Pre-Congress Workshops

Date & Time:     July 12, 2022, 08:30 – 10:30

Hall:                     Hall 1

Breakout Rooms: No

Organiser & Moderator:  Alexandra Ferguson

Speakers:  Bronagh McAlinden, Sonia Riley, Natasha Pool, Jane Harnischfeger, Karen Bowtell, Michaela Waak, Michele Cree, Jemma Woodgate, Erin Crighton, Sally Clarke, Michelle Maunder

Objectives/Goals:          

• Share the innovative Baby Liberation program which was developed at Queensland Children’s Hospital with medical, nursing and allied health professionals to highlight the relevance of this program (which sits within the PICU Liberation (PICUStars) bundled care strategy) in optimising infants’ functional recovery and minimising the impacts from critical illness
• Recognise the specific vulnerability of young infants with respect to their neurodevelopment, and the importance of providing individualised family centred neurodevelopmental care in optimising recovery from critical illness.

Learning objectives for attendees:

• introduce participants to the concept & theory behind the development and implementation of Baby Liberation within the Queensland Children’s Hospital PICU
• Enable audience to clinically reason through a number of case based examples of Baby Liberation using actual patient pre-recorded video footage during awake state, physiotherapy and occupational therapy session, general nursing care, family time, non-pharmacological Baby Liberation strategies to minimise the impact of interventions.
• Discussions will focus on pre therapy /intervention readiness using Baby Liberation strategies, followed by strategies for use during therapies/intervention, and post intervention state re-settling.
• Enable strategies for implementation at local centres

This workshop will be conducted as a dual English workshop. The morning programme will be held as a separate dual English and Spanish workshop, while in the afternoon both workshops will merge into one.

Date & Time:     July 12, 2022, 08:30 – 17:30

Hall:                     Hall 3

Breakout Rooms: Yes

Organiser & Moderators: Mignon McCulloch, Akash Deep, Sarah Fernandez Lafever

English Speakers: Quen Mok, Rupesh Raina, Tim Bunchman, Pat Brophy, Sidharth Sethi, Kat Gist, Akash Deep, Mignon McCulloch

Spanish Speakers: Rafael González, Jesús López-Herce, María José Santiago, Sarah Fernandez Lafever

Workshop Agenda:

08h30   Welcome and Aims, Mignon McCulloch & Akash Deep

08h45   Basic Concepts of CKRT, Quen Mok

09h05   CKRT prescription and common errors, Rupesh Raina

09h30   Machines, Membranes and Solutions, Tim Bunchman

09h50   Anticoagulation, Pat Brophy

10h10   Peritoneal Dialysis as CKRT, Mignon McCulloch

10h30   Panel Discussion

11h15    Comfort Break

11h30   CKRT Role of SLED, Sidharth Sethi

11h50   CKRT in Liver Failure, Akash Deep

12h10   CKRT in Septic Shock, Quen Mok

12h30   CRRT in Cardiac/ECMOs, Kat Gist

12h50   Panel Discussion

13h30   Lunch

14h00   Break out rooms 3 stations x 30mins

Combined English and Spanish Groups but afternoon session in English

1. Trouble shooting & Machine set up, Tim Bunchman& Akash Deep
2. Specific Consideration in Paediatric patients, Rupesh Raina& Sidharth Sethi & Sarah Fernandez Lafever & María José Santiago & Kat Gist
3. Improvisation in Low Resource Settings, Mignon McCulloch & Quen Mok

15h30 Case studies on all the modalities: CKRT, SLED, PD, ECMO, All faculty

16h30   Bring your problems?, All faculty

17h00   Summary and Closure, All faculty

Date & Time:     July 12, 2022, 08:30 – 17:30

Hall:                     Hall 5

Breakout Rooms: Yes

Organiser & Moderator:  Dayre McNally, Katie O’Hearn, Michael Del Bel

Speakers:  Dayre McNally, Katie O’Hearn, Michael Del Bel, Margaret Sampson, David Zorko, Karen Choong, Cara McQuaid

