with their parents and caregivers. Topics covered include:Groups at High Risk for ComplicationsGuideline Recommendations for Influenza VaccinationAvailable Seasonal Flu Vaccine Formulations and Their CharacteristicsPractical Considerations for Selecting Pediatric Influenza VaccinesUptake of Influenza Vaccines in Children: Reversing the TrendsPresenters:Ravi Jhaveri, MD, FIDSA, FPIDS, FAAPDivision HeadPediatric Infectious DiseasesAnn & Robert H. Lurie Children's Hospital of ChicagoProfessor of PediatricsNorthwestern University Feinberg School of MedicineChicago, IllinoisTina Q. Tan, MD, FAAP, FIDSA, FPIDSProfessor of PediatricsFeinberg School of Medicine of Northwestern UniversityPediatric Infectious Diseases AttendingMedical Director, International Adoptee ClinicPresident, Lurie Medical/Dental StaffAnn & Robert H. Lurie Children's Hospital of ChicagoChicago, IllinoisJennifer M. Walsh, DNP, CPNP-PC, CNECertified Pediatric Nurse Practitioner, Primary CareAssistant ProfessorGeorge Washington UniversitySchool of NursingWashington, DCLink to full program: https://bit.ly/45UVzy6Get access to all of our new episodes by subscribing to the Decera Clinical Education Infectious Diseases Podcast on Apple Podcasts, YouTube Music, or Spotify. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Websites talked about:The AAP Parenting WebsiteChildren's Hospital of PhiladelphiaEmail the show at kids@mpbonline.orgHost: Dr. Morgan McLeod, Asst. Professor of Pediatrics and Internal Medicine at the University of Mississippi Medical Center.If you enjoyed listening to this podcast, please consider contributing to MPB: https://donate.mpbfoundation.org/mspb/podcast Hosted on Acast. See acast.com/privacy for more information.
Dr. Kelly McCann shares her journey from conventional medicine to a holistic approach, emphasizing the importance of understanding the root causes of chronic illnesses. She discusses the impact of environmental factors, particularly mold and chemicals, on health and offers practical advice for individuals seeking to improve their well-being. Dr. McCann also highlights the significance of following one's passion in the medical field and provides resources for those interested in functional medicine.Dr. Kelly McCann is a board-certified physician in Internal Medicine and Pediatrics, trained in Functional, Integrative, and Environmental Medicine. Known for her expertise in mold illness, chronic infections, MCAS, and complex chronic conditions, she integrates science, intuition, and spiritual psychology to help people heal at the deepest levels. Through her private practice, The Spring Center, and her upcoming transformational programs, she guides clients from suffering to sovereignty—reclaiming their health, purpose, and power. She has hosted 3 virtual worldwide summits reaching over 100,000 people and is an author of a forthcoming book that explores how illness is not the enemy but a portal to healing the whole self.Dr. Kelly is a born healer. She has helped thousands of people on their journey to wellness. From medical mysteries, chronic illnesses, hormone & thyroid concerns, gastrointestinal issues, immune dysfunction and autoimmune diseases; there are few internal medical issues Dr. Kelly has not tackled. She specializes in providing personalized, compassionate care, working on several levels to improve patients' quality of life and simultaneously investigate the root causes of the dysfunctions. Her calming, gentle nature has brought many people comfort on their healing journeys.Dr. Kelly began her career in medicine with the intention of providing a comprehensive holistic approach that encompasses the mind body spirit connection. Throughout her pre-medical training and continuing through medical school and residency, she explored acupuncture, herbs, meditation, energy medicine, spirituality, and massage, while simultaneously excelling in her conventional medical studies. She has been practicing medicine since 2000 and continues her education to provide cutting edge expertise, tools, and services for healing,Hoag Memorial Hospital in Newport Beach, California recruited Dr. McCann to establish an integrative practice in Orange County. She remains on staff at Hoag and has been in private practice in Costa Mesa since 2008.Dr. McCann is one of only 35 physicians world-wide to have participated in a Residential Fellowship in the Program of Integrative Medicine at the University of Arizona where she worked with Dr. Andrew Weil. She is certified by the Institute of Functional Medicine and also Board Certified in Integrative Medicine by the American Board of Physician Specialties.Dr. McCann completed a Masters in Spiritual Psychology at the University of Santa Monica in August 2010. She is a Board Member of the American Academy of Environmental Medicine and a Board Member and the 2020 Conference Chair for the International Society of Environmentally Acquired Illness. She lectures internationally on various topics, including mold and mycotoxin illness, Lyme and chronic infections, mast cell activation, and related conditions and environmental medicine. She lives in Orange County, California with her husband and their dog. She enjoys yoga, learning Spanish, hiking, reading, and traveling. Get In Touch With Dr Kelly:www.drkellymccann.comwww.thespringcenter.comInstagram- https://www.instagram.com/drkellymccann/
