Non-accidental Trauma
Everything in the library about non-accidental trauma — built automatically from the recorded discussions that name it
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
Diagnosis & Workup
1 item
Pediatric Trauma Screening For Non-Accidental Trauma: Pediatric Trauma Series...
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Experts across the country joined for this three part series on issues in pediatric trauma, from evaluation of the pediatric abdomen following blunt trauma, standardized screening for non-accidental trauma and pediatric gun violence. This s
video64:09 · Sep 2018
Evidence & Research
2 items
Journal of Pediatric Surgery Article Review: June 2022, AAP Issue
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Here's the June 2022 issue of JPS article highlights. This time we're talking to Dr. Nicole Chandler and authors Drs. Elizabeth Beierle, Marcus Malek, Biren Modi, Amelia Collings and Katherine Flynn O'Brien.
Hosts: Ellen Encisco, Em Tomb
video15:54 · Sep 2022
Journal of Pediatric Surgery Article Review: June 2022, AAP Issue
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Here's the June 2022 issue of JPS article highlights. This time we're talking to Dr. Nicole Chandler and authors Drs. Elizabeth Beierle, Marcus Malek, Biren Modi, Amelia Collings and Katherine Flynn O'Brien.
Hosts: Ellen Encisco, Em Tomb
podcast15:54 · Sep 2022
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Every expert statement below comes from the recorded discussions, with its speaker and moment.
Journal of Pediatric Surgery Article Review: June 2022, AAP Issue
The Midwest Pediatric Surgery Research Consortium (MWPSC) was established by departments of Pediatric Surgery from 11 children's hospitals
host_summaryEllen Incisco and M. Tom Bash2:15 ↗
The NAT study used historical patterns captured by trauma registries to predict what the volume should have been during the initial COVID time period and compared that to observed rates
host_summaryEllen Incisco and M. Tom Bash3:42 ↗
NAT was higher after the lockdown, not during the lockdown
clinicalTodd Ponsky and Biran Modi4:07 ↗
Initially non-accidental trauma rates dropped a little bit, but after that the rate increased above what they had expected during the stay at home orders
host_summaryNicole Chandler4:16 ↗
Patients disproportionately affected were older kids who were older than 5 years who would most commonly be in school, minority children, and lower socioeconomic groups as determined by the social vulnerability index
host_summaryNicole Chandler4:31 ↗
CDC Social Vulnerability Index was uniquely created to see neighborhood's vulnerability during times of crises
host_summaryEllen Incisco and M. Tom Bash5:12 ↗
During times of public health crises, it's important to maintain systems of protection for children
opinionNicole Chandler5:37 ↗
One has to be careful not to make too strong of conclusions based on any data when it's related to simply ICD 10 codes, regardless of how many institutions and how long the evaluation period was
host_summaryEllen Incisco and M. Tom Bash6:07 ↗
There are very few cell lines available to study hepatoblastoma, and a number of cell lines touted to be hepatoblastoma are actually hepatocellular carcinoma
host_summaryEllen Incisco and M. Tom Bash6:47 ↗
Management of metastatic hepatoblastoma continues to pose significant treatment challenges
clinicalNicole Chandler7:13 ↗
The new hepatoblastoma cell line was created by injecting labeled cells into mouse tail vein, harvesting lung metastases, culturing surviving cells, and repeating the process until establishing a reliably metastatic cell line
host_summaryEllen Incisco and M. Tom Bash7:24 ↗
Compared to the original human cell line, the new cell line exhibited increased tumorigenicity, invasiveness, and increased resistance to chemotherapy
host_summaryNicole Chandler8:14 ↗
PSORC (Pediatric Surgical Oncology Research Collaborative) is a multi-institutional consortium of North American pediatric surgeons focused on advancing care of children with cancer
clinicalMarcus Malik9:46 ↗
PSORC was founded because there was a need to amalgamate data from multiple institutions to better study surgical questions in pediatric cancer
clinicalMarcus Malik10:05 ↗
The most common localization techniques for small pulmonary nodules were wire and methylene blue dye, followed by methylene blue dye only
host_summaryNicole Chandler10:49 ↗
There was no difference in successful IR localization or successful resection of pulmonary nodules when comparing different localization techniques
host_summaryNicole Chandler10:56 ↗
Image-guided localization techniques varied significantly among institutions but all were wildly successful, showing that experience is probably more important than the actual technique itself
opinionNicole Chandler12:06 ↗
Pediatric intestinal failure was defined as requirement of parenteral nutrition for 60 days or more at any time, with diagnosis before 8 years of age
clinicalTodd Ponsky and Biran Modi12:57 ↗
The hypothesis was that chronic pediatric intestinal failure would delay puberty and potentially dull the sharp spike of puberty in terms of peak height velocity
clinicalTodd Ponsky and Biran Modi13:44 ↗
Peak height velocity occurred at significantly younger ages for both males and females with intestinal failure
host_summaryNicole Chandler14:00 ↗
Puberty onset occurred significantly earlier compared to established norms for males, meaning they reached pubertal onset earlier than the CDC 50th percentile
host_summaryNicole Chandler14:00 ↗
There is a high incidence of short stature in chronic intestinal failure
clinicalTodd Ponsky and Biran Modi14:37 ↗
The finding that short stature is not because kids are missing out on pubertal timing and peak height velocity suggests we need to do a better job at setting them up to go into puberty with working on their height and linear growth
opinionTodd Ponsky and Biran Modi14:37 ↗
The Midwest Pediatric Surgery Research Consortium (MWPSC) was established by departments of Pediatric Surgery from 11 children's hospitals
host_summaryEllen Incisco and M. Tom Bash2:15 ↗
The NAT study used historical patterns captured by trauma registries to predict what the volume should have been during the initial COVID time period and compared that to observed rates
host_summaryEllen Incisco and M. Tom Bash3:42 ↗
NAT was higher after the lockdown, not during the lockdown
clinicalTodd Ponsky and Biran Modi4:07 ↗
Initially non-accidental trauma rates dropped a little bit, but after that the rate increased above what they had expected during the stay at home orders
host_summaryNicole Chandler4:16 ↗
Patients disproportionately affected were older kids who were older than 5 years who would most commonly be in school, minority children, and lower socioeconomic groups as determined by the social vulnerability index
host_summaryNicole Chandler4:31 ↗
CDC's Social Vulnerability Index was uniquely created to see neighborhood's vulnerability during times of crises
host_summaryEllen Incisco and M. Tom Bash5:12 ↗
During times of public health crises, it's important to maintain systems of protection for children
opinionNicole Chandler5:37 ↗
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