Podcasts about pediatrics committee

In the twelfth episode of The CommonHealth Live! which falls during World Immunization Week, Katherine E. Bliss talks with Dr. Adam Ratner, a member of the American Academy of Pediatrics Committee on Infectious Diseases and author of Booster Shots: The Urgent Lessons of Measles and the Uncertain Future of Children's Health, and Dr. Ephrem T. Lemango, Associate Director of Immunization at UNICEF, about measles outbreaks in the United States and abroad; how to bolster measles vaccination coverage in a period of reduced financing for domestic and global programs; and why routine immunization programs are critical to global health security.

In this podcast episode, Dr. In Kim shares his experience during a cyber attack on his hospital in May 2023, which crippled key systems like electronic medical records, radiology, and lab access. He discusses the chaos and inefficiencies that arose as staff had to revert to manual, paper-based processes, highlighting the critical challenges faced by healthcare providers during such events. Dr. Kim stresses the need for hospitals to incorporate cyber attack response into disaster preparedness plans and offers insights on how to mitigate the impact of future attacks. In K. Kim, MD is a tenured professor with extensive research and management background in medical services and education leading a highly rated training program. Elected Chair of a national American Academy of Pediatrics Committee. Internationally known as a leader in helium-oxygen (heliox) research for respiratory diseases. Built nationally recognized brand of teaching excellence in medical education as well as merged business and medicine curricula. Co-founder and co-director of the Center for Health Process Innovation. Co-director of highly ranked Distinction Track in Business and Leadership.For more resources about computer security, risk assessment, risk management, and health information management, check out PPN Resource Central, an expertly curated database of thousands of resources related to giving care to children — every day and in crises.ReferencesStop Ransomware – CISAThe importance of cybersecurity in protecting patient safety – American Hospital AssociationPreventing the Next Big Cyberattack on U.S. Health Care – Harvard Business Review

With kids back in school, pediatric viral illnesses are revving their engines. It seems we have returned to normal seasonality for viral disease after the coronavirus pandemic. Top of mind with the arrival of fall is respiratory syncytial virus (RSV). We know how quickly the onset of RSV season can take over our waiting rooms.   Last year, two important developments occurred that could change the course of RSV prevention: the FDA approval of a maternal vaccine and a monoclonal antibody for infants. Far too few mothers and infants benefitted from these treatments during last year's respiratory season, but now we've had a year to prepare to do better. Joining us to discuss this hot topic are two expert pediatricians. Sean O'Leary, MD, is an Infectious Disease Physician at Children's Hospital Colorado, a Professor of Pediatrics at the University of Colorado School of Medicine and is the chair of the American Academy of Pediatrics Committee on Infectious Diseases, also known as the Red Book Committee. Matt Dorighi specializes in pediatrics at Cherry Creek Pediatrics. He is currently chair of the Pediatric Care Network, the largest clinically integrated network for children in the state of Colorado.   Some highlights from this episode include:  Guidelines for Nirsevimab and the maternal vaccine  Why availability will not be a barrier this respiratory season  How practices can combat vaccine hesitancy  For more information on Children's Colorado, visit: childrenscolorado.org. 

Episode 31: Trauma-Informed Care in a Practice Setting Link for MOC or Ethics Credit https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095774 Welcome to an enlightening episode of Pediatrics Now, hosted by Holly Wayment, a pediatric health professional at UT Health San Antonio's Department of Pediatrics. This episode deep dives into the critical topic of trauma-informed care in pediatric practice, a revolutionary approach that has been endorsed by the American Academy of Pediatrics. Navigate your way through the toxic stress responses caused by various traumatic experiences in children and learn how to effectively recognize and respond to trauma in your pediatric healthcare settings. Host and Executive Producer Holly Wayment brings us this fascinating grand rounds talk by Dr. Nancy  Kellogg, who has more than thirty years of experience fighting child abuse and helping children.  A faculty member at UTHealth San Antonio since 1988 and Professor and Division Chief of Child Abuse in the Department of Pediatrics, she was the first Medical Director of the Christus Santa Rosa Center for Miracles which opened in May 2006, and was the former Medical Director for ChildSafe and CHRISTUS Childrens Sexual Assault Nurse Examiner Program. Dr. Kellogg was the first Program Director for the Child Abuse fellowship, which was one of the first programs to become accredited in the country. Dr. Kellogg has published over 135 articles and book chapters and has been an invited speaker at numerous local, regional, national, and international conferences. She was the Chair of the Texas Pediatric Society Committee on Child Abuse for 10 years and served on the American Academy of Pediatrics Committee on Child Abuse and Neglect for 6 years. In September 2006, the American Board of Pediatrics approved Child Abuse as a new subspecialty in pediatrics, and Dr. Kellogg was appointed as the Medical Editor for the sub-board; she served 17 years in this role and continues to write board questions as a volunteer. Dr. Kellogg has received several honors and awards for teaching, clinical excellence, social work, leadership, and humanism. Financial Disclosures: Nancy Kellogg, MD has no financial relationships with ineligible companies to disclose. The Pediatric Grand Rounds Planning Committee (Deepak Kamat MD, PhD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose. Planning Committee member Steven Seidner, MD has disclosed he receives funding from Draeger Medical for the Clinical Study to Evaluate the Safety and Effectiveness of the Infinity Acute Care System Workstation Neonatal Care Babylog VN500 Device in High-Frequency Oscillatory Ventilation (HFOV) Mode in Extremely Low Birth Weight (ELBW) Neonates for which he is a co-principal investigator. Credits: AMA PRA Category 1 Credits™ (1.00 hour) Non-Physician Participation Credit (1.00 hour) MOC-2 credit (1.00 hour) Target Audience: Pediatric Doctors and Providers Faculty, residents, health care providers; medical students and trainees. Accreditation: The UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Credit Designation: The UT Health Science Center San Antonio designates this live activity up to a maximum of 1.00 AMA PRA Category 1 Credits™.      

Hosts review the July 13 WA State Vaccine Advisory Committee Meeting, including the concerns of Dr. Edgar Marcuse regarding the co-administration of flu, RSV, and COVID-19 shots. According to the American Academy of Arts and Sciences, Dr. Edgar Marcuse is emeritus professor of pediatrics at the University of Washington, a past member and chair of the US National Vaccine Advisory Committee, a member of the American Academy of Pediatrics Committee on Infectious Diseases, the CDC's Advisory Committee on Immunization Practices (ACIP), and the FDA's Vaccines and Related Biological Products Advisory Committee (VRPAC).Reference Links:https://rumble.com/v3031do-did-a-committee-member-just-contradict-the-cdc.htmlhttps://www.cdc.gov/vaccinesafety/pdf/whitepapersafety_web.pdfhttps://www.amacad.org/person/edgar-marcuse Learn more about your ad choices. Visit podcastchoices.com/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Hosts review the July 13 WA State Vaccine Advisory Committee Meeting, including the concerns of Dr. Edgar Marcuse regarding the co-administration of flu, RSV, and COVID-19 shots. According to the American Academy of Arts and Sciences, Dr. Edgar Marcuse is emeritus professor of pediatrics at the University of Washington, a past member and chair of the US National Vaccine Advisory Committee, a member of the American Academy of Pediatrics Committee on Infectious Diseases, the CDC's Advisory Committee on Immunization Practices (ACIP), and the FDA's Vaccines and Related Biological Products Advisory Committee (VRPAC). Reference Links: https://rumble.com/v3031do-did-a-committee-member-just-contradict-the-cdc.html https://www.cdc.gov/vaccinesafety/pdf/whitepapersafety_web.pdf https://www.amacad.org/person/edgar-marcuse

