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Update Course 2023 - Update Course 2022 and Best of the Best Recap
hosted by Dr. Todd Ponsky
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Appendicitis 17 items
Chapter 1 of 4 · Fundamentals
Introduction
Introduction and Overview of Update Course and Best of the Best Format
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Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
Video
Update Course 2021: TOP PUBLICATIONS IN NON - PED SURG JOURNALS
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Podcast
Journal Club: Appendicitis in 2021
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Update Course Rewind: Perforated Appendicitis 2019
12 min · Published Apr 2021
Video
Update Course 2022 - TOP PUBLICATIONS IN NON- PED SURG JOURNALS - Jose Campos
27 min · Published Sep 2022
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Beyond ChatGPT: AI Tools You’re Not Using (But Should)
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2025 Pediatric Surgery Update Course - Updates in Lap Chole and Cholecystitis Management
18 min · Published Aug 2025
What the experts said
The 2022 Update Course had 1,467 registrants who attended live and 1,800 people who watched immediately after.
Over 8,000 people visited the event page and watched videos from the Update Course.
The best way to combat implicit and explicit bias is to stand up for people when they're being called out or championed in the moment, not in private places afterward.
Small children can be hydrated by mouth until 2 hours prior to surgery and do not necessarily need an IV line for hydration.
Collimation (making the fluoroscopy field smaller) can produce better images and reduce radiation exposure without needing to increase radiation dose.
If shielding patients during fluoroscopy, the shield must be placed on the bottom of the OR table, not on top of the patient, to be effective.
CT for suspected foreign body in the airway has over 94% sensitivity and specificity in patients with reactive airway.
Mechanical bowel preparation is not needed to reduce surgical site infections.
In the NEC trial comparing drainage versus laparotomy, laparotomy showed better neurodevelopmental outcomes.
Non-perforated appendicitis patients can be discharged on the same day of surgery.
Dr. Sean St. Peter reduced abscess rates in perforated appendicitis from 20% to 10% by treating patients as if they are not sick.
Non-surgical management of appendicitis has approximately 30% failure rate but is an option in certain cases.
Congenital esophageal stenosis can be treated with dilations in most cases, with resection needed only when cartilage remnants are present.
After gastroschisis closure, patients can be fed as soon as possible as long as they are clinically stable.
Feeding protocols improve outcomes in gastroschisis patients.
Emesis is normal in gastroschisis patients after closure.
Spontaneous pneumomediastinum in asymptomatic patients does not require hospital admission.
Straddle injuries with no active bleeding do not require hospital admission.
Intussusceptions that resolve with water enema or pressure do not require hospital admission.
Low-grade solid organ injuries can be discharged from the emergency department.
Most esophageal leaks can be managed by observation or chest tube drainage without intervention.
Endo-vac (negative pressure therapy inside the esophagus) is a treatment option for external fistulas or persistent esophageal leaks.
Esophageal leaks increase stricture rates regardless of whether they resolve with endo-vac, observation, or chest drainage.
Best of the Best 2022 had over 2,000 registered participants, 800 who attended live, from 116 different countries.
Rebecca Figueira from Hospital for Sick Children in Canada won the world winner award for work on fetal vascular development in CDH, marking the second consecutive year this lab has won.
In pulmonary sequestrations, surgical treatment was found to be better than embolization in a multi-center European study.
Tele-simulation and standard simulation produce equivalent training outcomes for surgical education.