In this episode, Dr. Andy Cutler and Dr. Jeff Strawn unpack common misconceptions that complicate real-world use of antidepressants. They review evidence on efficacy, suicidality risk, mechanisms, and early side effects, and discuss how to navigate hesitancy and misinformation. The conversation also addresses when to start medication, how to balance caution with timely intervention in youth, and practical ways to strengthen trust and therapeutic alliance. Jeffrey R. Strawn, MD, FAACAP, is a Professor of Psychiatry, Pediatrics, and Clinical & Translational Pharmacology at the University of Cincinnati (UC) in Cincinnati, Ohio. He is the Director of the UC Anxiety Disorders Research Program and the Associate Vice Chair of Research in the Department of Psychiatry & Behavioral Neuroscience at UC. Andrew J. Cutler, MD, is a distinguished psychiatrist and researcher with extensive experience in clinical trials and psychopharmacology. He currently serves as the Chief Medical Officer of Neuroscience Education Institute and EMA Wellness. He is a Clinical Associate Professor of Psychiatry at SUNY Upstate Medical University in Syracuse, New York. Resources Zhang K et al. Functional connectivity predicting transdiagnostic treatment outcomes in internalizing psychopathologies. JAMA Netw Open 2025;8(9):e2530008. doi: 10.1001/jamanetworkopen.2025.30008 Lagerberg T et al. Selective serotonin reuptake inhibitors and suicidal behaviour: a population-based cohort study. Neuropsychopharmacology 2022;47(4):817-23. doi: 10.1038/s41386-021-01179-z Never miss an episode!
This is the second of two repeated podcasts that were aired a while ago, which are being re-released. This one with Dr Robert Lustig was particularly popular with listeners. Dr Robert Lustig argues sugar is fuelling an epidemic of chronic and metabolic disease, from diabetes and strokes, to cancer and heart disease costing hundreds of thousands of lives. He says in a view that some have seen as controversial that we need to see sugar not just as empty calories, but as a chronic, addictive toxin. In this podcast, Rob reveals just what sugar does to our bodies. And he claims that while modern medicine has been highly effective in treating acute illness, it has failed in its treatment of chronic conditions, only able to treat the symptoms rather than curing the diseases. In his words: “You can't fix healthcare until you fix health. You can't fix health until you fix diet. And, you can't fix diet until you know what the hell is wrong”. Rob explains what he thinks it is essential to eat to stay healthy and contends that prevention is not just better than cure it is the cure. Dr Robert Lustig is a Professor emeritus of Pediatrics, at the Division of Endocrinology at the University of California, San Francisco. He has written a number of best selling books about the dangers of sugar, refined carbohydrates and metabolic illness. And his research and clinical practice have focussed on childhood obesity and diabetes. If you would like to support this podcast you can do so via Patreon at or via PayPal. The host of the podcast, Liz Tucker is an award winning medical journalist and former BBC producer and director. You can follow Liz on X and read further information about the podcast on her Substack newsletter. Medical Matters with Liz Tucker has been selected by Feedspot as one of the top 15 UK Medical Podcasts https://blog.feedspot.com/uk_medical_podcasts/
“It all starts with the core” is a common phrase used amongst physical and occupational therapists in all settings. All developmental movement starts with the core beginning with head control and moving up the developmental spectrum to having strong lateral hips to perform high level plyometrics and everything in between. A strong knowledge of the core as a foundation for movement, stability, and posture will assist the clinician in designing effective exercise programs and treatment interventions. Pediatric clinicians see patients with a wide array of ages, impairments and motor abilities, and patients in all gross motor function classification system (GMFCS) levels can benefit from core activation to assist at the impairment, functional mobility, and activity levels. Often the knowledge of these exercises is gleaned only through experience, which makes it hard to design exercise programs without frequent exposure to different populations. Once the basic knowledge of the core anatomy, muscle action, and muscle function is obtained the clinician is charged with creating exercises and home programs that allow activation of needed muscle groups and provide carryover to function. This course will provide insight into core exercises useful across the age and motor ability span and rationale for specific diagnosis. To view accreditation information and access completion requirements to receive a certificate for completing this course, please click here. The content of this Summit podcast is provided only for educational and training purposes for licensed physical therapists and occupational therapists. This content should not be used as medical advice to treat any medical condition in either yourself or others.