Hosts review the July 13 WA State Vaccine Advisory Committee Meeting, including the concerns of Dr. Edgar Marcuse regarding the co-administration of flu, RSV, and COVID-19 shots. According to the American Academy of Arts and Sciences, Dr. Edgar Marcuse is emeritus professor of pediatrics at the University of Washington, a past member and chair of the US National Vaccine Advisory Committee, a member of the American Academy of Pediatrics Committee on Infectious Diseases, the CDC's Advisory Committee on Immunization Practices (ACIP), and the FDA's Vaccines and Related Biological Products Advisory Committee (VRPAC). Reference Links: https://rumble.com/v3031do-did-a-committee-member-just-contradict-the-cdc.html https://www.cdc.gov/vaccinesafety/pdf/whitepapersafety_web.pdf https://www.amacad.org/person/edgar-marcuse

This episode of the Design Thinking 101 podcast is 5.5 Things Every Designer Should Know About: Positive Childhood Experiences. Dr. Robert Sege, MD PhD is a pediatrician at the Floating Hospital for Children at Tufts Medical Center, and a professor of medicine at Tufts University School of Medicine, where he directs the Center for Community Engaged Medicine. Dr. Sege is nationally known for his research on effective health systems approaches that directly address the social determinants of health. He is a senior fellow at the Center for the Study of Social Policy in Washington, and serves on the boards of the Massachusetts Children's Trust and Prevent Child Abuse America. He has served on the American Academy of Pediatrics Committee on Child Abuse and Neglect, and on its committee on injury violence and poisoning prevention. Listen to learn about: Adverse Childhood Experiences (ACEs) and Positive Childhood Experiences (PCEs) Designing for children Helping kids navigate childhood in a positive way The importance of creating safe environments for children Ways we can give kids positive experiences that allow them to thrive Our Guest Robert Sege, MD, PhD is a Professor of Pediatrics and Medicine at Tufts University School of Medicine, where he directs the Center for Community-Engaged Medicine and is a core faculty member of the Tufts Clinical and Translational Science Institute. He has served on national committees for the American Academy of Pediatrics (AAP), been lead author on several important AAP policies, and has received national awards for his work, including the prestigious 2019 Ray E. Helfer award from the Alliance of Children's Trusts and the American Academy of Pediatrics. He has led teams that developed new models for pediatric primary care and a new framework for working with children and families (HOPE). His extensive speaking and publication list include contributions to the prevention and treatment of child maltreatment and youth violence. He is a graduate of Yale College, received his PhD in Biology from MIT and his MD from Harvard Medical School, and did his pediatric residency at Boston Children's Hospital.  Bob lives in the Boston area, where he and his wife Karen have raised three young adult children.   Show Highlights [03:35] Bob starts the conversation talking about how all of the things we experience as children – good and bad – have a lasting impact on who we are as adults. [05:47] Parents: trust yourselves and your ability to raise your children. [06:33] Dawan and Bob talk about the often-contradictory advice that exists for parents. [07:34] Positive modeling for kids. [09:07] Children need safe, stable, nurturing relationships. [10:03] Defining family. [10:19] Designing housing and the spaces where families and communities gather. [14:15] Children need to have safe and equitable environments to live, learn, and play in. [14:29] Looking at the physical environment kids need. [15:23] Children also need a safe emotional environment. [16:49] Bob offers ideas for modern school design. [17:32] The need for arts programs in school. [18:01] HOPE's website logo was designed by Boston Public High School students. [19:18] Children need to be actively engaged. [20:49] Dawan mentions how many services are designed more for parents than for the child. [21:21] Giving kids a sense of ownership in the family and in the world. [22:13] Designing and building community and finding ways children can be involved. [24:09] Children need opportunities for emotional growth. [24:31] Emotional growth on the playground. [26:06] Children need time in nature. [27:52] PCEs help us humanize one another and help us look past our biases about someone. [31:13] Dawan comments that it's just as important to know the good stories as it is the bad stories if we really want to understand. [31:52] Bob talks about parent cafés and other places where parents can meet to talk about parenting. [33:37] Where to learn more about HOPE and the work Bob is doing.   Links Robert on Twitter Robert at Tufts Medical Center Robert at the Center for the Study of Social Policy Effective Discipline to Raise Healthy Children Evidence-Based Health Care for Children: What Are We Missing? Positive Childhood Experiences offset ACEs: Q & A with Dr. Robert Sege about HOPE HOPE: Healthy Outcomes from Positive Experiences HOPE on LinkedIn HOPE on Twitter Register for HOPE Summit 2023   Other Design Thinking 101 Episodes You Might Like 5.5 Things Every Designer Should Know About: The Opioid Overdose Epidemic (Part 1) with Stacy Stanford — DT101 E102 A Designer's Journey into Designing for Health and Healthcare with Lorna Ross — DT101 E45 Healthcare Design Teams + Wellness + ScienceXDesign with Chris McCarthy — DT101 E24

This episode of the Design Thinking 101 podcast is 5.5 Things Every Designer Should Know About: Positive Childhood Experiences. Dr. Robert Sege, MD PhD is a pediatrician at the Floating Hospital for Children at Tufts Medical Center, and a professor of medicine at Tufts University School of Medicine, where he directs the Center for Community Engaged Medicine. Dr. Sege is nationally known for his research on effective health systems approaches that directly address the social determinants of health. He is a senior fellow at the Center for the Study of Social Policy in Washington, and serves on the boards of the Massachusetts Children's Trust and Prevent Child Abuse America. He has served on the American Academy of Pediatrics Committee on Child Abuse and Neglect, and on its committee on injury violence and poisoning prevention. Listen to learn about: Adverse Childhood Experiences (ACEs) and Positive Childhood Experiences (PCEs) Designing for children Helping kids navigate childhood in a positive way The importance of creating safe environments for children Ways we can give kids positive experiences that allow them to thrive Our Guest Robert Sege, MD, PhD is a Professor of Pediatrics and Medicine at Tufts University School of Medicine, where he directs the Center for Community-Engaged Medicine and is a core faculty member of the Tufts Clinical and Translational Science Institute. He has served on national committees for the American Academy of Pediatrics (AAP), been lead author on several important AAP policies, and has received national awards for his work, including the prestigious 2019 Ray E. Helfer award from the Alliance of Children's Trusts and the American Academy of Pediatrics. He has led teams that developed new models for pediatric primary care and a new framework for working with children and families (HOPE). His extensive speaking and publication list include contributions to the prevention and treatment of child maltreatment and youth violence. He is a graduate of Yale College, received his PhD in Biology from MIT and his MD from Harvard Medical School, and did his pediatric residency at Boston Children's Hospital.  Bob lives in the Boston area, where he and his wife Karen have raised three young adult children.   Show Highlights [03:35] Bob starts the conversation talking about how all of the things we experience as children – good and bad – have a lasting impact on who we are as adults. [05:47] Parents: trust yourselves and your ability to raise your children. [06:33] Dawan and Bob talk about the often-contradictory advice that exists for parents. [07:34] Positive modeling for kids. [09:07] Children need safe, stable, nurturing relationships. [10:03] Defining family. [10:19] Designing housing and the spaces where families and communities gather. [14:15] Children need to have safe and equitable environments to live, learn, and play in. [14:29] Looking at the physical environment kids need. [15:23] Children also need a safe emotional environment. [16:49] Bob offers ideas for modern school design. [17:32] The need for arts programs in school. [18:01] HOPE's website logo was designed by Boston Public High School students. [19:18] Children need to be actively engaged. [20:49] Dawan mentions how many services are designed more for parents than for the child. [21:21] Giving kids a sense of ownership in the family and in the world. [22:13] Designing and building community and finding ways children can be involved. [24:09] Children need opportunities for emotional growth. [24:31] Emotional growth on the playground. [26:06] Children need time in nature. [27:52] PCEs help us humanize one another and help us look past our biases about someone. [31:13] Dawan comments that it's just as important to know the good stories as it is the bad stories if we really want to understand. [31:52] Bob talks about parent cafés and other places where parents can meet to talk about parenting. [33:37] Where to learn more about HOPE and the work Bob is doing.   Links Robert on Twitter Robert at Tufts Medical Center Robert at the Center for the Study of Social Policy Effective Discipline to Raise Healthy Children Evidence-Based Health Care for Children: What Are We Missing? Positive Childhood Experiences offset ACEs: Q & A with Dr. Robert Sege about HOPE HOPE: Healthy Outcomes from Positive Experiences HOPE on LinkedIn HOPE on Twitter Register for HOPE Summit 2023   Other Design Thinking 101 Episodes You Might Like 5.5 Things Every Designer Should Know About: The Opioid Overdose Epidemic (Part 1) with Stacy Stanford — DT101 E102 A Designer's Journey into Designing for Health and Healthcare with Lorna Ross — DT101 E45 Healthcare Design Teams + Wellness + ScienceXDesign with Chris McCarthy — DT101 E24

