The MCG Pediatric Podcast

Respiratory Failure

Dr. Renuka Mehta, a pediatric intensivist at the Medical College of Georgia, joins Drs Matthew Smith and Zac Hodges to discuss the fundamentals of respiratory failure.

What is the structure of the initial evaluation of a critically-ill child? 

What is exactly is respiratory failure? 

What is the role of non-invasive respiratory support in pediatric patients? 

What are the indications for emergency intubation? 

What are the general concepts that learners need to understand about invasive mechanical ventilation? 

All of this and more from the Department of Pediatrics from the Medical College of Georgia.

Thanks to Dr. Smitha Mathew and Dr. Kathryn McLeod who also contributed to this discussion.

Please subscribe, rate and review.

Check out our website at https://www.augusta.edu/mcg/pediatrics/residency/podcast.php

 

Want further reading on this topic? Check out this Pediatrics in Review article on respiratory failure https://pedsinreview.aappublications.org/content/35/11/476 

Abdominal Pain

Dr. Aaron Worth and Dr. Havilah Sthole join the show to discuss the essentials of evaluating the child with abdominal pain in the pediatric clinic.

What are the key questions to ask?

How do we get a good physical exam with an anxious child?

They describe an approach to care for children suffering from common disorders in the pediatric primary care clinic but also include the must not miss findings and diagnoses associated with this very non-specific complaint.

All of this and more from the Department of Pediatrics at the Medical College of Georgia.

Check out our website: https://www.augusta.edu/mcg/pediatrics/residency/podcast.php

Please subscribe, rate and review.

Questions, comments or feedback? Please email us at mcgpediatricpodcast@augusta.edu

 

References for this episode:

 

Baker, Robert D. “Acute Abdominal Pain.” Pediatrics in Review, vol. 39, no. 3, 2018, pp. 130–139., doi:10.1542/pir.2017-0089. 

 

Hyman, P. E. “Chronic and Recurrent Abdominal Pain.” Pediatrics in Review, vol. 37, no. 9, 2016, pp. 377–390., doi:10.1542/pir.2015-0169. 

 

Balighian, E. and Burke, M. “Urinary Tract Infections in Children”. Pediatrics in Review, vol. 39, no. 3, 2018, pp 377-390 

 

Pediatric appendicitis: state of the art review. Pediatr Surg Int (2017) 33:269–283 

 

Granado-Villar, D., et al. “Acute Gastroenteritis.” Pediatrics in Review, vol. 33, no. 11, 2012, pp. 487–495., doi:10.1542/pir.33-11-487. 

 

Michail, S. “Gastroesophageal Reflux.” Pediatrics in Review, vol. 28, no. 3, 2007, pp. 101–110., doi:10.1542/pir.28-3-101 

 

Rosen R, Vandenplas Y, Singendonk M, et al. Pediatric Gastroesophageal Reflux Clinical Practice Guidelines: Joint Recommendations of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition. J Pediatr Gastroenterol Nutr. 2018;66(3):516‐554. doi:10.1097/MPG.0000000000001889 

 

In Kliegman, R., In Stanton, B., In St, G. J. W., In Schor, N. F., In Behrman, R. E., & Nelson, W. E. (2020). Nelson textbook of pediatrics. 

 

Teaching in the Healthcare Setting

Join pediatricians Lisa Leggio, Kathryn McLeod and Zac Hodges as they discuss the essentials of teaching in the healthcare setting.

What do you need to know before hosting a learner in the clinic?

What about the inpatient setting?

How can you work meaningful teaching points into a busy day?

Finish up with the basics on giving feedback and evaluating your learner.

All this and more on this episode from the Department of Pediatrics at the Medical College of Georgia

Thanks for listening!

https://www.augusta.edu/mcg/pediatrics/residency/podcast.php 

Sepsis

Pediatric intensivist Smitha Mathew, PICU fellow Katie Verdone and emergency physician Dan McCollum join Zac Hodges on this episode to discuss pediatric sepsis.

How do you effectively screen for sepsis and systematically evaluate septic children?

What are the initial steps to treat children diagnosed with sepsis and septic shock?

What do we we need to know from the Surviving Sepsis Campaign 2019 Pediatric Guidelines?

All this and more on this episode from the Department of Pediatrics at Augusta University

https://www.augusta.edu/mcg/pediatrics/residency/podcast.php 

Special thanks to Dr. Mary Lynn Sheram and Dr. Eric Ring for providing peer review for this episode.

References:

See the SCCM 2019 sepsis guidelines for more information:

https://journals.lww.com/pccmjournal/Fulltext/2020/02000/Surviving_Sepsis_Campaign_International_Guidelines.20.aspx

SCCM simplified sepsis algorithm https://www.sccm.org/getattachment/SurvivingSepsisCampaign/Guidelines/Pediatric-Patients/Initial-Resuscitation-Algorithm-for-Children.pdf?lang=en-US 

Constipation

Join general pediatrician Rebecca Yang and pediatric gastroenterologist Rami Arrouk as they discuss this common complaint in the general pediatric office.

What are the red flags on history and physical?

What are the best first-line strategies?

What patients need a work-up and referral for specialty care?

All of this and more from the Department of Pediatrics at the Medical College of Georgia.

Myalgic Encephalomyelitis/Chronic Fatigue Syndrome

Join adolescent medicine specialist Dr. Robert Pendergast and MCG pediatric resident Dr. James Davis as they discuss Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS). 

What is ME/CFS?

How to make the diagnosis?

What comorbid conditions need to be considered?

How do we help patients with this uncommon but debilitating condition?

All of this and more on the next episode of the MCG Pediatric Podcast.

Thanks for listening!

Traumatic Brain Injury (TBI)

Join MCG pediatric intensivisit Christopher Watson, emergency physician Dan McCollum and pediatric resident Zac Hodges as they discuss the management of pediatric traumatic brain injury. 

 

What should you look for on exam?

When is intubation appropriate?

How can you treat increased intracranial pressure?

Where should you send your patient if you are at a community emergency department?

 

We go beyond the basics here, discussing a very challenging topic.  

Overuse Injuries

Join pediatrician Dr. Lauren Newhall and current pediatric resident & future pediatric rheumatologist Dr. Meghan Nelson as they discuss the diagnosis and treatment of overuse injuries encountered in the general pediatric clinic.

Meconium Aspiration & Persistent Pulmonary Hypertension of the Newborn (PPHN)

Dr. Brian Stansfield, a neonatologist at MCG and Children's Hospital of Georgia, joins host Zac Hodges to discuss a clinical approach to the undifferentiated hypoxic neonate. They also review the fundamentals and some added clinical pearls about meconium aspiration and persistent pulmonary hypertension of the newborn.

Sickle Cell Disease

Pediatric hematologist Eric Ring joins Dan McCollum and Zac Hodges to discuss what you need to know to care for many common presentations of children with sickle cell disease in the clinic or the emergency department.