When addressing obesity in the clinic, it's common to ask patients to focus on food and exercise. But what if we think upstream of the clinical problem and consider the environments, habits and systems that shape health from the very beginning? In this episode, we sit down with an expert whose research has focused on building resilience against obesity starting early in life. From family dynamics to school and community initiatives, the picture of prevention is complex. Shari Barkin, MD, is the Pediatrician in Chief at Children's Healthcare of Atlanta. She is also the Chair of the Department of Pediatrics, Executive Director of the Pediatric Institute, and the George W. Brumley Jr. Endowed Professor of Pediatrics at Emory University School of Medicine. Some highlights from this episode include: How to influence eating behaviors in the first six months of life The role of community involvement and partnerships in preventing childhood obesity Translating research into practical strategies Strong communication methods to engage families successfully This episode is underwritten by Ovintiv, a proud philanthropic supporter of Charting Pediatrics and the Children's Hospital Colorado Foundation. Ovintiv recognizes that their responsibility begins in the communities where they live and work. They are committed to giving back and building safer and more resilient communities. Ovintiv's generous support has made a monumental difference for our patients and families, from enhancing health outcomes to reducing health disparities. For more information on Children's Colorado, visit: childrenscolorado.org.
Send us a textIn this episode of Journal Club, Ben and Daphna dive into a multicenter retrospective study from the European Journal of Pediatrics questioning the necessity of universal empiric antibiotics in neonates undergoing therapeutic hypothermia for HIE. Comparing Italian and Belgian cohorts, the team discusses the reality of a 111 Number Needed to Treat (NNT) for a single case of culture-proven sepsis. From the diagnostic challenges of overlapping clinical markers to the fascinating "asymptote" of postnatal leukocyte trends, we explore whether it's time to shift from routine to selective antibiotic use in our most complex patients.----Antibiotic use in neonates with hypoxic-ischemic encephalopathy undergoing therapeutic hypothermia: time to rethink universal empirical treatment. De Rose DU, Piersigilli F, Auriti C, Campi F, Cortazzo V, Samaey A, Carkeek K, Martini L, Maddaloni C, Santisi A, Ronci S, Iacona G, Bersani I, Savarese I, Danhaive O, Cilio MR, Bernaschi P, Dotta A, Ronchetti MP.Eur J Pediatr. 2025 Nov 22;184(12):781. doi: 10.1007/s00431-025-06652-1.PMID: 41275063Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
In this episode of the special series, "Pathways to Pediatrics," hosts David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, interview new AAP President Andrew Racine, MD, PhD, FAAP. Dr. Racine talks about his experience living in Tanzania, practicing medicine in the Bronx and his vision for the AAP in 2026. For resources go to aap.org/podcast.
