30 statements
· 3 topics
· summaries given as host listed separately
Featured statements
▶Ep 3 · 3:26
The rural-urban divide in pediatric firearm injuries is very different: rural populations are much more likely to see self-inflicted injuries in both adults and kids, while urban populations see assaults as the predominant source.
About 30% of pediatric firearm injuries are unintentional, involving kids playing with firearms or engaging with them at home because they're not safely stored.
quoteWhat are people doing in your hospital routinely in the room around firearm safety and education.↗
▶Ep 3 · 1:16
clinicalThe Bullet Points project is a great source of information in Ohio for firearm counseling.↗
▶Ep 3 · 1:16
clinicalThe AAP chapter in Ohio has a program called Store It Safe with materials that can be transferred into other institutions.↗
▶Ep 3 · 1:16
clinicalCincinnati Children's Hospital started a firearm related injury task force to address the problem in community, focusing on both safety and education, suicide prevention, and community level violence prevention.↗
▶Ep 3 · 3:26
epidemiologicalAbout 30% of pediatric firearm injuries are unintentional, involving kids playing with firearms or engaging with them at home because they're not safely stored.↗
▶Ep 3 · 3:26
epidemiologicalThe remaining pediatric firearm injuries after assault and unintentional are self-inflicted.↗
▶Ep 3 · 3:26
epidemiologicalThe rural-urban divide in pediatric firearm injuries is very different: rural populations are much more likely to see self-inflicted injuries in both adults and kids, while urban populations see assaults as the predominant source.↗
▶Ep 3 · 3:26
opinionOne size doesn't fit all for all communities in terms of reducing firearm injury; interventions must address both safety and community violence drivers like poverty and economic opportunity.↗
▶Ep 3 · 3:26
epidemiologicalThe biggest driver of community level violence is poverty and economic opportunity.↗
▶Ep 3 · 3:26
clinicalPediatric colleagues in Cincinnati, Matt Zaf and Joe Real, are doing virtual reality counseling and screening for firearm safety.↗
▶Ep 3 · 3:26
opinionVR counseling is a strategy to help people become comfortable with firearm safety conversations in a virtual reality way, and this work will continue to develop and grow.↗
▶Ep 3 · 4:01
quoteif you live in a community where you don't feel safe, walking up to you and tell you, it will be really great if you could store your guns separately from the bullets, locked in a safe, is not going to be an effective strategy.↗
▶Ep 3 · 5:41
epidemiologicalThe data on pediatric firearm injuries is poor, with huge amounts of missingness in terms of location, weapon type, and relationship to shooter.↗
▶Ep 3 · 5:41
epidemiologicalPapers from the ACS firearm study will show that we don't collect data very well on pediatric firearm injuries, including whether incidents happened at school, proximity to home, weapon type, and relationship to the shooter.↗
quoteI don't know the answer of when is the time, and I don't know if it's the same everywhere for when you call. I would always do it just because of gestalt. I'd be like, okay, I gave blood, I'm going to call MTP.↗
▶Ep 4 · 3:28
clinicalMost trauma coolers that come to the bay do not have platelets initially↗
▶Ep 4 · 5:35
clinicalThe MTP team consists of a trauma APP running the team and an ER nurse who knows how to run the Belmont rapid infuser↗
▶Ep 4 · 6:01
epidemiologicalAfter implementing an MTP team, balanced resuscitation rates improved from 25% to 85%↗
▶Ep 4 · 7:32
clinicalUsing TXA in MTP should be combined with rapid viscoelastic testing (ROTEM or TEG) to directly target resuscitation goals↗
▶Ep 4 · 7:32
clinicalThere is evidence to support pre-hospital TXA use↗
Katie's statements about Splenic Laceration5 statements
Update Course 2023 - Rapid Updates in Pediatric Trauma
▶Ep 1 · 20:10
