Online ventilator training addresses COVID-19 clinician shortage
While hospitals around the nation and the world scramble to locate enough mechanical ventilators to treat an influx of patients with COVID-19, many also fear a clinician shortage that will grow worse as the pandemic continues. “COVID-19 is straining the critical care workforce in ways we have never seen before,” says Traci Wolbrink, MD, associate ... Read More about Online ventilator training addresses COVID-19 clinician shortage
Vascular rings: A complex cause of noisy breathing
Patients who present with noisy breathing, wheezing, a barking cough, and frequent respiratory infections are often misdiagnosed with asthma or croup, but a more complex problem could be responsible. Such symptoms can signal tracheomalacia (also known as tracheobronchomalacia), a condition in which the airway narrows or collapses when a child breathes. But clinicians should consider ... Read More about Vascular rings: A complex cause of noisy breathing
How do you implement change? Lessons from a QI project in the NICU
Kristen Leeman, MD, is Director of Quality in the Division of Newborn Medicine and Associate Medical Director of the Neonatal Intensive Care Unit at Boston Children’s Hospital. What if you were taught to do things a certain way, the way things were always done, and then a randomized clinical trial comes out supporting a different ... Read More about How do you implement change? Lessons from a QI project in the NICU
New treatment guidelines for complex ADHD
Approximately 7.5 percent of children and adolescents in the U.S. have attention deficit hyperactivity disorder (ADHD), and about two-thirds of them have one or more co-existing conditions such as learning disorders or mental health problems. Treatment for these more complex forms of ADHD has focused largely on medical interventions. But now, a new clinical guideline ... Read More about New treatment guidelines for complex ADHD
Dizziness, vertigo, and balance disorders in children
Dr. Jacob Brodsky, MD, FAAP, is the director of the Balance and Vestibular Program in the Boston Children’s Hospital Department of Otolaryngology and Communication Enhancement, as well as an assistant professor in the Department of Otology and Laryngology at Harvard Medical School. Imagine that you wake up one morning and the world around you is spinning rapidly as if ... Read More about Dizziness, vertigo, and balance disorders in children
Five lessons learned from our Vaping Service
Vaping is a public health emergency in the United States. In recent months, over 2,000 people have become sick after using e-cigarettes and dozens have died. Yet despite the dangers involved, the number of young people who vape continues to climb, according to the latest Monitoring the Future study. The Division of Pulmonary Medicine at Boston Children’s Hospital ... Read More about Five lessons learned from our Vaping Service
PDA transcatheter closure in preemies
The problem of how to close a patent ductus arteriosus (PDA) in premature babies is not new. Medications don’t always work and surgery can be associated with substantial risk for these vulnerable patients. This has led many neonatologists to recommend that the PDA not be closed until a child is older, or to wait for ... Read More about PDA transcatheter closure in preemies
When athletes push too hard: How to screen and when to refer
With the rise in the number and competitiveness of female athletes, overtraining has become a serious health risk for many young women. Whether it comes from a coach, parent, teammate, or the athlete herself, the pressure to perform drives many young athletes to practice unsafe behaviors in an effort to boost performance. Instead of building ... Read More about When athletes push too hard: How to screen and when to refer
A big step toward curbing graft-vs.-host disease after bone marrow transplant
A drug used for rheumatoid arthritis has moved a step closer to FDA approval for a desperately needed new use. The drug, abatacept, has gained FDA Breakthrough Therapy Designation for preventing acute, severe graft-versus-host disease (GVHD) in patients receiving bone marrow transplants. That could help fast-track the drug to the clinic. “If we are lucky ... Read More about A big step toward curbing graft-vs.-host disease after bone marrow transplant
Natural language processing captures new insights on patient safety
Safety monitoring at Boston Children’s Hospital is getting even more thorough, thanks to natural language processing systems. Aided by machine-learning algorithms, these systems are capturing problems that clinicians didn’t explicitly flag through a safety reporting system, but documented in their notes. The net result is further opportunities to improve care. Natural language processing, or NLP, ... Read More about Natural language processing captures new insights on patient safety