This week's episode focuses on bacterial conjunctivitis and practical considerations for pediatric care. Host Paul Wirkus, MD, FAAP and Ophthalmologist Mitchell Strominger, MD discuss key principles of infection control, how to recognize concerning findings and distinguish uncomplicated conjunctivitis from more serious conditions such as orbital cellulitis, and when escalation of care is necessary. We also review the appropriate use of antibiotics, including selection, administration, and common pitfalls—highlighting how improper dosing or technique can limit effectiveness. This discussion is designed to support evidence-based decision-making and safe, effective management of bacterial conjunctivitis in children. Have a question? Email questions@vcurb.com. They will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
What age is too old for sleep training? If you're wondering when to start sleep training, let's start with this: your child's need for sleep is more critical than ever.Just because your toddler is out of the crib doesn't mean their sleep habits should go out the window. According to the American Academy of Pediatrics, 25% of kids under the age of 5 don't get enough sleep.
ADHD is not just about attention. It is about self-control, self-esteem, and what happens when the brain goes offline. Living with untreated ADHD is not just about missing assignments. It is about moving through the world without a reliable connection between what you know and what you do. In this conversation, I talk with Dr. Karin Varblow, a behavioral pediatrician, former teacher and social worker, neurodivergent adult, and mom to neurodivergent kids. We look closely at what untreated ADHD really costs over a lifetime, from self-esteem and identity to health, safety, relationships, and even life expectancy. Dr. Karin explains why ADHD is not simply a "school problem" and why kids who "know better" still cannot always do better in the moment. She shares her "know and go" model of the brain, which helps make sense of why lectures and bigger consequences do not lead to different behavior, and why kids so often feel confused and ashamed by their own actions. We also talk about sleep, airway, co-occurring conditions, and how things like anxiety, trauma, allergies, and disordered sleep can overlap with ADHD or even mask it. Dr. Karin breaks down what good treatment actually looks like in real life, including medication, parent training, behavior supports, and making daily life more stimulating and relevant for the ADHD brain. If you have ever wondered whether ADHD "really" needs treatment, or felt discouraged by mixed messages, this episode will help you see the bigger picture with more clarity and more compassion for you and your child. Key Takeaways Untreated ADHD is not just about school performance. It affects self-esteem, identity, health, safety, relationships, income, and even life expectancy over time. Research shows that people with untreated ADHD have higher rates of emergency room visits, poverty, incarceration, and an average life expectancy that is years shorter than their non-ADHD peers. Treatment meaningfully improves these outcomes. ADHD is both overdiagnosed and underdiagnosed, and it often shows up alongside other conditions like anxiety, depression, learning differences, sleep disorders, allergies, GI issues, and trauma. Sorting out "what's what" takes time and thoughtful evaluation. Effective ADHD treatment is not one thing. The strongest evidence supports a combination of medication and behavior modification, with behavior modification defined as training and support for parents, not "fixing the child" in a weekly session. Behavior plans that focus only on lectures and bigger consequences usually miss the mark. Most kids already know the rules. The problem is not a lack of knowledge, it is a lack of access to that knowledge in the moment. Dr. Karin's "know and go" model helps explain this: the "know" part of the brain holds rules, values, and experience; the "go" part drives behavior. In ADHD, especially around non-preferred tasks, the "go" can take off before the "know" ever gets a say. That disconnect is why kids so often say "I don't know why I did that" and mean it. They are not being manipulative. They are genuinely confused and often ashamed, because their behavior does not match what they actually believe or want. ADHD brains do have strong executive function in areas of high interest. A child who cannot organize themselves around homework may show incredible focus, planning, and