In most places in Canada, no one would ever transfer a 16 or 17 year old, quote unquote child with appendicitis to a children's hospital for surgery, physiologically and every other way. They're an adult and clearly do not need the expertise of a pediatric surge. Surgeon
In most places in Canada, no one would ever transfer a 16 or 17 year old, quote unquote child with appendicitis to a children's hospital for surgery, physiologically and every other way. They're an adult and clearly do not need the expertise of a pediatric surge. Surgeon
I'm Ilana Barris. I'm an associate professor of pediatrics and surgery at Drexel University College of Medicine. I work at St. Christopher's Hospital for Children in Philadelphia, Pennsylvania, and I'm the CAPS publication chair.
I'm Ilana Barris. I'm an associate professor of pediatrics and surgery at Drexel University College of Medicine. I work at St. Christopher's Hospital for Children in Philadelphia, Pennsylvania, and I'm the CAPS publication chair.
I'm Ilana Barris. I'm an associate professor of pediatrics and surgery at Drexel University College of Medicine. I work at St. Christopher's Hospital for Children in Philadelphia, Pennsylvania, and I'm the CAPS publication chair.
I'm Ilana Barris. I'm an associate professor of pediatrics and surgery at Drexel University College of Medicine. I work at St. Christopher's Hospital for Children in Philadelphia, Pennsylvania, and I'm the CAPS publication chair.
Journal of Pediatric Surgery Article Review: 2nd Quarter (Apr-Jun) 2025
▶Ep 27 · 4:27
quoteI'm Ilana Barris. I'm an associate professor of pediatrics and surgery at Drexel University College of Medicine. I work at St. Christopher's Hospital for Children in Philadelphia, Pennsylvania, and I'm the CAPS publication chair.↗
▶Ep 27 · 4:52
quoteAnd hi, I'm Eric Skarsgard. I'm a pediatric surgeon at BC Children's Hospital where I'm also head. Of the Department of Surgery.↗
▶Ep 27 · 5:28
quotePeople think of Canada as a small country because population-wise we're smaller than the state of California, but geographically Canada's the 2nd largest country in the world.↗
▶Ep 27 · 5:28
epidemiologicalCanada is the 2nd largest country in the world geographically, though population-wise smaller than California↗
▶Ep 27 · 5:38
epidemiologicalThe majority of Canada's population lives within 200 kilometers of the US border, but there are definitely lots of children in remote communities where it is not easy to access care↗
▶Ep 27 · 5:38
quoteYou know, the majority of the population lives within 200 kilometers of the US border. There are definitely lots of children in remote communities, and it is not easy for them to access care because of multiple things.↗
▶Ep 27 · 7:36
quoteIn most places in Canada, no one would ever transfer a 16 or 17 year old, quote unquote child with appendicitis to a children's hospital for surgery, physiologically and every other way. They're an adult and clearly do not need the expertise of a pediatric surge. Surgeon↗
▶Ep 27 · 7:36
opinionIn most places in Canada, no one would ever transfer a 16 or 17 year old with appendicitis to a children's hospital for surgery - physiologically and every other way they're an adult and clearly do not need the expertise of a pediatric surgeon↗
▶Ep 27 · 7:51
quoteAccess to surgical care for children in Canada is something that we've been aware that was in need of improvement for actually decades.↗
▶Ep 27 · 7:51
opinionAccess to surgical care for children in Canada has been in need of improvement for decades↗
▶Ep 27 · 8:01
clinicalIt's a misconception that the Canadian healthcare system ensures timely care - it actually doesn't, and children wait for surgery beyond their wait time target↗
▶Ep 27 · 8:01
quoteIt's maybe a misconception that the Canadian healthcare system ensures timely care. It actually doesn't. And children wait for surgery beyond their wait time target↗
▶Ep 27 · 8:16
opinionNewfoundland and Labrador has the best outreach setup with only two pediatric surgeons who have established outreach clinics all over the province, serving as a model for others↗
▶Ep 27 · 8:16