In this episode, Dr. Peter Lu and Dr. Jennifer Lee talk to Dr. Mark Corkins about how prenatal and infant nutrition impacts childhood growth and development. Dr. Corkins is Division Chief of Pediatric Gastroenterology at Le Bonheur Children's Hospital, Professor at The University of Tennessee Health Science Center, and leads the American Academy of Pediatrics Committee on Nutrition. He talks about maternal nutrition during pregnancy, the importance of breastfeeding, when to introduce solids, whether buying organic is really worth it, and more!Learning Objectives:Understand the impact of maternal nutrition on growth and development.Discuss the latest recommendations for infant feeding.Discuss how we can counsel patients and their families on improving childhood diet.Resources:Nutrition resources on HealthyChildren.orgThis episode is 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!Support the showAs 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.Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes!

America today woke to news of yet another mass shooting, this time at a Walmart in Chesapeake, Virginia, on the eve of the Thanksgiving holiday. That makes two mass shootings in Virginia this month, and seven in America in the past seven days – including the weekend killings at an LGBTQ club in Colorado. This summer, President Biden signed the first major gun safety bill in nearly three decades, but any further developments on this front are unlikely – particularly with the Republicans taking control of the House of Representatives in January. Representative Jim Clyburn joins the show to discuss all this, and the upcoming transition of power within the Democratic caucus.  Also on today's show: Author Yuval Noah Harari; Dr. Daniel Rauch, Chair, American Academy of Pediatrics Committee on Hospital Care.To learn more about how CNN protects listener privacy, visit cnn.com/privacy

In this episode of the Rural Voice, we are again joined by Dr. Lisa Costello. We discuss the changing landscape of COVID-19 and emerging viruses in the United States. We discuss data tracking approaches to determine changes in the infection rates and new challenges arising in a post-pandemic world, particularly for children, teachers, and administrators. We discuss some methods for addressing infections and protecting children from further diseases. This includes new vaccine boosters for COVID. Lisa M. Costello, MD, MPH, FAAP is a lifelong West Virginian who hails from Weirton, WV and currently resides in Morgantown, WV where she is an Assistant Professor in the Department Pediatrics at West Virginia University (WVU) and a Pediatric Hospitalist at WVU Medicine Children's Hospital. She is co-director of the Pediatrics Clerkship, leads a healthcare literacy and patient advocacy curriculum thread for the M.D. program, and is the advisor for the medical student group, Student Advocates Impacting Decision on Healthcare. Dr. Costello currently serves as the President-elect of the West Virginia State Medical Association, immediate past president of the West Virginia Chapter of the American Academy of Pediatrics, and on the Board of Directors for the WV Children's Health Insurance Program. She is a graduate of the Leadership WV Class of 2021. Dr. Costello is as an advisor to the WV Department of Health and Human Resources Bureau for Public Health during the COVID-19 pandemic response, and the medical lead for the Joint Information Center within the West Virginia Joint Interagency Task Force For COVID-19. At a national level, she is a member of the American Academy of Pediatrics Committee on State Government Affairs. Dr. Costello is on the Executive Council for the WVU School of Medicine Alumni Association and a past recipient of the Margaret Buchanan Cole Young Alumnus Award from the WVU Alumni Association. Her academic interests include advocacy, healthcare policy, social media, and improving communication with patients, healthcare professionals, and the public by utilizing technology and media to amplify advocacy and education. Connect with her on Twitter (@LisaCostelloWV), Facebook, and LinkedIn.

ORIGINALLY DEBUTED: July 25, 2022 On the radio show this week we cover the fight for reproductive healthcare, including abortioncare, and how you can help; what's happening with raising the wages of people in America; where there is hope in democracy; and the release of the COVID vaccine for young children.    *Special guests include: Ann Marie Benitez, National Latina Institute for Reproductive Justice, @LatinaInstitute; Saru Jayaraman, One Fair Wage & Food Labor Research Center at UC Berkeley, @onefairwage; Donna Norton, MomsRising/MamasConPoder, @MomsRising @MamasConPoder; and Dr. Yvonne “Bonnie” Maldonado, chair of the American Academy of Pediatrics Committee on Infectious Diseases, @AmerAcadPeds.

On the radio show this week we cover the fight for reproductive healthcare, including abortioncare, and how you can help; what's happening with raising the wages of people in America; where there is hope in democracy; and the release of the COVID vaccine for young children. *Special guests include: Ann Marie Benitez, National Latina Institute for Reproductive Justice, @LatinaInstitute; Saru Jayaraman, One Fair Wage & Food Labor Research Center at UC Berkeley, @onefairwage; Donna Norton, MomsRising/MamasConPoder, @MomsRising @MamasConPoder; and Dr. Yvonne “Bonnie” Maldonado, chair of the American Academy of Pediatrics Committee on Infectious Diseases, @AmerAcadPeds.

Dr. Fanaroff is a Professor of Pediatrics at Case Western Reserve University (CWRU) School of Medicine in Cleveland. He is a neonatologist as well as Director of the Rainbow Center for Pediatric Ethics at Rainbow Babies & Children's Hospital. Dr. Fanaroff earned his law degree from the University of Virginia School of Law and his medical degree from the CWRU School of Medicine, where he was elected to the AOA Medical Honor Society. During his second year of neonatology training at Rainbow, he commuted to Chicago and completed an ethics fellowship at the University of Chicago. Dr. Fanaroff's research interests center on ethical and legal issues in neonatology and pediatrics.  He is the immediate past Chair of the American Academy of Pediatrics Committee on Medical Liability and Risk Management. He lives in Cleveland with his wife Kristy, a neonatal nurse practitioner, and children Mason, Cole, and Brooke.Find out more about Jonathan Fanaroff and this episode at: www.the-incubator.org/065-dr-jonathan-fanaroff-md-jd______________________________________________________________________________________As 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. enjoy!This podcast is proudly sponsored by Chiesi.