follow-through when building Legos or diving into a favorite topic. Sleep, breathing, immune function, and overall health matter. Airway issues, disordered sleep, allergies, and inflammation can all worsen attention, regulation, and behavior, and sometimes even mimic ADHD. Addressing these pieces is part of good care. Supporting a child with ADHD means changing the story from "try harder" to "let's change how we're asking, what we're asking, and how we're supporting you." When adults focus on relevance, relationship, and realistic support, kids get more access to their best selves. About Karin Varblow Dr. Karin Varblow is a behavioral pediatrician and neurodivergence specialist who has built a career around coordinated, whole-family ADHD care. She earned her BA from Duke University and her MD from The George Washington University School of Medicine as a National Health Service Corps Scholar, and completed her Pediatrics residency at INOVA Fairfax Hospital for Children. Dr. Varblow's work is shaped by her unique path as a former educator and social worker, a former general pediatrician, a parent in a neurodiverse family, and an individual with ADHD herself. She supports families through medication management, parent support, behavior modification, care coordination, advocacy, and strategy development, with a focus on helping children thrive in real life, not just "meet expectations." About Your Host, Gabriele Nicolet I'm Gabriele Nicolet, toddler whisperer, speech therapist, parenting life coach, and host of Complicated Kids. Each week, I share practical, relationship-based strategies for raising kids with big feelings, big needs, and beautifully different brains. My goal is to help families move from surviving to thriving by building connection, confidence, and clarity at home. Complicated Kids Resources and Links:
Host(s): Dr. Susan Buttross, Professor of Pediatrics at the University of Mississippi Medical Center, and Abram NanneyTopic: Who do you want to be in 2026?You can join the conversation by sending an email to: family@mpbonline.org. Hosted on Acast. See acast.com/privacy for more information.
In this episode of Bowel Sounds, hosts Dr. Temara Hajjat and Dr. Amber Hildreth and talk to Dr. William Balistreri, Dorothy M. M. Kersten Professor of Pediatrics at the University of Cincinnati, Director Emeritus of the Pediatric Liver Center at Cincinnati Children's Hospital, Medical Director Emeritus of Liver Transplantation, and Program Director Emeritus of Transplant Hepatology Fellowship. We talk about the history of the Hepatitis B virus and vaccine, and the new ACIP vaccination recommendations.Learning objectivesUnderstand the history of Hepatitis B infection and vaccination in the United StatesExamine the impact of the ACIP vote to overturn the recommendation for universal Hepatitis B vaccination for newbornsApply knowledge gained to clinical practice Support the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.Support the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.
The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research. Dr. Sing-Yi Feng from UT Southwestern joins us for environmental toxins.To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!Subscribe to the podcast on one of the many platforms below:Apple iTunesSpotifyGoogle Play
About our Guests: Dr. Alexis Bragg is a Clinical Associate Professor of Anesthesiology and Pediatrics at Keck School of Medicine of USC in Los Angeles.Dr. Chinyere Egbuta is a Senior Associate in Anesthesiology and Critical Care Medicine at Boston Children's Hospital and Assistant Professor of Anesthesia at Harvard Medical School.Dr. Sapna Kudchadkar is the Anesthesiologist-in-Chief of the Johns Hopkins Children's Center and Vice Chair for Pediatric Anesthesiology and Critical Care Medicine at Johns Hopkins University School of Medicine in Baltimore.Learning Objective:By the end of this podcast series, listeners should be able to discuss:An expert approach to the peri-intubation management of the critically-ill child, including pre-oxygenation, apneic oxygenation +/- PPV, & the use of neuromuscular blockadeStrategies using direct vs. video laryngoscopy in academic PICUsRecognize the need and discuss potential strategies for ongoing maintenance of airway management skillsQuestions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & ZacSupport the showHow to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. You can also check out our website at http://www.pedscrit.com. Thank you for listening to this episode of PedsCrit!
