iCritical Care: Pediatric Critical Care Medicine: Recent Episodes

Society of Critical Care Medicine (SCCM)

This channel is now the SCCM Podcast. This channel will no longer be updated. For more information and to subscribe to the SCCM Podcast, visit sccm.org/podcast. The Society of Critical Care Medicine (SCCM) Podcast features in-depth interviews with leaders in critical care. Experts discuss hot topics in intensive care with perspectives from all members of the critical care team. Guests include authors from SCCM's peer-reviewed journals, Critical Care Medicine, Pediatric Critical Care Medicine, and Critical Care Explorations, as well as thought leaders within the field.

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The increasing use of electronic health records (EHRs) has inspired the need for a more dynamic checklist. Geva et al conducted a before-after quality improvement study by replacing a static checklist with an updated dynamic checklist.

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Healthcare workload has emerged as an important metric associated with poor outcomes. To measure workload, studies have used bed occupancy as a surrogate. However, few studies have examined frontline clinician workload and outcomes.

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As a proof of concept, a recurrent neural network (RNN) model was developed using electronic medical record (EMR) data capable of continuously assessing a child's risk of mortality throughout an ICU stay as a proxy measure of illness severity.

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Targets for treatment of raised intracranial pressure or decreased cerebral perfusion pressure in pediatric neurocritical care are not well defined.

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Mannitol is a commonly used osmotherapy agent in raised intracranial pressure (ICP) but the side effects are significant.

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Cystic fibrosis patient care has advanced greatly in recent years and the mortality rate has improved.

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Gain valuable insight on the clinical management of COVID-19 and its relevance to the pediatric critical care provider with host Elizabeth H. Mack, MD, MS, FCCM, and Jacqueline Ong, MB BChir, MMed (Paeds), MRCPCH

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Margaret M. Parker, MD, MCCM, and Christopher S. Parshuram, MBChB, PhD, discuss clinician moral distress in Canadian pediatric and neonatal intensive care units.

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Margaret M. Parker, MD, MCCM, and Scott L. Weiss, MD, FCCM, discuss the release of: Surviving Sepsis Campaign International Guidelines for the Management of Septic Shock and Sepsis-Associated Organ Dysfunction in Children

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Margaret M. Parker, MD, MCCM, speaks with Rashid Alobaidi, MD, on his article titled Population-Based Epidemiology and Outcomes of Acute Kidney Injury in Critically Ill Children published in the January 2020 issue of Pediatric Critical Care Medicine.

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Margaret M. Parker, MD, MCCM, speaks with Danny Hames, MD, on his article titled: Risk Factors for Mortality in Critically Ill Children Requiring Renal Replacement Therapy, published in the November 2019 issue of Pediatric Critical Care Medicine.

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Margaret M. Parker, MD, MCCM, speaks with Rakesh Lodha, MD, on his article titled Polyneuropathy in Critically Ill Mechanically Ventilated Children: Experience from Tertiary Care Hospital in North India, published the September issue of Pediatric Critical Care Medicine

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Margaret M. Parker, MD, MCCM, and Lorry R. Frankel, MD, FCCM, discuss the updated pediatric critical care admission, discharge, and triage criteria and levels of care guidance published in the September issue of Pediatric Critical Care Medicine

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Margaret M. Parker, MD, MCCM, and Elizabeth Emrath, MD, discuss Dr. Emrath's talk on the new pediatric nutritional guidelines from the 48th Critical Care Congress precourse Current Concepts in Pediatric Critical Care

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Margaret M. Parker, MD, MCCM, and Luregn Schlapbach, MD, FCICM, review a survey of international practice on prevention, diagnosis, and treatment of infections on extracorporeal life support in adults and children published in Pediatric Critical Care Medicine

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Margaret M. Parker, MD, MCCM, and Patrick M. Kochanek, MD, MCCM, discuss the updated pediatric severe traumatic brain injury guidelines

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Margaret Parker, MD, MCCM, speaks with Nilesh M. Mehta, MD, about the article, Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition, published in the July 2017 issue of Pediatric Critical Care Medicine

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

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Margaret Parker, MD, MCCM, speaks with Thomas V. Brogan, MD, about the article Variability in Antibiotic Use Across PICUs, published in the June 2018 issue of Pediatric Critical Care Medicine. Dr.