On the radio show this week we cover what's happening with gun safety; The Equality Act and Pride Month; the latest with Roe v. Wade; and the release of the COVID vaccine for young children.    *Special guests include: Kelly Sampson, Brady United Against Gun Violence, @bradybuzz; Kierra Johnson, National LGBTQ Task Force, @TheTaskForce; Shaunna Thomas, UltraViolet, @UltraViolet; Dr. Yvonne “Bonnie” Maldonado, chair of the American Academy of Pediatrics Committee on Infectious Diseases, @AmerAcadPeds

On the radio show this week we cover what's happening with gun safety; The Equality Act and Pride Month; the latest with Roe v. Wade; and the release of the COVID vaccine for young children. *Special guests include: Kelly Sampson, Brady United Against Gun Violence, @bradybuzz; Kierra Johnson, National LGBTQ Task Force, @TheTaskForce; Shaunna Thomas, UltraViolet, @UltraViolet; Dr. Yvonne “Bonnie” Maldonado, chair of the American Academy of Pediatrics Committee on Infectious Diseases, @AmerAcadPeds

On the radio show this week we cover what's happening with gun safety; The Equality Act and Pride Month; the latest with Roe v. Wade; and the release of the COVID vaccine for young children.    *Special guests include: Kelly Sampson, Brady United Against Gun Violence, @bradybuzz; Kierra Johnson, National LGBTQ Task Force, @TheTaskForce; Shaunna Thomas, UltraViolet, @UltraViolet; Dr. Yvonne “Bonnie” Maldonado, chair of the American Academy of Pediatrics Committee on Infectious Diseases, @AmerAcadPeds

In this episode of the Rural Voice, Drs. Allen Pratt and Christopher Silver interview Dr. Lisa Costello regarding her experience and expertise on the COVID-19 Pandemic and vaccines. We discussed the impact of COVID on schools and on children. We discuss the variants and the science behind treatment and invention measures. We discuss the impact of vaccine availability, particularly for children under the age of 5 as well as the comparative approaches to addressing the Pandemic. We discuss the effects of the virus on local communities and how culture may be related to policy and practice addressing the Pandemic. We discuss how these approaches have been addressed and received within rural communities. Lisa M. Costello, MD, MPH, FAAP is a lifelong West Virginian who hails from Weirton, WV, and currently resides in Morgantown, West Virginia where she is an Assistant Professor in the Department of Pediatrics at West Virginia University (WVU) and a Pediatric Hospitalist at WVU Medicine Children's Hospital. She is co-director of the Pediatrics Clerkship, leads a healthcare literacy and patient advocacy curriculum thread for the M.D. program, and is the advisor for the medical student group, Student Advocates Impacting Decision on Healthcare. Dr. Costello currently serves as the President-elect of the West Virginia State Medical Association, immediate past president of the West Virginia Chapter of the American Academy of Pediatrics, and on the Board of Directors for the WV Children's Health Insurance Program. She is a graduate of the Leadership WV Class of 2021. Dr. Costello is an advisor to the WV Department of Health and Human Resources Bureau for Public Health during the COVID-19 pandemic response and the medical lead for the Joint Information Center within the West Virginia Joint Interagency Task Force COVID-19. She is a member of the American Academy of Pediatrics Committee on State Government Affairs at a national level. Dr. Costello is on the Executive Council for the WVU School of Medicine Alumni Association and a past recipient of the Margaret Buchanan Cole Young Alumnus Award from the WVU Alumni Association. Her academic interests include advocacy, healthcare policy, social media, and improving communication with patients, healthcare professionals, and the public by utilizing technology and media to amplify advocacy and education. Connect with her on Twitter (@LisaCostelloWV), Facebook, and LinkedIn. https://directory.hsc.wvu.edu/Profile/35594 https://twitter.com/lisacostellowv

Dr. Jennie and Dr. Sawyer cover the following topics in episode 3 of season 2 KidzDocTalk:-Percentage of eligible children vaccinated-Purpose and goal for Covid vaccines-Each family's risk/benefit analysis-Family interactions when a member is infected-Avoiding exposure, transmission, infection and reinfection-What underlying conditions are being seen in hospitalized children-Current trends, peaks and surges-Children not eligible for the Covid vaccine yet-Overloaded hospitals-Outdoor gatherings/activities without masking but still distanced-Importance of ventilation-The efficiency of social distancing and masks two years into the pandemic-Living with Covid in the future About Dr. Mark Sawyer:Dr. Sawyer is a Professor of Clinical Pediatrics and a Pediatric Infectious Disease specialist at the UCSD School of Medicine and Rady Children's Hospital San Diego.  He is the medical director of the UCSD San Diego Immunization Partnership, a contract with the San Diego County Agency for Health and Human Services to improve immunization delivery in San Diego. He is a past member of the American Academy of Pediatrics Committee on Infectious Diseases, the FDA Vaccines and Related Biological Products Advisory Committee (VRBPAC) and the CDC Advisory Committee on Immunization Practices (ACIP) and is an Associate Editor of the AAP Red Book. Recently he was recalled to VRBPAC to work on the FDA approval of COVID vaccines

On this episode, we're talking with Dr. Lisa Costello about COVID-19 vaccinations and vaccine confidence. Dr. Costello is an Assistant Professor in the Department of Pediatrics at West Virginia University (WVU) in Morgantown, WV and a Pediatric Hospitalist at WVU Medicine Children's Hospital. Dr. Costello currently serves as the president of the West Virginia Chapter of the American Academy of Pediatrics, Vice-President of the West Virginia State Medical Association, and serves on the Board of Directors for the WV Children's Health Insurance Program. Dr. Costello is also an advisor to the state of West Virginia around the COVID-19 pandemic response. At a national level, she is a member of the American Academy of Pediatrics Committee on State Government Affairs. 

In the conclusion to this interview, ITB's new host Amy Schattel breaks down some pediatrics questions with Dr. Lisa Costello. Lisa M. Costello, MD, MPH, FAAP is a lifelong West Virginian who hails from Weirton, WV. She is an Assistant Professor in the Department Pediatrics at West Virginia University (WVU) in Morgantown, WV and a Pediatric Hospitalist at WVU Medicine Children’s Hospital. She is co-director of the Pediatrics Clerkship, leads a healthcare literacy and patient advocacy curriculum thread for the M.D. program, and is the advisor for the medical student group, Student Advocates Impacting Decision on Healthcare. Dr. Costello currently serves as the president of the West Virginia Chapter of the American Academy of Pediatrics, Vice-President of the West Virginia State Medical Association, Vice-Chair of WESPAC, and Board of Directors for the WV Children’s Health Insurance Program. She is a member of Leadership WV Class of 2020. Dr. Costello currently serves as an advisor to the WV Department of Health and Human Resources during the COVID pandemic. At a national level, she is a member of the American Academy of Pediatrics Committee on State Government Affairs. Connect with her on Twitter (@LisaCostelloWV), Facebook, and LinkedIn. ITB Audio Qbank and iOS Beta App The Audio Qbank by InsideTheBoards mobile app has both free and premium features and is available on both Android and iOS.  To get started, first, create a Boardsinsider Account on our website insidetheboards.com Free Features  All of our podcasts in one place organized into playlists for easy studying (also with less ads and exclusive content)  Mindfulness meditations designed specifically for medical students  A monthly offering of high yield content (questions dissections, audio qbank samples) available only on our mobile app.  Premium Features Subscribe to an ITB premium account and get additional features  Access to 500+ audio optimized board style practice questions in our Audio Qbank. The Step 1 version is powered by Exam Circle and the Step 2 Version is powered by OnlineMedEd. New questions added each month.  High Yield Pharmacology (powered by Lecturio) with 100 of the top pharm questions you need to know for both Step 1 and Step 2  Audio Flashcards (coming soon)  Our audio qbank is THE PERFECT companion for studying for the boards on the go. And we're adding content and improving it all the time.   Learn more about the Audio Qbank by InsideTheBoards mobile app here USMLE Step 2 Secrets is now an InsideTheBoards Podcast  As a book, USMLE Step 2 Secrets, by Theodore X. O’Connell, MD, ITB's Chief Content Officer and (among many other things) author of Crush Step 1: The Ultimate USMLE Step 1 Review, is recognized as an effective, high-yield study tool for the USMLE Step 2 and COMLEX Level 2. Plus....BONUS...it fits easily into a "short white coat" pocket. Check out all of ITB's Podcasts on our BRAND NEW Website Legal Stuff and Credits InsideTheBoards is not affiliated with the NBME, USMLE, COMLEX, NBOME or any professional licensing body. InsideTheBoards and its partners fully adhere to the policies on irregular conduct outlined by the aforementioned credentialing bodies.