quoteif you're in the trauma bay and you're giving blood, you need to activate it↗
▶Ep 1 · 28:14
clinicalAfter implementing an MTP team at Primary Children's Hospital, balanced resuscitation compliance improved from 25% to 85% in approximately 50 patients.↗
▶Ep 1 · 33:42
epidemiologicalAbout one-third of pediatric patients with BCVI will have a stroke, and mortality can be as high as 20% if stroke occurs.↗
▶Ep 1 · 33:42
epidemiologicalBlunt cerebrovascular injury occurs in approximately 1.3% of pediatric trauma patients, similar to the rate of cervical spine injuries.↗
▶Ep 1 · 33:47
quoteWe're Screening everybody for cervical spine injuries, but we're not screening kids for BCVIs↗
Katie's statements about Traumatic Brain Injury5 statements
Update Course 2023 - Rapid Updates in Pediatric Trauma
▶Ep 4 · 20:10
quoteif you're in the trauma bay and you're giving blood, you need to activate it↗
▶Ep 4 · 28:14
clinicalAfter implementing an MTP team at Primary Children's Hospital, balanced resuscitation compliance improved from 25% to 85% in approximately 50 patients.↗
▶Ep 4 · 33:42
epidemiologicalAbout one-third of pediatric patients with BCVI will have a stroke, and mortality can be as high as 20% if stroke occurs.↗
▶Ep 4 · 33:42
epidemiologicalBlunt cerebrovascular injury occurs in approximately 1.3% of pediatric trauma patients, similar to the rate of cervical spine injuries.↗
▶Ep 4 · 33:47
quoteWe're Screening everybody for cervical spine injuries, but we're not screening kids for BCVIs↗
Summaries Katie gave as host
· 10 summaries
Recaps of other experts' statements, not Katie's own clinical position.
Summaries Katie gave as host · Gunshot Wound2 summaries
host summaryKatie Russell summarizes what Dr. Mira Koral said: Mike Nash published a study in JAMA showing that the majority of pediatric firearm injuries are self-inflicted coming out of rural communities.↗
host summaryKatie Russell summarizing the discussion: After 20 ml/kg of blood within an hour, you should activate the MTP according to the MATIC trial investigators↗
Summaries Katie gave as host · Splenic Laceration4 summaries
Update Course 2023 - Rapid Updates in Pediatric Trauma
▶Ep 1 · 24:40
host summaryKatie Russell summarizes what Dr. Meera Kotagal said: The definition of massive transfusion in pediatrics is 40 mL/kg or more of any blood product over 24 hours.↗
▶Ep 1 · 25:26
host summaryKatie Russell summarizes what Dr. Meera Kotagal said: Balanced resuscitation with more FFP (closer to 1:1:1 ratio) is associated with lower mortality in pediatric massive transfusion.↗
▶Ep 1 · 26:07
host summaryKatie Russell summarizes what Dr. Meera Kotagal said: New data from the blood investigators (Maddock trial group) suggests activating massive transfusion protocol after 20 mL/kg of blood within an hour if the patient remains unstable.↗
▶Ep 1 · 34:30
host summaryKatie Russell summarizes what Dr. Meera Kotagal said: The Memphis criteria is the most sensitive screening tool for BCVI according to the ATOMC study.↗
Summaries Katie gave as host · Traumatic Brain Injury4 summaries
Update Course 2023 - Rapid Updates in Pediatric Trauma
▶Ep 4 · 24:40
host summaryKatie Russell summarizes what Dr. Meera Kotagal said: The definition of massive transfusion in pediatrics is 40 mL/kg or more of any blood product over 24 hours.↗
▶Ep 4 · 25:26
host summaryKatie Russell summarizes what Dr. Meera Kotagal said: Balanced resuscitation with more FFP (closer to 1:1:1 ratio) is associated with lower mortality in pediatric massive transfusion.↗
▶Ep 4 · 26:07
host summaryKatie Russell summarizes what Dr. Meera Kotagal said: New data from the blood investigators (Maddock trial group) suggests activating massive transfusion protocol after 20 mL/kg of blood within an hour if the patient remains unstable.↗
▶Ep 4 · 34:30
host summaryKatie Russell summarizes what Dr. Meera Kotagal said: The Memphis criteria is the most sensitive screening tool for BCVI according to the ATOMC study.↗