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Margaret Parker, MD, MCCM, speaks with Dana E. Niles, MS, about the article Characterization of Pediatric In-Hospital Cardiopulmonary Resuscitation Quality Metrics Across an International Resuscitation Collaborative, published in the May 2018 issue of Pediatric Critical Care Medicine.

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Margaret Parker, MD, MCCM, speaks with Michael C. McCrory, MD, MS, about the article, Time of Admission to the PICU and Mortality, published in the October 2017 issue of Pediatric Critical Care Medicine.

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Margaret Parker, MD, MCCM, speaks with Scott L. Weiss, MD, MSCE, about the article, The Epidemiology of Hospital Death Following Pediatric Severe Sepsis: When, Why, and How Children With Sepsis Die, published in the September 2017 issue of Pediatric Critical Care Medicine.

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Margaret Parker, MD, MCCM, speaks with Shari Simone, DNP, about the article, Implementation of an ICU Bundle: An Interprofessional Quality Improvement Project to Enhance Delirium Management and Monitor Delirium Prevalence in a Single PICU, published in the June 2017 issue of Pediatric Critical Care Medicine.

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Margaret Parker, MD, MCCM, speaks Mark Duffett, PhD, about the article, High-Quality Randomized Controlled Trials in Pediatric Critical Care: A Survey of Barriers and Facilitators, published in the May 2017 issue of Pediatric Critical Care Medicine.

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Margaret Parker, MD, MCCM, speaks with Ericka L. Fink, MD, MS, about the PANGEA study (Prevalence of Acute Critical Neurological Disease in Children: A Global Epidemiological Assessment), published in the April 2017 issue of Pediatric Critical Care Medicine.

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Margaret Parker, MD, MCCM, speaks with Mary Jo C. Grant, APRN, PhD, about the article, Dexmedetomidine Use in Critically-Ill Children with Acute Respiratory Failure, published in the December 2016 issue of Pediatric Critical Care Medicine.

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Margaret Parker, MD, MCCM, speaks with Aaron C. Spicer, MD, MAS. Dr. Spicer completed a pediatric residency and critical care fellowship and now is a resident in the Department of Anesthesia, Critical Care, and Pain Medicine at the Massachusetts General Hospital in Boston, Massachusetts.

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Margaret Parker, MD, MCCM, speaks with Mark C. Dugan, MD, about the article: Does Simulation Improve Recognition and Management of Pediatric Septic Shock, and If One Simulation Is Good, Is More Simulation Better?

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Margaret Parker, MD, MCCM, speaks with Steven L. Shein, MD, about the article, Effectiveness of Pharmacological Therapies for Intracranial Hypertension in Children With Severe Traumatic Brain Injury.

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Margaret Parker, MD, MCCM, speaks with Philip Toltzis, MD. Dr. Toltzis is Professor of Pediatrics at Case Western Reserve University School of Medicine.

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Margaret Parker, MD, MCCM, speaks with Christina L. Cifra, MD. Dr. Cifra is a Pediatric Intensivist and an Assistant Professor in the Department of Pediatrics at the University of Iowa Carver College of Medicine in Iowa City, Iowa.

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

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Margaret Parker, MD, MCCM, speaks with Michael Gaies, MD. Dr. Gaies is an Assistant Professor and works as a Cardiac Intensivist in the Division of Cardiology, Department of Pediatrics and Communicable Diseases at C.S. Mott Childrens Hospital and University of Michigan Medical School in Ann Arbor, MI.

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Margaret Parker, MD, MCCM, speaks with Donald D. Vernon, MD, FAAP. Dr. Vernon is a Professor of Pediatrics at the University of Utah in Salt Lake City, Utah.

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Margaret Parker, MD, MCCM, speaks with Robert T. Mansfield, MD

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Margaret Parker, MD, MCCM, speaks with Nnenna O. Chime, MD, MPH

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Margaret Parker, MD, MCCM, speaks with Andrea Wolfler, MD

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Margaret Parker, MD, MCCM, speaks with Neal J. Thomas, MD

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Margaret Parker, MD, MCCM, speaks with Guillaume Emeriaud, MD, PhD.

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Margaret Parker, MD, MCCM, speaks with Chani Traube, MD.