In the conclusion to this interview (cross-posted from our Study Smarter Series), ITB's new host Amy Schattel breaks down some pediatrics questions with Dr. Lisa Costello. Lisa M. Costello, MD, MPH, FAAP is a lifelong West Virginian who hails from Weirton, WV. She is an Assistant Professor in the Department Pediatrics at West Virginia University (WVU) in Morgantown, WV and a Pediatric Hospitalist at WVU Medicine Children’s Hospital. She is co-director of the Pediatrics Clerkship, leads a healthcare literacy and patient advocacy curriculum thread for the M.D. program, and is the advisor for the medical student group, Student Advocates Impacting Decision on Healthcare. Dr. Costello currently serves as the president of the West Virginia Chapter of the American Academy of Pediatrics, Vice-President of the West Virginia State Medical Association, Vice-Chair of WESPAC, and Board of Directors for the WV Children’s Health Insurance Program. She is a member of Leadership WV Class of 2020. Dr. Costello currently serves as an advisor to the WV Department of Health and Human Resources during the COVID pandemic. At a national level, she is a member of the American Academy of Pediatrics Committee on State Government Affairs. Connect with her on Twitter (@LisaCostelloWV), Facebook, and LinkedIn. ITB Audio Qbank and iOS Beta App The Audio Qbank by InsideTheBoards mobile app has both free and premium features and is available on both Android and iOS.  To get started, first, create a Boardsinsider Account on our website insidetheboards.com Free Features  All of our podcasts in one place organized into playlists for easy studying (also with less ads and exclusive content)  Mindfulness meditations designed specifically for medical students  A monthly offering of high yield content (questions dissections, audio qbank samples) available only on our mobile app.  Premium Features Subscribe to an ITB premium account and get additional features  Access to 500+ audio optimized board style practice questions in our Audio Qbank. The Step 1 version is powered by Exam Circle and the Step 2 Version is powered by OnlineMedEd. New questions added each month.  High Yield Pharmacology (powered by Lecturio) with 100 of the top pharm questions you need to know for both Step 1 and Step 2  Audio Flashcards (coming soon)  Our audio qbank is THE PERFECT companion for studying for the boards on the go. And we're adding content and improving it all the time.   Learn more about the Audio Qbank by InsideTheBoards mobile app here USMLE Step 2 Secrets is now an InsideTheBoards Podcast  As a book, USMLE Step 2 Secrets, by Theodore X. O’Connell, MD, ITB's Chief Content Officer and (among many other things) author of Crush Step 1: The Ultimate USMLE Step 1 Review, is recognized as an effective, high-yield study tool for the USMLE Step 2 and COMLEX Level 2. Plus....BONUS...it fits easily into a "short white coat" pocket. Check out all of ITB's Podcasts on our BRAND NEW Website Legal Stuff and Credits InsideTheBoards is not affiliated with the NBME, USMLE, COMLEX, NBOME or any professional licensing body. InsideTheBoards and its partners fully adhere to the policies on irregular conduct outlined by the aforementioned credentialing bodies.

In the first part of this episode, ITB's new host Amy Schattel interviews Dr. Lisa Costello about pediatrics and advocacy. Lisa M. Costello, MD, MPH, FAAP is a lifelong West Virginian who hails from Weirton, WV. She is an Assistant Professor in the Department Pediatrics at West Virginia University (WVU) in Morgantown, WV and a Pediatric Hospitalist at WVU Medicine Children’s Hospital. She is co-director of the Pediatrics Clerkship, leads a healthcare literacy and patient advocacy curriculum thread for the M.D. program, and is the advisor for the medical student group, Student Advocates Impacting Decision on Healthcare. Dr. Costello currently serves as the president of the West Virginia Chapter of the American Academy of Pediatrics, Vice-President of the West Virginia State Medical Association, Vice-Chair of WESPAC, and Board of Directors for the WV Children’s Health Insurance Program. She is a member of Leadership WV Class of 2020. Dr. Costello currently serves as an advisor to the WV Department of Health and Human Resources during the COVID pandemic. At a national level, she is a member of the American Academy of Pediatrics Committee on State Government Affairs. Connect with her on Twitter (@LisaCostelloWV), Facebook, and LinkedIn. ITB Audio Qbank and iOS Beta App The Audio Qbank by InsideTheBoards mobile app has both free and premium features and is available on both Android and iOS.  To get started, first, create a Boardsinsider Account on our website insidetheboards.com Free Features  All of our podcasts in one place organized into playlists for easy studying (also with less ads and exclusive content)  Mindfulness meditations designed specifically for medical students  A monthly offering of high yield content (questions dissections, audio qbank samples) available only on our mobile app.  Premium Features Subscribe to an ITB premium account and get additional features  Access to 500+ audio optimized board style practice questions in our Audio Qbank. The Step 1 version is powered by Exam Circle and the Step 2 Version is powered by OnlineMedEd. New questions added each month.  High Yield Pharmacology (powered by Lecturio) with 100 of the top pharm questions you need to know for both Step 1 and Step 2  Audio Flashcards (coming soon)  Our audio qbank is THE PERFECT companion for studying for the boards on the go. And we're adding content and improving it all the time.   Learn more about the Audio Qbank by InsideTheBoards mobile app here USMLE Step 2 Secrets is now an InsideTheBoards Podcast  As a book, USMLE Step 2 Secrets, by Theodore X. O’Connell, MD, ITB's Chief Content Officer and (among many other things) author of Crush Step 1: The Ultimate USMLE Step 1 Review, is recognized as an effective, high-yield study tool for the USMLE Step 2 and COMLEX Level 2. Plus....BONUS...it fits easily into a "short white coat" pocket. Check out all of ITB's Podcasts on our BRAND NEW Website Legal Stuff and Credits InsideTheBoards is not affiliated with the NBME, USMLE, COMLEX, NBOME or any professional licensing body. InsideTheBoards and its partners fully adhere to the policies on irregular conduct outlined by the aforementioned credentialing bodies.