Objectives/Goals:          

Enhancing the conference experience through Evidence Hackathons (EHs):

Medical conferences are widely regarded as beneficial as they bring together individuals with shared interests to network, exchange knowledge, determine research priorities, and spark new collaborations. Current value notwithstanding, Conferences Organizing Committees (COCs) and the communities they represent frequently desire fresh and innovative activities intended to augment the conference experience. Backed by research and innovative technology we have designed such an activity, known as the Evidence Hackathon (EH). The EH is conceptualized as an event that facilitates the rapid creation, organization, and education of a new team from the medical community. EH workshop participants receive training on applying comprehensive systematic and scoping review methodologies, and then work together with the goal of rapidly and comprehensively providing up to date evidence on a priority research question for the field. In conjunction, the broader community can track team progress through the conference, with preliminary study findings being translated through a presentation near the end of the conference and/or as part of a post-conference webinar and publication.

Research supporting Evidence Hackathon feasibility:

Multiple research groups, including ours based at the University of Ottawa (CAN), have demonstrated that it is both feasible and valid to crowdsource systematic review (SR) tasks. For example, using this approach we recruited an academic crowd of > 100 who voluntarily performed 25,000 tasks (title/abstract screening, full text retrieval, full text review, data abstraction) on 6 different SR projects. Importantly, comparison of the crowd answers with those from study leads demonstrated individual and combined crowd sensitivities of 96% and 99%, respectively. In response to these results our team has developed a web-based platform intended to not only facilitate SR crowdsourcing, but also enable engagement of the broader academic and health communities. The platform was completed in 2019 and underwent real-world testing and refinement in 2020 and 2021, resulting in the successful completion of 10 large team (crowdsourced) SRs ranging in size from 3000 to 25000 citations. Importantly, we have shown that with proper preparation and when presented as a team event it is possible to complete core, rate-limiting SR steps (described above) in a matter of hours or days – instead of weeks/months. For these reasons we believe that with proper planning, education, and technology we can begin and work towards completing one or more SR as part of the WFPICCS proceedings.

Supporting Example of Feasibility:

In early 2021, a study team from McMaster University in Canada (D Zorko; K Choong) used our SR crowdsourcing approach and supporting technology to perform a 25000-citation scoping review on pediatric chronic critical illness. Through social media and PICU research network promotion, a team of 34 members from 11 countries was recruited. Within 2 weeks, citation screening was completed independently and in duplicate, drastically reducing the time and overall strain on the study team, while maintaining the high-level of methodological rigor expected from a scoping review.

Learning objectives for attendees:

Evidence hackathons are specifically designed to provide workshop attendees with i) novel community engagement and networking opportunities, ii) a high-quality active learning experience and skill development, and iii) an opportunity to improve their overall experience and conference scholarly output. Finally, and most importantly, the workshop will deliver significant measurable impact by rapidly providing all conference attendees with up-to-date evidence on a research question(s) that can be immediately translated at their hospitals.

Date & Time:     July 12, 2022, 13:15 – 17:30

Hall:                     Hall 1

Breakout Rooms: No

Organiser & Moderator:  Mallory Perry & Lauren Sorce

Speakers: Lauren Sorce, Mallory Perry, Amanda Harley, Anne-Sylvie Ramelet, Amanda Ullman, Elizabeth Broden, Joseph Manning, Chisomo Kasitomu, Beatrice Shikongo

Objectives/Goals:          

Sepsis is a life-threatening condition affecting children and their families beyond the acute illness period. Throughout this pre-congress session, we aim to discuss sepsis through a lifespan approach, including, but not limited to its definition, early diagnosis, biomarkers of interest, parental education, and follow-up after critical illness, including survivorship and end of life.