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Margaret Parker, MD, MCCM, speaks with George P. Liao, MD and Charles S. Cox, MD

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Margaret Parker, MD, MCCM, speaks with Jason W. Custer, MD

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Margaret Parker, MD, MCCM, speaks with James Thomas, MD

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Margaret Parker, MD, MCCM, speaks with Fran Balamuth, MD, PhD

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Margaret Parker, MD, MCCM, speaks with Claudia Delgado-Corcoran, MD, MPH

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Margaret Parker, MD, MCCM, speaks with Meredith F. Bone, MD, MSCI

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Margaret Parker, MD, MCCM, speaks with Nilesh M. Mehta

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Margaret Parker, MD, MCCM, speaks with James L. Wynn, MD.

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Margaret Parker, MD, MCCM, speaks with Brett J. Ehrmann, MD, MS

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Margaret Parker, MD, MCCM, speaks with Traci A. Wolbrink, MD, MPH

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Margaret Parker, MD, MCCM, speaks with Katherine J. Steineck, PharmD, pediatric clinical pharmacist at the University of Minnesota Amplatz

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Margaret Parker, MD, MCCM, speaks with Jacques R. Lacroix, MD.

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Margaret Parker, MD, MCCM, speaks with Kyle Rehder, MD, assistant professor of pediatrics in the division of pediatric critical care medicine at Duke Children Hospital.

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Margaret Parker, MD, FCCM, speaks with Andrew Argent, MD, Medical Director of the Pediatric Intensive Care Unit (PICU) at the Red Cross War Memorial Childrens Hospital.

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Margaret Parker, MD, FCCM, speaks with Mary Hartman MD, MPH, about her article published in the September Pediatric Critical Care Medicine.

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Margaret Parker, MD, FCCM, speaks with MD, MPH, Angela S. Czaja, MD, MSc, lead author on an article published in the July Pediatric Critical Care Medicine.

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Margaret Parker, MD, FCCM, speaks with Murray M. Pollack, MD.

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Margaret Parker, MD, FCCM, speaks with John T. Berger, MD, FCCM, Medical Director for Cardiac Critical Care at Childrens National Medical Center in Washington, DC, USA.

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Margaret Parker, MD, FCCM, speaks with Heidi J. Dalton, MD, FCCM, about extracorporeal membrane oxygenation (ECMO) in pediatric critical care.

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Margaret Parker, MD, FCCM, speaks with Christine N. Duncan, MD

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Margaret Parker, MD, FCCM, speaks with Matthew J. Drago, MD, MBE

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Margaret Parker, MD, FCCM, speaks with Eliotte L. Hirshberg, MD.

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Margaret Parker, MD, FCCM, speaks with Victoria L. Pemberton, RN, MS, about her article published in the January Pediatric Critical Care Medicine

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Margaret Parker, MD, FCCM, speaks with Carl O. Eriksson, MD, MPH, lead author on an article published in the November Pediatric Critical Care Medicine

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Margaret Parker, MD, FCCM, speaks with Ranjit S. Chima, MD, lead author of an article published in the November Pediatric Critical Care Medicine

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Margaret Parker, MD, FCCM, speaks Katri Typpo, MD, MPH, lead author of an article published in the September 2012 issue of Pediatric Critical Care Medicine

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Margaret Parker, MD, FCCM, associate podcast editor, speaks with Susan L. Bratton, MD, MPH, about her paper published in the July Pediatric Critical Care Medicine

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Margaret Parker, MD, FCCM, associate podcast editor, speaks with Nana Coleman, MD, EdM, about her editorial published in the July Pediatric Critical Care Medicine

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

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Margaret Parker, MD, FCCM, associated podcast editor, speaks with Patrick M. Kochanek, MD, MCCM, about the revised guidelines for acute medical management of severe traumatic brain injury.

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Ericka L. Fink, MD, discusses her latest article published in Pediatric Critical Care Medicine

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Carol E. Nicholson, MD, MS, FAAP, is the Project Scientist for the Collaborative Pediatric Critical Care Research Network (CPCCRN) and Program Director for Pediatric Care and Rehabilitation Research (PCCR).

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Matthew Paden, MD, discusses his Pediatric Critical Care Medicine article: Recovery of Renal Function and Survival After Continuous Renal Replacement Therapy During Extracorporeal Membrane Oxygenation.