quoteI think Newfoundland and Labrador is really the best setup. There's only two pediatric surgeons out there, but one of them has been out there for a very long time.↗
▶Ep 27 · 8:31
epidemiologicalThe population of Newfoundland and Labrador is really rural and spread out, and geographically and weather-wise it can be impossible sometimes to access care or financially devastating↗
▶Ep 27 · 9:01
clinicalThere are measurable costs in terms of time required to be seen and actual clinical outcomes for patients living remote from accessible high quality care↗
Journal of Pediatric Surgery Article Review: 1st Quarter (Jan-Mar) 2025
▶Ep 17 · 4:27
quoteI'm Ilana Barris. I'm an associate professor of pediatrics and surgery at Drexel University College of Medicine. I work at St. Christopher's Hospital for Children in Philadelphia, Pennsylvania, and I'm the CAPS publication chair.↗
▶Ep 17 · 4:52
quoteAnd hi, I'm Eric Skarsgard. I'm a pediatric surgeon at BC Children's Hospital where I'm also head. Of the Department of Surgery.↗
▶Ep 17 · 5:28
epidemiologicalCanada is the second largest country in the world geographically, though population-wise smaller than California↗
▶Ep 17 · 5:28
quotePeople think of Canada as a small country because population-wise we're smaller than the state of California, but geographically Canada's the 2nd largest country in the world.↗
▶Ep 17 · 5:38
epidemiologicalThe majority of Canada's population lives within 200 kilometers of the US border, but there are definitely lots of children in remote communities where it is not easy to access care↗
▶Ep 17 · 7:36
clinicalIn most places in Canada, no one would transfer a 16 or 17 year old with appendicitis to a children's hospital for surgery; physiologically and every other way they're an adult and do not need the expertise of a pediatric surgeon↗
▶Ep 17 · 8:01
clinicalIt's a misconception that the Canadian healthcare system ensures timely care; it actually doesn't, and children wait for surgery beyond their wait time target↗
▶Ep 17 · 8:16
clinicalNewfoundland and Labrador has the best outreach setup with only two pediatric surgeons who have established outreach clinics all over the province, serving as a model to others↗
▶Ep 17 · 8:16
quoteI think Newfoundland and Labrador is really the best setup. There's only two pediatric surgeons out there, but one of them has been out there for a very long time.↗
▶Ep 17 · 8:31
epidemiologicalThe population of Newfoundland and Labrador is really rural and spread out, and weather-wise it can be impossible sometimes to access care or financially devastating↗
▶Ep 17 · 9:01
clinicalThere are measurable costs of living remote to accessible high-quality care in terms of time required to be seen and actual clinical outcomes↗
Journal of Pediatric Surgery Article Review: 2nd Quarter (Apr-Jun) 2025
▶Ep 18 · 4:27
quoteI'm Ilana Barris. I'm an associate professor of pediatrics and surgery at Drexel University College of Medicine. I work at St. Christopher's Hospital for Children in Philadelphia, Pennsylvania, and I'm the CAPS publication chair.↗
▶Ep 18 · 4:52
quoteAnd hi, I'm Eric Skarsgard. I'm a pediatric surgeon at BC Children's Hospital where I'm also head. Of the Department of Surgery.↗
▶Ep 18 · 5:28
epidemiologicalCanada is the 2nd largest country in the world geographically, though population-wise smaller than California↗
▶Ep 18 · 5:28
quotePeople think of Canada as a small country because population-wise we're smaller than the state of California, but geographically Canada's the 2nd largest country in the world.↗
▶Ep 18 · 5:38
epidemiologicalThe majority of Canada's population lives within 200 kilometers of the US border, but there are definitely lots of children in remote communities where it is not easy to access care↗
▶Ep 18 · 5:38
quoteYou know, the majority of the population lives within 200 kilometers of the US border. There are definitely lots of children in remote communities, and it is not easy for them to access care because of multiple things.↗
▶Ep 18 · 7:36