Learning objectives for attendees:

At the conclusion of the pre-congress workshop learners will be able to:

• Discuss the need for redefinition of pediatric sepsis
• Understand the potential role of biomarkers in post-sepsis care
• Discuss techniques for implementation science in sepsis
• Detail the importance of palliative efforts in sepsis care

Date & Time:     July 12, 2022, 13:15 – 17:30

Hall:                     Hall 2

Breakout Rooms: No

Organiser & Moderator:  Alexander Razumovsky

Speakers:  Alex Razumovsky, Marlina E. Lovett, Nicole F. O’Brien, Mehdi Oualha, Karin Reuter-Rice

Objectives/Goals:          

Describe basic principles for transcranial Doppler (TCD) examination technique and interpretation spectral waveforms. Achieve understanding of accepted applications of TCD ultrasound for cerebrovascular disease. Define the diagnostic TCD criteria for different clinical application of TCD in paediatric critical care.

Learning objectives for attendees:

Objective 1: Achieve experience in understanding and applying contemporary TCD protocols and practices in common neurovascular disorders, i.e., subarachnoid hemorrhage, traumatic brain injury, sickle-cell disease, etc.

Objective 2: Improved patient outcome due to utilization of TCD testing during different clinical pathways.

Objective 3: Acquire the most current information about the latest developments in TCD clinical utilization for paediatric critical care

Date & Time:     July 12, 2022, 13:15 – 17:30

Hall:                     Hall 6

Breakout Rooms: No

Organiser & Moderator:  Jill Zander & Justin Elhoff

Speakers:  Bea Latal, Laila Ladak, Erin Gordon, Nneka Alexander, Nadine Kasparian, Tom Miller, Nancy Poirier, Melissa Jones, Susan Nicolson, Frank Casey, Qalab Abbas, Kriti Puri, Parvathi Iyer, Erica Sood, Mercedes Montonati

Objectives/Goals:          

We aim to bring together members of the cardiac intensive care unit team from institutions around the globe to share ideas and best practices that are feasible and implementable in various resource settings.

Learning objectives for attendees:

• To foster appreciation of neurodevelopmental expectations for children with various forms of congenital heart disease across the globe.
• To discuss the relationship between care in the cardiac ICU and neurodevelopmental outcomes
• To share practices related to developmentally appropriate care of patients with congenital heart disease with international colleagues in effort to improve neurodevelopmental outcomes internationally
• To provide a common space for access to network with colleagues invested in improving neurodevelopmental outcomes in children with any condition

Date & Time:     July 13, 2022, 08:30 – 12:45

Hall:                     Hall 2

Breakout Rooms: Yes

Organiser & Moderator:  Tracey Rowberry & Hari Krishnan

Speakers:  Tracey Rowberry, Hari Krishnan, Bryony Carr, Rishi Ganesan, Olive Lee, Danielle Dhillon

Objectives/Goals:          

1. To understand the value and use of qEEG in paediatric critical care
2. To give insight into ‘how to start a qEEG service’
3. To highlight the importance of collaborative educational programmes
4. To gain understanding on how to interpret qEEG for clinicians at the bedside using aEEG and CDSA
5. To provide practical assistance with qEEG set-up, troubleshooting and management

Learning objectives for attendees:

1. Appreciate the value of qEEG in paediatric critical care
2. Generate questions that allow you to improve or start a qEEG service in your unit
3. Gain practical skills in the applicating of electrodes and qEEG technology
4. Begin to interpret qEEG recordings that guide clinical patient management

Date & Time:     July 13, 2022, 08:30 – 12:45

Hall:                     Hall 4

Breakout Rooms: Yes

Organiser & Moderator: Susan Murphy

Speakers: Kevin Behrens, Joe Brierley, Roxanne Kirsch, Sharon Kling, Linda Doedens

Objectives/Goals:          

• To provide attendees with tools and frameworks for approaching clinical ethical dilemmas, through the discussion of case vignettes in small groups.
• To introduce attendees to normative ethical theories, not exclusively limited to Principlism, which may be helpful to apply in clinical practice in the ICU.

Learning objectives for attendees:

• To expand the knowledge of attendees and equip them with useful frameworks and tools for ethical decision-making in Paediatric Critical Care.
• To learn and share knowledge among attendees from diverse backgrounds.
• To feel more confident in discussing bioethical challenges in Paediatric Critical Care.