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Brian F. Joy, MD, a fellow in the Department of Pediatric Cardiology at Childrens Memorial Hospital in Chicago, Illinois, USA, discussed an article published in the May 2011 Pediatric Critical Care Medicine

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M. Cholette, MD, is the lead author of an article published in the January Pediatric Critical Care Medicine

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Graeme MacLaren, MD, FCCM, is the lead author on an article published in the March Pediatric Critical Care Medicine.

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Ravi Thiagarajan, MD, MBBS, MPH, discusses his article published in the January Pediatric Critical Care Medicine.

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Alan R. Schroeder, MD, lead author of an article published in the July Pediatric Critical Care Medicine

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Steven B. Leder, PhD, discusses his article, Dysphagia Testing and Aspiration Status in Medically Stable Infants Requiring Mechanical Ventilation Via Tracheotomy, published in the July 2010 Pediatric Critical Care Medicine.

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Monica Vavilala, MD, discusses her recent article published in the May issue of Pediatric Critical Care Medicine.

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Amelia Hopkins, MD, FCCM, discusses her article published in the September 2009 issue of Pediatric Critical Care Medicine.

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Wynne Morrison, MD, discusses an article published in the May issue of Pediatric Critical Care Medicine, which highlighted the results of a national survey of pediatric critical care medicine fellowship clinical and research time allocation.

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Leticia Castillo, MD, FCCM, assistant professor at Baylor College of Medicine in Houston, Texas, discusses an article published in Pediatric Critical Care Medicine.

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Elaine Meyer, RN, PhD, discuss a paper published recently in Pediatric Critical Care Medicine.

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Jeffrey P. Burns, MD, MPH, discusses an article from the March 2009 issue of Pediatric Critical Care Medicine, "Simulation at the Point-of-Care: Reduced cost, in-situ training via a mobile cart." Burns is chief of the division of critical care medicine at Children's Hospital in Boston as well as an associate professor at Harvard Medical School. Pediatr Crit Care Med. 2009;10(2):176 Released: 5/21/09

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Desmond Bohn, MC, BCH, discusses his editorial, "The Problem of Acute Hyponatremia in Hospitalized Children: The Solution is the Solution," which was published in the November 2008 issue of Pediatric Critical Care Medicine. The editorial was in response to an article by P. Alvarez-Montanana et al, published in the same issue titled, "The use of isotonic fluid as maintenance therapy prevents iatrogenic hyponatremia in pediatrics: A randomized, controlled open study." Dr. Bohn is Department of Critical Care Medicine Chief at The Hospital for Sick Children in Toronto, Canada. (Pediatr Crit Care Med. 2008;9[6]:658) Released: 12/1/08

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James D. Fortenberry, MD, FCCM, discusses his editorial published in the September 2008 issue of Pediatric Critical Care Medicine, titled "8-Tracks, Betamax... Is the endotracheal tube next to go?" Fortenberry is a pediatric intensivist at Children's Healthcare of Atlanta in Georgia, where he also is the medical director of the system's clinical research. Dr. Fortenberry also is director, division of critical care medicine in the department of pediatrics at Emory University School of Medicine. The editorial was in response to an article published in the same issue by Leticia J. Yanez et al., "A prospective, randomized, controlled trial of non-invasive ventilation in pediatric acute respiratory insufficiency." (Pediatr Crit Care Med. 2008;9[5]:536) Released: 11/19/08

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Folafoluwa O. Odetola, MD, MPH, discusses an article published in the January 2008 issue of Pediatric Critical Care Medicine, "Do outcomes vary according to the source of admission to the pediatric intensive care unit?" Dr. Odetola is from Mott Children's Hospital, University of Michigan Health System, and from the Child Health Evaluation and Research Unit Department of Pediatrics and Communicable Diseases at the University of Michigan Ann Arbor. (Pediatr Crit Care Med. 2008;9[1]:20)

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Martha A.Q. Curley, RN, PhD, associate professor of nursing, anesthesia and critical care medicine at the University of Pennsylvania and nurse scientist at Children’s Hospital in Boston, discusses an article published in the May 2007 issue of Pediatric Critical Care Medicine, "Pediatric staff perspectives on organ donation after cardiac death in children." (Ped. Crit. Care Med. 2007;8[3]:212).