quoteIn most places in Canada, no one would ever transfer a 16 or 17 year old, quote unquote child with appendicitis to a children's hospital for surgery, physiologically and every other way. They're an adult and clearly do not need the expertise of a pediatric surge. Surgeon↗
▶Ep 18 · 7:36
opinionIn most places in Canada, no one would ever transfer a 16 or 17 year old with appendicitis to a children's hospital for surgery - physiologically and every other way they're an adult and clearly do not need the expertise of a pediatric surgeon↗
▶Ep 18 · 7:51
quoteAccess to surgical care for children in Canada is something that we've been aware that was in need of improvement for actually decades.↗
▶Ep 18 · 7:51
opinionAccess to surgical care for children in Canada has been in need of improvement for decades↗
▶Ep 18 · 8:01
quoteIt's maybe a misconception that the Canadian healthcare system ensures timely care. It actually doesn't. And children wait for surgery beyond their wait time target↗
▶Ep 18 · 8:01
clinicalIt's a misconception that the Canadian healthcare system ensures timely care - it actually doesn't, and children wait for surgery beyond their wait time target↗
▶Ep 18 · 8:16
quoteI think Newfoundland and Labrador is really the best setup. There's only two pediatric surgeons out there, but one of them has been out there for a very long time.↗
▶Ep 18 · 8:16
opinionNewfoundland and Labrador has the best outreach setup with only two pediatric surgeons who have established outreach clinics all over the province, serving as a model for others↗
▶Ep 18 · 8:31
epidemiologicalThe population of Newfoundland and Labrador is really rural and spread out, and geographically and weather-wise it can be impossible sometimes to access care or financially devastating↗
▶Ep 18 · 9:01
clinicalThere are measurable costs in terms of time required to be seen and actual clinical outcomes for patients living remote from accessible high quality care↗
Journal of Pediatric Surgery Article Review: 1st Quarter (Jan-Mar) 2025
▶Ep 67 · 4:27
quoteI'm Ilana Barris. I'm an associate professor of pediatrics and surgery at Drexel University College of Medicine. I work at St. Christopher's Hospital for Children in Philadelphia, Pennsylvania, and I'm the CAPS publication chair.↗
▶Ep 67 · 4:52
quoteAnd hi, I'm Eric Skarsgard. I'm a pediatric surgeon at BC Children's Hospital where I'm also head. Of the Department of Surgery.↗
▶Ep 67 · 5:28
quotePeople think of Canada as a small country because population-wise we're smaller than the state of California, but geographically Canada's the 2nd largest country in the world.↗
▶Ep 67 · 5:28
epidemiologicalCanada is the second largest country in the world geographically, though population-wise smaller than California↗
▶Ep 67 · 5:38
epidemiologicalThe majority of Canada's population lives within 200 kilometers of the US border, but there are definitely lots of children in remote communities where it is not easy to access care↗
▶Ep 67 · 7:36
clinicalIn most places in Canada, no one would transfer a 16 or 17 year old with appendicitis to a children's hospital for surgery; physiologically and every other way they're an adult and do not need the expertise of a pediatric surgeon↗
▶Ep 67 · 8:01
clinicalIt's a misconception that the Canadian healthcare system ensures timely care; it actually doesn't, and children wait for surgery beyond their wait time target↗
▶Ep 67 · 8:16
quoteI think Newfoundland and Labrador is really the best setup. There's only two pediatric surgeons out there, but one of them has been out there for a very long time.↗
▶Ep 67 · 8:16
clinicalNewfoundland and Labrador has the best outreach setup with only two pediatric surgeons who have established outreach clinics all over the province, serving as a model to others↗
▶Ep 67 · 8:31
epidemiologicalThe population of Newfoundland and Labrador is really rural and spread out, and weather-wise it can be impossible sometimes to access care or financially devastating↗
▶Ep 67 · 9:01
clinicalThere are measurable costs of living remote to accessible high-quality care in terms of time required to be seen and actual clinical outcomes↗
Journal of Pediatric Surgery Article Review: 1st Quarter (Jan-Mar) 2025