Date & Time:     July 13, 2022, 08:30 – 12:45

Hall:                     Hall 5

Breakout Rooms: No

Organiser & Moderator: Cristina Camilo

Speakers: Sofia Almeida, Tânia Marques, Christer Sinderby, Howard Stein

Objectives/Goals:          

The objective of this workshop is to increase the skills on the use of NAVA and NIV-NAVA ventilation. The main goals are:

1. Learn about the NAVA concept and technology
2. Know how to interpret the Edi signal
3. Learn how to use the monitoring capabilities
4. Know how to implement NAVA and NIV-NAVA

Learning objectives for attendees:

1. Explain and assess basic physiological aspects of patient-ventilator interaction: respiratory mechanics, respiratory muscle action, patient-ventilator synchrony
2. Determine why and when NAVA and NIV-NAVA can be a useful supportive therapy
3. Learning how to manage NAVA and NIV-NAVA in acute and acute on chronic respiratory failure
4. Learning how to use NAV and NIV-NAVA in weaning from mechanical ventilation

Date & Time:     July 13, 2022, 13:15 – 17:30

Hall:                     Hall 1

Breakout Rooms: No

Organiser & Moderator:  Heather Viamonte, Robin Horak, Lihinie Dealmeida

Speakers:  Minnette Son, Asma Salloo, Kevin Maher, Susan Hupp, William Hanna, Roxanne Kirsch

Objectives/Goals:          

1. To discuss the challenges of post-operative cardiac care in low middle-income countries
2. To describe commonly occurring complications in the immediate post-operative period
3. To discuss how neurodevelopmental interventions and family centered care impact outcomes after cardiac surgery
4. To describe approaches to pain/sedation, delirium, and withdrawal in the cardiac population
5. To describe the utility of focused ultrasound as a tool to drive decision making
6. To discuss the ethical implications of providing heart surgery in the resource limited setting

Learning objectives for attendees:

1. To understand the challenges of post-operative cardiac care in the resource-limited setting and develop a framework for quality improvement
2. To learn how to anticipate, diagnose, and treat common complications after congenital heart surgery
3. To learn the basics of utilizing focused cardiac ultrasound to diagnose hemodynamically significant conditions in the post-operative period
4. To understand how to implement a neurodevelopmental program and how it affects patient outcomes
5. To gain appreciation for the ethical implications of heart surgery in resource-limited settings

Date & Time:     July 13, 2022, 13:15 – 17:30

Hall:                     Hall 2

Breakout Rooms: Yes

Organiser & Moderator:  Mark Ansermino & Rishikesan Kamaleswaran & Niranjan Kissoon

Speakers:  Rishikesan Kamaleswaran, Gari Clifford, Mark Ansermino, Yashodani Pillay, Abner Tagoola, Matthew Wiens, Clare Komugisha, Matthew Reyna

Objectives/Goals:          

Workshop goals include:

1)           Increase awareness of tools and resources to support the collection and sharing of robust data to drive clinical discovery, risk prediction and decision-making in critical care;

2)           Launch an international data challenge for building skills in model development for clinical risk prediction of pediatric sepsis mortality;

3)           Support global participation in the data challenge by facilitating the formation of multi-disciplinary, international teams of data scientists and health professionals.

4)           Discuss mentorship opportunities and possibilities of catalyzing new collaborations among experienced mentors and ‘novice’ researchers and health worker mentees;