In this first part of this episode, ITB's new host Amy Schattel interviews Dr. Lisa Costello about pediatrics and advocacy. Lisa M. Costello, MD, MPH, FAAP is a lifelong West Virginian who hails from Weirton, WV. She is an Assistant Professor in the Department Pediatrics at West Virginia University (WVU) in Morgantown, WV and a Pediatric Hospitalist at WVU Medicine Children’s Hospital. She is co-director of the Pediatrics Clerkship, leads a healthcare literacy and patient advocacy curriculum thread for the M.D. program, and is the advisor for the medical student group, Student Advocates Impacting Decision on Healthcare. Dr. Costello currently serves as the president of the West Virginia Chapter of the American Academy of Pediatrics, Vice-President of the West Virginia State Medical Association, Vice-Chair of WESPAC, and Board of Directors for the WV Children’s Health Insurance Program. She is a member of Leadership WV Class of 2020. Dr. Costello currently serves as an advisor to the WV Department of Health and Human Resources during the COVID pandemic. At a national level, she is a member of the American Academy of Pediatrics Committee on State Government Affairs. Connect with her on Twitter (@LisaCostelloWV), Facebook, and LinkedIn. ITB Audio Qbank and iOS Beta App The Audio Qbank by InsideTheBoards mobile app has both free and premium features and is available on both Android and iOS.  To get started, first, create a Boardsinsider Account on our website insidetheboards.com Free Features  All of our podcasts in one place organized into playlists for easy studying (also with less ads and exclusive content)  Mindfulness meditations designed specifically for medical students  A monthly offering of high yield content (questions dissections, audio qbank samples) available only on our mobile app.  Premium Features Subscribe to an ITB premium account and get additional features  Access to 500+ audio optimized board style practice questions in our Audio Qbank. The Step 1 version is powered by Exam Circle and the Step 2 Version is powered by OnlineMedEd. New questions added each month.  High Yield Pharmacology (powered by Lecturio) with 100 of the top pharm questions you need to know for both Step 1 and Step 2  Audio Flashcards (coming soon)  Our audio qbank is THE PERFECT companion for studying for the boards on the go. And we're adding content and improving it all the time.   Learn more about the Audio Qbank by InsideTheBoards mobile app here USMLE Step 2 Secrets is now an InsideTheBoards Podcast  As a book, USMLE Step 2 Secrets, by Theodore X. O’Connell, MD, ITB's Chief Content Officer and (among many other things) author of Crush Step 1: The Ultimate USMLE Step 1 Review, is recognized as an effective, high-yield study tool for the USMLE Step 2 and COMLEX Level 2. Plus....BONUS...it fits easily into a "short white coat" pocket. Check out all of ITB's Podcasts on our BRAND NEW Website Legal Stuff and Credits InsideTheBoards is not affiliated with the NBME, USMLE, COMLEX, NBOME or any professional licensing body. InsideTheBoards and its partners fully adhere to the policies on irregular conduct outlined by the aforementioned credentialing bodies.

Dr. Sean O'Leary, a professor of pediatric infectious diseases at the University of Colorado and the vice chair of the American Academy of Pediatrics’ Committee on Infectious Diseases, discusses what factors school officials should consider when deciding whether or not to reopen schools for in-person learning. Learn more about your ad choices. Visit podcastchoices.com/adchoices

A new report says there’s been a 90% increase in the number of Covid-19 cases among children in the U.S. in just the last four weeks. President Trump says he thinks children are immune for the most part and “they don’t catch it easily.” Dr. Sean O’Leary is the Vice Chair of the American Academy of Pediatrics Committee on Infectious Diseases, which helped produce the report. He tells Anderson Cooper it’s not fair to say the deadly virus is completely benign in children. Plus, leaders from college football’s “Power Five” conferences are reportedly discussing the possibility of postponing the upcoming season that’s slated to start in a few weeks because of coronavirus concerns. Bob Costas, Hall of Fame broadcaster and CNN Contributor, joins AC360 to discuss the future of college football and how it could affect both athletes and fans. Airdate: August 10, 2020 Guests: Dr. Sean O’Leary Bob CostasTo learn more about how CNN protects listener privacy, visit cnn.com/privacy

As the number of COVID-19 cases in in Brazil surpasses 2 million, Petra Costa, director of "The Edge of Democracy", joins Christiane Amanpour from Sao Paulo to discuss the state of the nation’s health and democracy. Then Dawn Porter, director of "John Lewis: Good Trouble", reflects on the extraordinary life and career of the civil rights icon. Our Hari Sreenivasan also speaks to Dr. Sean O'Leary, vice chair of the American Academy of Pediatrics Committee on Infectious Diseases, about how children are affected by coronavirus. And finally – arise Sir Tom Moore! The UK’s beloved Captain is knighted by the Queen for his contribution to the NHS in a special investiture.To learn more about how CNN protects listener privacy, visit cnn.com/privacy

Welcome to the 5th Episode of the Dr. J Show, where we bring the world's experts to talk about the issues that face families and the faithful. Dr. Rodriguez is a general pediatrician in Tacoma, WA who sees patients from birth to college. She has a special focus on working with children, families and adults who have experienced trauma in their lives. She is a member of the American Academy of Pediatrics Committee on Child Abuse and Neglect. She is a member of the Catholic Medical Society and the Christian Medical and Dental Associations. She works in ministry to adult survivors of abuse including survivors of human trafficking. She uses a model of long-term healing and restoration. She has given presentations to community and medical groups on the science of trauma and toxic stress and on human trafficking awareness and prevention. She also facilitates peer support groups for survivors of abuse through the Maria Goretti Network in the Seattle area. She is married, mother to three children, and serves her church as lector, catechist and mentor. She contributed two chapters to the book Abuse of Trust by Allen Hebert. Resources: www.hopefulheartsministry.org (any survivor of any abuse, how to contact me www.mgoretti.org (peer support group with chapters in the US) www.adornedingracetacoma.com (ministry to prevention and restoration of human trafficking survivors and any survivor of trauma/abuse) www.mendingthesoul.org (books, support groups, lots of educational material from a Christian perspective) www.jpiihealingcenter.org (resources, retreats, Catholic) Reading Recommendations Abuse of Trust by A. Hebert; The Body Keeps the Score by B. van der Kolk MD, Be Healed by B. Schuchts; and Mending the Soul book and ministry by S. Tracy Action Item: Buy the Book, Abuse of Trust: Read it! Give it to your pastor, school principal or anyone else involved in ministry. Give it a positive review on Amazon! Follow the guidelines I will give of Trauma-Informed Ministry Realize that trauma/abuse exist and is very common Recognize the signs of trauma Respond in a trauma-informed way (using the VEEL approach) Avoid re -traumatization consider setting up a trauma-informed church/school/family to create a safe place for survivors to begin to heal

By now you know the drill: it's Friday, and this is an audio podcast of our weekly video broadcast of "The Dr J Show." This week's guest is Dr. Deborah Rodriguez, a pediatrician whose specialty is working with children and families who've experienced trauma, including survivors of abuse and human trafficking. She works with the Hopeful Hearts Ministry and the Maria Goretti Network, and she's a member of the American Academy of Pediatrics Committee on Child Abuse and Neglect. New episodes of the Dr J Show drop every Friday at ruthinstitute.org and YouTube/RuthInstitute. Check out the show write-up for more resources, readings, and links.