▶Ep 98 · 4:27
quoteI'm Ilana Barris. I'm an associate professor of pediatrics and surgery at Drexel University College of Medicine. I work at St. Christopher's Hospital for Children in Philadelphia, Pennsylvania, and I'm the CAPS publication chair.↗
▶Ep 98 · 4:52
quoteAnd hi, I'm Eric Skarsgard. I'm a pediatric surgeon at BC Children's Hospital where I'm also head. Of the Department of Surgery.↗
▶Ep 98 · 5:28
epidemiologicalCanada is the second largest country in the world geographically, though population-wise smaller than California↗
▶Ep 98 · 5:28
quotePeople think of Canada as a small country because population-wise we're smaller than the state of California, but geographically Canada's the 2nd largest country in the world.↗
▶Ep 98 · 5:38
epidemiologicalThe majority of Canada's population lives within 200 kilometers of the US border, but there are definitely lots of children in remote communities where it is not easy to access care↗
▶Ep 98 · 7:36
clinicalIn most places in Canada, no one would transfer a 16 or 17 year old with appendicitis to a children's hospital for surgery; physiologically and every other way they're an adult and do not need the expertise of a pediatric surgeon↗
▶Ep 98 · 8:01
clinicalIt's a misconception that the Canadian healthcare system ensures timely care; it actually doesn't, and children wait for surgery beyond their wait time target↗
▶Ep 98 · 8:16
quoteI think Newfoundland and Labrador is really the best setup. There's only two pediatric surgeons out there, but one of them has been out there for a very long time.↗
▶Ep 98 · 8:16
clinicalNewfoundland and Labrador has the best outreach setup with only two pediatric surgeons who have established outreach clinics all over the province, serving as a model to others↗
▶Ep 98 · 8:31
epidemiologicalThe population of Newfoundland and Labrador is really rural and spread out, and weather-wise it can be impossible sometimes to access care or financially devastating↗
▶Ep 98 · 9:01
clinicalThere are measurable costs of living remote to accessible high-quality care in terms of time required to be seen and actual clinical outcomes↗
quoteThe improvements in CDH care are based on what happens outside of the operating room, not what happens in the operating room↗
▶Ep 2 · 35:59
quoteIt's more important to do things the same way than what you think are the right way↗
▶Ep 2 · 37:49
host_summaryCanadian CDH Collaborative readiness criteria for surgery include normal blood pressure for age, urine output >1cc/kg/hr, serum lactate <3, FiO2 <50%, preductal saturation around 90%, and pulmonary artery pressures less than systemic↗
▶Ep 2 · 38:20
clinicalSurgery is a stressor on the pulmonary vascular bed in CDH patients, so we want to see pulmonary artery pressures trending down and less than systemic pressures before operating↗
▶Ep 2 · 39:47
clinicalFor CDH patients with predominantly right ventricular dysfunction on echo, treatment options are nitric oxide, sildenafil, and increasingly PGE1, which maintains the ductus open and allows a pop-off vent for the right ventricle↗
▶Ep 2 · 50:13
host_summaryA randomized trial of spontaneous pneumothorax showed roughly equivalent lung re-expansion by 8 weeks (high 90%) between conservative management and intervention groups↗
▶Ep 2 · 50:22
host_summaryThe spontaneous pneumothorax trial showed a threefold increase in adverse events in the interventional group, including bleeding, need for catheter repositioning, and continuing air leaks↗
▶Ep 2 · 50:50
host_summaryThe spontaneous pneumothorax trial showed a twofold increase in twelve-month recurrence rates for patients who received intervention versus conservative management↗
▶Ep 2 · 56:18
host_summaryATLS 10th edition guidelines recommend limiting crystalloid to not more than 20cc per kilogram in pediatric trauma resuscitation↗
▶Ep 2 · 56:37
clinicalGiving excessive crystalloid worsens dilutional coagulopathy and increases metabolic acidosis in trauma patients↗
▶Ep 2 · 57:18
host_summaryMilitary data from Afghanistan and Iraq showed that increased use of massive transfusion protocols in pediatric trauma patients correlated with decreased mortality between 2001 and 2013↗