Sepsis is a leading cause of death in children in both developed and developing countries, with a global disease-specific mortality of 20%. Sepsis is a syndrome characterized by an inflammatory state resulting from a presumed or proven infection that results in organ dysfunction and/or death. Most deaths from sepsis are preventable by early detection and treatment with simple, highly-effective interventions (e.g., antimicrobials and fluid resuscitation). Thus, improved prioritization, coordination, and timely identification of critically ill (or at risk of becoming critically ill) children has been recognized as cornerstone in the efforts to improve sepsis outcomes. Clinical decision making in these areas can be supported by patient-centred, personalised risk prediction recommendations. Early identification of an at-risk child can improve healthcare delivery by facilitating timely administration of treatment before significant deterioration occurs, and early referral when a higher level of care is required. Further, data-driven risk prediction algorithms can be used in point-of-care mobile applications to provide decision support to frontline healthcare workers with less experience and training. Scores for predicting mortality in critically ill children have been developed and successfully implemented in high-income countries (HICs). However, these scores depend on laboratory tests, which are not usually available in low- and middle-income countries (LMICs) where the burden of pediatric sepsis is highest, or were developed for inpatient populations and are not appropriate for timely assessment of risk in critically ill children who present to the outpatient departments. To address these limitations, we are launching a data challenge which will invite participants to develop and implement an open-source algorithm for predicting the risk of in-hospital death for children with suspected or proven sepsis.

Learning objectives for attendees:

From this workshop, we anticipate attendees will:

1)           Discover tools and approaches for supporting data-driven QI or sepsis research;

2)           Identify new approaches or methods for clinical risk prediction in pediatric sepsis mortality, and be able to apply these approaches over the next year.

3)           Have an opportunity to exchange knowledge with international collaborators in the field of pediatric critical care and data science;

4)           Understand the steps required to participate in the pediatric sepsis data challenge;

5)           Identify potential opportunities for mentorship and collaboration in data-driven sepsis research or QI;

Date & Time:     July 13, 2022, 13:15 – 17:30

Hall:                     Hall 3

Breakout Rooms: No

Organiser & Moderator:  Marisa Seepersaud & Sean G. Smith

Speakers:  Marisa Seepersaud, Sean G. Smith

Objectives/Goals:          

Engage in Knowledge Translation via Scenario Based Training to Assimilate and Apply Principles of Paediatric Mechanical Ventilation, High Yield Pedagogy, and High-Performance Teamwork.

Learning objectives for attendees:

Dynamically apply principles of mechanical ventilation and pulmonary physiology/pharmacology in hands-on scenario-based training to a wide variety of neonatal-pediatric pathologies, from initial patient encounter, emergent trouble shooting and projected clinical course. Describe the principles of a High Yield Pedagogy model and best practices in cognitive neuroscience to promote rapid upscaling of human capital in Critical-Care Medicine. Discuss and analyze culturally sensitive application of Psychological Safety in the context of fostering sustainable Critical-Care and Emergency Medicine education programs.

Date & Time:     July 13, 2022, 13:15 – 17:30

Hall:                     Hall 6

Breakout Rooms: No

Organiser & Moderator:  Thomas Conlon &  Jeff Burzynski

Speakers:  Saul Flores, Joan Sanchez de Toledo, Yasser Elsayed, Chor Yek Kee, Mjaye Mazwi, Adam Himebauch, Nadya Yousef, Nicole O’Brien, Carla Schwanfelder

Objectives/Goals:          

Ultrasound technology is now ubiquitous within most neonatal and pediatric intensive care settings in large academic centers and often even in low-resource settings. Many procedural applications utilizing ultrasound are now considered standards of care, and emerging diagnostic applications change management and improve the care we provide critically ill children. The goal of the course is to expose pediatric multidisciplinary clinicians to bedside ultrasound procedural and diagnostic applications for translation in clinical practice and identify future areas of exploration in the field.

Learning objectives for attendees:

1. Identify procedural applications amenable to ultrasound guidance and standardized methods of ensuring optimized safety and performance.
2. Identify diagnostic applications amenable to ultrasound evaluation and methods of assessing and identifying pathophysiologic processes.
3. Describe strengths and limitations to ultrasound use in the varied clinical settings of neonatal and paediatric intensive care.

Organiser & Moderator: Anna Gunz

Speakers: Heather Baid, Guillaume Emeriaud, Brianna McKelvie, Anna Fuhrmann

Objectives/Goals:        

1. Create a collaborative global community of pediatric critical care practitioners concerned for the future of critical care considering the climate-emergency, called the Climate-Wise Critical Care Consortium (4Cs). This community will work on a longitudinal basis and report to the WFPICCS executive on activities and initiatives.