Last week the federal government reduced the number of vaccines it recommends for children in the US from 17 to 11. The CDC made these changes without the approval from a federal panel. On today's show, host Douglas Haynes takes a look at these changes and their implications for public health with two experts, Mary Hayney of the UW School of Pharmacy and Kia Kjensrud of Immunize Wisconsin. They break down the latest 6 changes to recommendations for the HPV, Hepatitis A, Rotavirus, RSV, flu and covid, and Meningococcal vaccines. The difference is that now the CDC doesn't recommend these vaccines, they say “talk to your doctor about them” through a process known as “shared clinical decision-making.” From the point of a published vaccine schedule, the CDC's new recommendations make it appear as if these vaccines are optional, says Hayney. And the changes imply that there hasn't been shared clinical decision-making, though it is common practice already, says Kjenstrud. At the end of the day, there is no scientific basis for these changes and the majority of parents still want their children to be vaccinated, says Hayney. For those who are skeptical about vaccines, Kjensrud says that vaccines are under strict scrutiny. More than 200 groups have joined the American Association of Pediatrics in calling for oversight for these changes. The rationale from the Trump administration is that these changes are in line with other countries like Denmark that recommend fewer childhood vaccines. Hayney says that there are significant demographic differences–in terms of size and diversity– between these countries to make it hard to compare. In addition, universal healthcare covers all citizens in Denmark. They also discuss the trust that pediatricians build with the families they care for, how measles and the flu are deadly and preventable diseases, school attendance policies, the misconception that physicians are making money from these childhood vaccines, and how insurance policies will be affected by these new guidelines. Mary S. Hayney is a Distinguished Professor of Pharmacy at the University of Wisconsin School of Pharmacy and a Master of Public Health Program Faculty Member at the University of Wisconsin School of Medicine and Public Health/ Her research lab studies vaccine responses in immunocompromised individuals. She teaches immunology topics at the School of Pharmacy, including the immunization course for pharmacy students. Kia Kjensrud has served as the executive director of the Wisconsin Chapter of the American Academy of Pediatrics since 2007. She is the interim director of Immunize Wisconsin, a statewide coalition supporting efforts around strengthening vaccination ecosystems at the local, regional, and statewide level. Featured image of a child receiving a vaccine. Did you enjoy this story? Your funding makes great, local journalism like this possible. Donate hereThe post The CDC Endangers Public Health and Abandons Science appeared first on WORT-FM 89.9.
The CDC announced Monday a major overhaul of the U.S. childhood vaccine schedule, reducing the number of routine immunizations recommended for children. In December, President Trump directed Health and Human Services officials to examine how other developed nations schedule vaccines and to reconsider the U.S. approach. FDA Commissioner Dr. Marty Makary said the changes are intended to restore public trust in health institutions that was lost during the pandemic. However, criticism has been fierce. Lawmakers on both sides of the aisle have pushed back, and the American Academy of Pediatrics has called the move dangerous and unnecessary. Vaccine schedules are handled by the states, meaning states may continue to mandate certain vaccines for school attendance. The updated recommendations also do not eliminate insurance coverage for any vaccines. The CDC changes create three categories. The eleven vaccines that remain in the recommended category include measles, mumps, rubella, polio, pertussis, HPV, and chickenpox. A second category recommends vaccines for individuals considered high-risk, including hepatitis A and B and RSV. The third category includes vaccines available by personal choice after consultation with a doctor, including COVID-19, flu, rotavirus, and others. Earlier this week, former CDC Director Dr. Robert Redfield joined FOX News Rundown host Jessica Rosenthal to discuss the new and reduced childhood vaccine schedule recommendations. Dr. Redfield, author of the new book Redfield's Warning: What I Learned (But Couldn't Tell You) Might Save Your Life, explained why he supports the changes, while also emphasizing the importance of doctors clearly explaining the benefits of vaccines. He also discussed why public trust has eroded and why encouraging vaccine choice and transparency could ultimately lead more Americans to get the shots needed to protect themselves from disease. We often have to cut interviews short during the week, but we thought you might like to hear the full conversation. Today on Fox News Rundown Extra, we share our entire interview with former CDC Director Dr. Robert Redfield—and more of his perspective on vaccines. Learn more about your ad choices. Visit podcastchoices.com/adchoices
Welcome to Season 2 of the Orthobullets Podcast.Today's show is Foundations, where we review foundational knowledge for frontline MSK providers such as junior orthopaedic residents, ER physicians, and primary care providers. This episode will cover the topic of Tarsal Coalition from our Pediatrics section at Orthobullets.com.Follow Orthobullets on Social Media:FacebookInstagram TwitterLinkedInYouTube