▶Ep 2 · 57:58
host_summaryEarly balanced blood product resuscitation (red cells, platelets, and plasma) results in using less blood products overall and significantly improved mortality and morbidity outcomes↗
▶Ep 2 · 58:32
host_summaryMilitary studies clearly show a survival advantage from use of tranexamic acid in trauma patients↗
▶Ep 2 · 58:51
opinionThere is no evidence supporting intentional hypotensive resuscitation as a strategy in pediatric trauma↗
▶Ep 2 · 1:09:16
clinicalHalf-life of even a living donor kidney is only about 23-24 years, so a 5-year-old receiving a transplant will face retransplant at age 27-28↗
Journal of Pediatric Surgery Article Review: 1st Quarter (Jan-Mar) 2025
▶Ep 50 · 4:27
quoteI'm Ilana Barris. I'm an associate professor of pediatrics and surgery at Drexel University College of Medicine. I work at St. Christopher's Hospital for Children in Philadelphia, Pennsylvania, and I'm the CAPS publication chair.↗
▶Ep 50 · 4:52
quoteAnd hi, I'm Eric Skarsgard. I'm a pediatric surgeon at BC Children's Hospital where I'm also head. Of the Department of Surgery.↗
▶Ep 50 · 5:28
quotePeople think of Canada as a small country because population-wise we're smaller than the state of California, but geographically Canada's the 2nd largest country in the world.↗
▶Ep 50 · 5:28
epidemiologicalCanada is the second largest country in the world geographically, though population-wise smaller than California↗
▶Ep 50 · 5:38
epidemiologicalThe majority of Canada's population lives within 200 kilometers of the US border, but there are definitely lots of children in remote communities where it is not easy to access care↗
▶Ep 50 · 7:36
clinicalIn most places in Canada, no one would transfer a 16 or 17 year old with appendicitis to a children's hospital for surgery; physiologically and every other way they're an adult and do not need the expertise of a pediatric surgeon↗
▶Ep 50 · 8:01
clinicalIt's a misconception that the Canadian healthcare system ensures timely care; it actually doesn't, and children wait for surgery beyond their wait time target↗
▶Ep 50 · 8:16
quoteI think Newfoundland and Labrador is really the best setup. There's only two pediatric surgeons out there, but one of them has been out there for a very long time.↗
▶Ep 50 · 8:16
clinicalNewfoundland and Labrador has the best outreach setup with only two pediatric surgeons who have established outreach clinics all over the province, serving as a model to others↗
▶Ep 50 · 8:31
epidemiologicalThe population of Newfoundland and Labrador is really rural and spread out, and weather-wise it can be impossible sometimes to access care or financially devastating↗
▶Ep 50 · 9:01
clinicalThere are measurable costs of living remote to accessible high-quality care in terms of time required to be seen and actual clinical outcomes↗
quoteThe improvements in CDH care are based on what happens outside of the operating room, not what happens in the operating room↗
▶Ep 5 · 35:50
quoteThe improvements in CDH care are based on what happens outside of the operating room, not what happens in the operating room↗
▶Ep 5 · 35:59
quoteIt's more important to do things the same way than what you think are the right way↗
▶Ep 5 · 35:59
quoteIt's more important to do things the same way than what you think are the right way↗
▶Ep 5 · 37:49
guidelineCanadian CDH Collaborative readiness criteria for surgery include normal blood pressure for age, urine output >1cc/kg/hr, serum lactate <3, FiO2 <50%, preductal saturation around 90%, and pulmonary artery pressures less than systemic↗
▶Ep 5 · 37:49
host_summaryCanadian CDH Collaborative readiness criteria for surgery include normal blood pressure for age, urine output >1cc/kg/hr, serum lactate <3, FiO2 <50%, preductal saturation around 90%, and pulmonary artery pressures less than systemic↗
▶Ep 5 · 38:20
clinicalSurgery is a stressor on the pulmonary vascular bed in CDH patients, so we want to see pulmonary artery pressures trending down and less than systemic pressures before operating↗
▶Ep 5 · 38:20