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Peter C. Laussen, MD, discusses an article published in the May 2007 issue of Pediatric Critical Care Medicine, titled "Pediatric Staff Perspectives on Organ Donation After Cardiac Death in Children." Dr. Laussen is director of the cardiac intensive care unit at Children's Hospital Boston. This is the first podcast in a two-part interview. Part two will feature an interview with lead author Martha A.Q. Curley, RN, PhD. (Ped. Crit. Care Med. 2007;8[3]:212).

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Jerry Zimmerman, MD, PhD, FCCM, discusses an article published in the January 2007 issue of Pediatric Critical Care Medicine, titled "Adrenal Status in Children with Septic Shock Using Low Dose Stimulation Test." Dr. Zimmerman is professor of pediatric critical care medicine at the University of Utah. Dr. Zimmerman is director of pediatric critical care medicine at Children’s Hospital Regional Medicine Center in Seattle, Washington. (Sarthi M, et al. Pediatr Crit Care Med. 2007; 8:84)

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Douglas Willson, MD, discusses an article he published in the July 2006 issue of Pediatric Critical Care Medicine, "The Collaborative Pediatric Critical Care Research Network." Dr. Willson is medical director of the pediatric intensive care unit at the University of Virginia Health Sciences Center and the chairman of the Steering Committee for the Collaborative Pediatric Critical Care Research Network. (Pediatr Crit Care Med. 2006; 7:301)

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Susan Bratton, MD, MPH, discusses an editorial published in the September 2006 issue of Pediatric Critical Care Medicine, "Physician Experience with Family Presence During Pediatric Cardiopulmonary Resuscitation." Dr. Bratton is professor of pediatric critical care medicine at the University of Utah. (Niranjan K. Ped Crit Care Med. 2006;7:505)

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Christopher Carroll, MD, discusses an article published in Pediatric Critical Care Medicine titled, "Childhood Obesity Increases Duration Of Therapy During Severe Asthma Exacerbations." Dr. Carroll is a pediatric intensivist at Connecticut Children's Medical Center. (Pediatr Crit Care Med. 2006:527-31)

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Arno Zaritsky, MD, discusses an article he and Dr. Ikram Haque published in the March 2007 issue of Pediatric Critical Care Medicine titled "Analysis of the Evidence for Lower Limit of Systolic and Mean Arterial Pressure in Children." Dr. Zaritsky is professor and chief of pediatric critical care at the University of Florida College of Medicine in Gainesville, Florida.

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Martha Curley, RN, PhD, discusses her article in the Mar 2006 issue of Pediatric Critical Care Medicine, titled "State Behavioral Scale: A Sedation Assessment Instrument for Infants and Young Children Supported on Mechanical Ventilation." Dr. Curley, director of nursing research in critical care and cardiovascular nursing research at The Children's Hospital in Boston, Massachusetts, is a recognized expert in pediatric critical care nursing. She discusses the development and validation of the State Behavioral Scale, a tool used in the evaluation of the level of sedation in pediatric patients requiring mechanical ventilation. (Pediatric Care Medicine, Volume 7, Number 2 Mar 2006 pp 107-114)

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Anthony Slonim, MD, DrPH, FCCM, and Angela Hsu, MD, both from the Children's National Medical Center at the George Washington University School of Medicine in Washington, D.C., discuss their article in the February issue of Critical Connections, titled "Preventing Pediatric Trauma: The Role of the Critical Care Professional." They focus on the different levels of prevention in this patient population and how critical care professionals can play a more active role in making sure fewer young patients are treated for trauma. (Crit Conn 2006 Vol.5 No.1)

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Adrienne Randolph, MD, MSc, served as guest editor for the May 2005 supplement to Pediatric Critical Care Medicine. Dr. Randolph shares her thoughts on the importance of the 1st International Sepsis Forum on Sepsis in Infants and Children and the Pediatric Acute Lung Injury and Sepsis Investigator's (PALISI) Network. She also highlights the most important aspects from the supplement, which she played such an instrumental role in producing. (Pediatr Crit Care Med 2005 Vol. 6, No. 3 (Suppl.)

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PICU Care of Children with Cancer