Why would a hard working Pediatrician launch a business? On this episode of the Startup Life Show Dr. April Inness shares the life-changing moment that compelled her to create eekMD!This health tech startup is a series of experiential and immersive learning programs for elementary school age children that teaches them how to advocate for their own health and communicate with health care providers.The healthcare setting is often intimidating and scary, and children need tools to effectively communicate their symptoms, ask questions of their healthcare providers, and feel empowered. Dr. Inniss is a licensed pediatrician and researcher with expertise in creating and evaluating media products for young children. I was curious… and perhaps you are too… why someone … who has devoted so much time and effort to her education in and practice of medicine… why would they start a business?! Wasn't medical school hard enough? I know… that is such a limiting belief I have, right?! I am so delighted Dr. Inniss is here to blast through my limiting beliefs and share her amazing startup story with us!A favorite quote from our conversation:"I separate what I consider my God-given identity from my business. Because I think when you're working so hard and so intently on something that you start to kind of conflate the two. If my business fails, I am not a failure. The business is a big part of what I do, but it's fundamentally not who I am."You can learn more via eekMD's website:https://eekmd.com/Please connect with Dr. Inniss via:LinkedIn: https://www.linkedin.com/in/april-khadijah-inniss-md-msc-61a3b289/Twitter: https://twitter.com/eekmdkidsFacebook: https://www.facebook.com/eekmdkids/Instagram: https://www.instagram.com/eekmdkids/If you need startup mentoring – please visit my website, http://andelyons.com where you’ll find all the ways I can add value to your startup journey: strategy calls, pitch deck and one page business snapshot coaching, WBENC application support for women business owners - I’d be honored to mentor you through whatever you’re going through – so please don’t hesitate to reach out.If you’d like to receive an alert whenever I post a new episode, please follow me on Spreaker Stitcher, iTunes or Google Podcasts… and let’s connect on social media!Listeners - thank you so much for tuning in - I am genuinely grateful for your time and presence. Stay strong, stay focused – and please remember – you’ve got this – Cheers!Ande ♥Dr. April Inniss Bio:Dr. Inniss is a licensed pediatrician and researcher with expertise in creating and evaluating media products for young children. While completing a clinical research fellowship at the University of Michigan, she explored in depth how media can model, promote, and influence healthy behaviors in children. This experience was enriched with an Internship at the Sesame Workshop’s Research and Evaluation Department, through a membership in the American Academy of Pediatrics Committee on Communications and Media, and from a presentation of her own children’s media research to a national academic audience. Dr. Inniss received her BA from Brown University, her MD from the University of Massachusetts Medical School, and completed her residency in Pediatrics at the Floating Hospital for Children at Tufts Medical Center.  She rounded out her clinical and research training with a Masters in Social Work in Health Services Research from the University of Michigan as a Robert Wood Johnson Foundation Clinical Scholar.

Caring for kids in the ED can be challenging - they often can’t (or won’t) tell you what’s wrong or where it hurts; they may have trouble sitting still during an exam or procedure; and their screams put everyone on edge. But let’s think about it from their perspective. It must be pretty confusing and frightening at times. Did you ever have to go to the ED as a kid? Do you remember what it was like? We ask some kids to share their thoughts and experiences. Then we get some valuable tips from the experts - Child Life Specialists, Pediatric ED Nurses, and Pediatric Emergency Medicine Physicians, including our own Dr. Julia Magaña. Learn what you can do to improve the ED experience for both you and your young patients. What tips do you have for taking care of kids in the ED? Did you try any of the things we mentioned in this episode? If so, did they work for you? We want to know! Share your thoughts on social media, @empulsepodcast, or on our website, ucdavisem.com.  Hosts: Dr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guests: The kids: Isa, Jordan, Benny, Katelyn, Wesley and Elia UC Davis Department of Emergency Medicine Child Life Specialists, Nurses and Pediatric Emergency Medicine Physicians. Resources: DistrACTION Cards that Julia mentioned Information and protocols for using intranasal medications at www.intranasal.net Wong-Baker FACES pain scale FLACC Score for pain in infants ACEP Guidelines for Procedural Sedation and Analgesia in the Emergency Department (2013) An Evidence-Based Approach to Minimizing Acute Procedural Pain in the Emergency Department and Beyond. Ali S, McGrath T, Drendel AL. Pediatr Emerg Care. 2016 Jan;32(1):36-42; quiz 43-4. doi: 10.1097/PEC.0000000000000669. Review. Patient- and family-centered care of children in the emergency department. Dudley N, Ackerman A, Brown KM, Snow SK; American Academy of Pediatrics Committee on Pediatric Emergency Medicine; American College of Emergency Physicians Pediatric Emergency Medicine Committee; Emergency Nurses Association Pediatric Committee. Pediatrics. 2015 Jan;135(1):e255-72. doi: 10.1542/peds.2014-3424. Ten Practical Ways to Make Your ED Practice Less Painful and More Child-Friendly Amy L.DrendelDO, MS*SaminaAliMDCM, Clinical Pediatric Emergency Medicine Volume 18, Issue 4, December 2017, Pages 242-255 ********************************************************* Ski and CME! Join us for the UC Davis Emergency Medicine Winter Conference, March 4th-8th at the Ritz Carlton in Lake Tahoe. Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

Organizing for Change Podcast - Episode 21 Show Notes Goal: “to equip coalitions, organizations, and individuals to bring change to their community”   Host, Amanda Decker joins ROBERT SEGE, MD, PHD, Co-Director, Stakeholder and Community Engagement; Interim Lead Navigator Tufts CTSI Robert Sege, MD, PhD is a Professor of Medicine at Tufts University School of Medicine, where he directs a new Center for Community-engaged Medicine. Dr. Sege is nationally known for his research on effective health systems approaches that directly address the social determinants of health. He is a Senior Fellow at the Center for the Study of Social Policy in Washington and serves on the boards of the Massachusetts Children’s Trust and Prevent Child Abuse America.   He has served on the American Academy of Pediatrics’ Committee on Child Abuse and Neglect, and on its Committee on Injury, Violence, and Poisoning Prevention. He is a graduate of Yale College, and received his PhD in Biology from MIT and his MD from Harvard Medical School. Bob lives in the Boston area, where he and his wife Karen have raised three young adult children.   Welcome to Episode 021 of the Podcast: ACES with HOPE Study   Guest: Robert Sege, MD, PHD   Tufts CTSI Website https://www.tuftsctsi.org/people/robert-sege/   ACES with HOPE Study: https://www.cssp.org/publications/documents/Balancing-ACEs-with-HOPE-FINAL.pdf   Organizing for Change Website: https://organizing4change.podbean.com/   Organizing for Change Twitter: @organizing4chng   3 Insights from This Episode:     We are not just a collection of all the bad experiences we had. Dr. Sege talks about how he doesn’t deny the problems his patients have, but that he tries to view them in the best light and address them as a whole person, not just their struggles.       Our children are our future and the future of our communities. The overwhelming majority of people already have protective factors for their children in place. It is important to build on those protective factors in a community to help parents who may not have these protective factors in place. Teenagers have to feel like they matter. Dr. Sege talks about the importance of setting up opportunities in a community for a young person to realize they matter. If a young person feels like they don’t matter and what they do doesn’t matter increases their likelihood to use drugs and alcohol.   We love getting feedback from you! If you have any feedback or have an idea for an episode, email us at organizing4change@gmail.com Next Episode: Subscribe now for free and you won’t miss episode 022