clinicalSurgery is a stressor on the pulmonary vascular bed in CDH patients, so we want to see pulmonary artery pressures trending down and less than systemic pressures before operating↗
▶Ep 5 · 39:47
clinicalFor CDH patients with predominantly right ventricular dysfunction on echo, treatment options are nitric oxide, sildenafil, and increasingly PGE1, which maintains the ductus open and allows a pop-off vent for the right ventricle↗
▶Ep 5 · 39:47
clinicalFor CDH patients with predominantly right ventricular dysfunction on echo, treatment options are nitric oxide, sildenafil, and increasingly PGE1, which maintains the ductus open and allows a pop-off vent for the right ventricle↗
▶Ep 5 · 50:13
host_summaryA randomized trial of spontaneous pneumothorax showed roughly equivalent lung re-expansion by 8 weeks (high 90%) between conservative management and intervention groups↗
▶Ep 5 · 50:13
clinicalA randomized trial of spontaneous pneumothorax showed roughly equivalent lung re-expansion by 8 weeks (high 90%) between conservative management and intervention groups↗
▶Ep 5 · 50:22
clinicalThe spontaneous pneumothorax trial showed a threefold increase in adverse events in the interventional group, including bleeding, need for catheter repositioning, and continuing air leaks↗
▶Ep 5 · 50:22
host_summaryThe spontaneous pneumothorax trial showed a threefold increase in adverse events in the interventional group, including bleeding, need for catheter repositioning, and continuing air leaks↗
▶Ep 5 · 50:50
host_summaryThe spontaneous pneumothorax trial showed a twofold increase in twelve-month recurrence rates for patients who received intervention versus conservative management↗
▶Ep 5 · 50:50
clinicalThe spontaneous pneumothorax trial showed a twofold increase in twelve-month recurrence rates for patients who received intervention versus conservative management↗
▶Ep 5 · 56:18
guidelineATLS 10th edition guidelines recommend limiting crystalloid to not more than 20cc per kilogram in pediatric trauma resuscitation↗
▶Ep 5 · 56:18
host_summaryATLS 10th edition guidelines recommend limiting crystalloid to not more than 20cc per kilogram in pediatric trauma resuscitation↗
▶Ep 5 · 56:37
clinicalGiving excessive crystalloid worsens dilutional coagulopathy and increases metabolic acidosis in trauma patients↗
▶Ep 5 · 56:37
clinicalGiving excessive crystalloid worsens dilutional coagulopathy and increases metabolic acidosis in trauma patients↗
▶Ep 5 · 57:18
epidemiologicalMilitary data from Afghanistan and Iraq showed that increased use of massive transfusion protocols in pediatric trauma patients correlated with decreased mortality between 2001 and 2013↗
▶Ep 5 · 57:18
host_summaryMilitary data from Afghanistan and Iraq showed that increased use of massive transfusion protocols in pediatric trauma patients correlated with decreased mortality between 2001 and 2013↗
▶Ep 5 · 57:58
host_summaryEarly balanced blood product resuscitation (red cells, platelets, and plasma) results in using less blood products overall and significantly improved mortality and morbidity outcomes↗
▶Ep 5 · 57:58
clinicalEarly balanced blood product resuscitation (red cells, platelets, and plasma) results in using less blood products overall and significantly improved mortality and morbidity outcomes↗
▶Ep 5 · 58:32
clinicalMilitary studies clearly show a survival advantage from use of tranexamic acid in trauma patients↗
▶Ep 5 · 58:32
host_summaryMilitary studies clearly show a survival advantage from use of tranexamic acid in trauma patients↗
▶Ep 5 · 58:51
opinionThere is no evidence supporting intentional hypotensive resuscitation as a strategy in pediatric trauma↗
▶Ep 5 · 58:51
opinionThere is no evidence supporting intentional hypotensive resuscitation as a strategy in pediatric trauma↗
▶Ep 5 · 1:09:16
clinicalHalf-life of even a living donor kidney is only about 23-24 years, so a 5-year-old receiving a transplant will face retransplant at age 27-28↗
▶Ep 5 · 1:09:16
clinicalHalf-life of even a living donor kidney is only about 23-24 years, so a 5-year-old receiving a transplant will face retransplant at age 27-28↗