Traumatized children need your full attention. Protocols work well for adults, but trauma in children requires that we exercise our clinical muscles just a bit more.   Two main reasons:  Children have specific injury patterns  Their physiologic response to trauma is unique.   Crash course in pediatric anatomy and physiology in trauma When you think of trauma in children, think of Charlie Brown. Large head, no neck, his chest and abdomen form an underdeveloped, amorphous shape. Alternatively, think of children as apples – they are rounder than they are tall, with a large increased surface area. Apples don’t have a hard shell or thick rind to protect them. If you drop them, you may not see any evidence of damage to the outside, but there can be considerable bruising just under the surface. A child has thin skin, less subcutaneous deposits than an adult, and a non-calcified, pliable thorax that deforms more than it protects or shields. The child’s abdominal muscles are not yet developed. There is less peritoneal fat to cushion a blow, and so traumatic forces transmit readily into internal organs, often without external bruising. The child’s large surface area also causes him to dissipate heat more quickly. He may be wet from urine or blood, and in a major trauma, this faster cool-down predisposes him to coagulopathy. Case A 5-year-old boy who was playing with his older brother in front of their home when the ball rolled into the street. He ran after it, and was struck by a sedan going approximately 30 mph. This is the so-called Wadell’s triad that occurs in a collision of auto versus pedestrian or auto versus bicycle. The initial impact is the greatest, and will vary depending on the child’s height and what part of his body reaches up to the bumper of the car. Depending on the height of the child and the height of the car, the initial impact will cause a femur fracture, a pelvic fracture, or direct abdominal trauma. The second impact happens as the child is flung onto the grill or the hood of the car, causing usually thoracic trauma. The third impact can be the coup de grace – to add insult to major injury, the child is then propelled forward, worsening the two previous impacts’ injuries and adding a third – severe blunt head trauma. Intubation Pearl #1: If your patient has any subtle change in mental status, intubate early. In pediatric trauma, we need to be proactive. Hypoxia is our enemy. Intubation Pearl #2: Thankfully cervical spine injuries in children are uncommon, and when they do occur, they typically occur at the child’s fulcrum, which is at C2. Compare this with an adult’s injury pattern with our fulcrum at C7. Be careful and minimize manipulation of the cervical spine, but do what you must to visualize the chords and place the tube. Keep the neck midline, and realize that the child’s usual decrease respiratory reserve is even more affected by trauma. Preoxygenate and pass that tube quickly. Chest Tube Pearl #1: Chest tube sizing in pediatrics is straightforward if we remember that the traditional chest tube size is 4 x the ETT size. Chest Tube Pearl #2: Try using a pigtail catheter. Safety Triangle Lateral edge of the pectoral muscle Lateral edge of the latisimus dorsi Line along the fifth intercostal space at the level of the nipple. It’s roughly where you would put on a generous dose of deodorant. Insertion here minimizes the risk of damage to nerves, vessels and organs. Resuscitative Thoracotomy in Children In a 40-year review of ED thoracotomy, Moore et al. analyzed 1,691 patients who received ED thoracotomy. Overall all-cause adult survival was 6.1%. In children ? 15 years of age, overall all-cause survival was considerably less, at 3.4%. In a large case series and review of the literature for pediatric ED thoracotomy, Allen et al. found a survival rate in penetrating trauma of 10.2%, with a much lower survival rate in blunt pediatric arrest, at 1.6%. Adolescents had more penetrating injuries, and younger children had more blunt trauma. To synthesize, the rarity of ED thoracotomy in children is due to the fact that: Traumatic full arrest in children is uncommon. It is most often blunt trauma. Blunt traumatic arrest in children is mostly non-survivable. REBOA If you have access to resuscitative endovascular balloon occlusion of the aorta or REBOA, this may be an option to temporize the child to get him to the relative control of the operating room. REBOA involves accessing the common femoral artery, passing a vascular sheath, floating a balloon catheter to the appropriate section of the aorta, and inflating the balloon to occlude blood flow. Brenner et al. described a case series of 6 patients from two Level I trauma centers. They used REBOA for refractory hemorrhagic shock due to either blunt or penetrating injury. After balloon occlusion, blood pressure improved sufficiently to take the patient either to interventional radiology or to the OR. Four patients lived, two died. The AORTA trial is underway to investigate its use in trauma. Summary: Children are like Charlie Brown – large head, no neck, amorphous, underdeveloped and unprotected thorax and abdomen. Or, if you like, they’re like, apples – they have a large surface area and are easily internally bruised, often without overt signs of external bruising. Chest tubes for children are very similar to the adult procedure – the traditional chest tube size is 4 x the child’s ETT size. Try to use smaller pigtail catheters, available in commercial kits, whenever possible. They’re easy, safe, and effective. Resuscitative thoracotomy is for penetrating trauma with signs of life wthin 10-15 minutes of arrival. Find the correctable surgical cause of the arrest. Resuscitative thoracotomy for blunt trauma has a dismal prognosis in children. Selected References Allen CJ, Valle EJ, Thorson CM, Hogan AR, Perez EA, Namias N, Zakrison TL, Neville HL, Sola JE. Pediatric emergency department thoracotomy: a large case series and systematic review. J Pediatr Surg. 2015 Jan;50(1):177-81. American College of Surgeons Committee on Trauma; American College of Emergency Physicians Pediatric Emergency Medicine Committee; National Association of Ems Physicians; American Academy of Pediatrics Committee on Pediatric Emergency Medicine, Fallat ME. Withholding or termination of resuscitation in pediatric out-of-hospital traumatic cardiopulmonary arrest. Pediatrics. 2014 Apr;133(4):e1104-16. Holscher CM, Faulk LW, Moore EE, Cothren Burlew C, Moore HB, Stewart CL, Pieracci FM, Barnett CC, Bensard DD. Chest computed tomography imaging for blunt pediatric trauma: not worth the radiation risk. J Surg Res. 2013 Sep;184(1):352-7. Moore HB, Moore EE, Bensard DD. Pediatric emergency department thoracotomy: A 40-year review. J Pediatr Surg. 2015 Oct 19. Scaife ER, Rollins MD, Barnhart DC, Downey EC, Black RE, Meyers RL, Stevens MH, Gordon S, Prince JS, Battaglia D, Fenton SJ, Plumb J, Metzger RR. The role of focused abdominal sonography for trauma (FAST) in pediatric trauma evaluation. J Pediatr Surg. 2013 Jun;48(6):1377-83. Stannard A, Eliason JL, Rasmussen TE. Resuscitative endovascular balloon occlusion of the aorta (REBOA) as an adjunct for hemorrhagic shock. J Trauma. 2011 Dec;71(6):1869-72. Pediatric Trauma on WikEM   This post and podcast are dedicated to Dr Al Sacchetti, MD, FACEP. Thank you for promoting the emergency care of children and for spreading the message that you don’t need subspecialty training to take good care of acutely ill and injured children. Powered by #FOAMed — Tim Horeczko, MD, MSCR, FACEP, FAAP

Guest: Jatinder Bhatia, MD Host: Jennifer Shu, MD, FAAP Although breast milk is the ideal source of nutrition for children under 12 months, most babies receive infant formula at some point during the first year. With dozens of formulas on the market, making a choice can be confusing for parents and for physicians as well. Dr. Jatinder Bhatia, professor and chair of neonatology at the Medical College of Georgia, and a member of the American Academy of Pediatrics Committee on Nutrition, lends his expert insight on choosing an infant formula. What are the latest recommendations regarding infant formulas? How should physicians decide what formula is best for a patient? Dr. Jennifer Shu hosts.