2. Provide a platform for participants to work on longitudinal initiatives according to their domain of interest: sustainably quality improvement, education, advocacy, policy & practice guidelines or research. Participants will be asked to reflect on the scope of initiative they would like to work on, depending on their personal skills, interest, platforms and participation in other organizations. This scope will be classified as micro-, meso- or macro-levels.

3. All participants will work from the same baseline knowledge through a combination of asynchronous and synchronous learning activities that will cover:

a) the current state of the literature regarding the health effects of climate change on child health and critical care, as well as health system impact, effects and real or potential disruption.

b) the concepts of mitigation, adaptation and resiliency as it pertains to health and health systems.

c) how to adopt a “climate lens” to clinical practice in terms of: Integration in differential diagnostic thought paradigms; Social & family histories; Management priorities; Sustainable Quality Improvement; Purchasing & Equipment; Emergency & Surge Planning

4. Participants will understand the importance of advocacy in climate health, and the essential of role healthcare providers.

Organiser & Moderator: Breanna Gentile

Speakers: Breanna Gentile

Objectives/Goals: 

1. To explain adverse childhood experiences (ACEs) and their health outcomes.

2. To explain the Seven Domains of Wellness and their effects on toxic stress.

3. To give concrete examples of how to mitigate toxic stress and ACEs.

Organiser & Moderator: Dalia A. Latif Abdelrahman, Hadeel Elshabrawy

Speakers: Dalia A. Latif Abdelrahman

Objectives/Goals: 

1-To elaborate nutritional assessment of the PICU patient;

2-To highlight principles of energy expenditure in the critically ill child; 3-To describe the acute stress response;

4-To focus on the hyperglycemic response;

5-To present the concept of early enteral nutrition

6-Understand parenteral feeding requirements, including water, energy, amino acids, glucose, lipids, minerals, trace elements, and vitamins;

7-Be familiar with specific challenges of venous access in infants and children, including placement, care and complications.

8-Recognize current standards for ordering and monitoring of PN in the hospital setting;

9-Comprehend the possible complications of pediatric PN as well as strategies for their prevention and management.

10-To discuss electrolyte disturbance in refeeding syndrome. All Recommendations are consensus-based, and involve multidisciplinary experts(ESPEN guidelines)

Workshop description:

content proposal critical illness description and the metabolic stress response which happened due to critical illness with the challenges we usually meet to initiate proper optimum nutrition according to each patient needs in respect to his clinical condition. we will discuss the principles of clinical assessment and screening in pediatric intensive care unit, and will highlight the importance of early enteral nutrition or in combination with parenteral nutrition Also, we will explain the different methods of energy expenditure assessment either by equations or indirect calorimetry. and stress on the importance of indirect calorimetry and its beneficial unique easy accurate assessment of energy expenditure.

Organiser & Moderator: Jimmy W. Huh

Speakers: Shih-Shan Chen, Wesley Baker, Jimmy W. Huh

Objectives/Goals: 

There are 3 objectives:

1. The role of non-invasive brain tissue oxygen (NIRS) and invasive brain tissue oxygen (Licox) monitoring in children with severe TBI

2. The role of non-invasive diffuse correlation spectroscopy monitoring in children with severe TBI

3. The role of multi-modality neuromonitoring in children with severe TBI

Workshop Description:

While ICP monitoring and control of intracranial hypertension is the gold standard for acute neurocritical care management in severe pediatric TBI patients, other neuromonitoring modalities may also be important to signal a “vulnerable” time to alert the bedside clinician to intervene with additional therapies. Using videos with powerpoint and clinical case scenarios, the goal of this workshop for the attendees is to better understand: 1. The role of non-invasive brain tissue oxygen (NIRS) and invasive brain tissue oxygen (Licox) monitoring in children with severe TBI

2. The role of non-invasive diffuse correlation spectroscopy monitoring in children with severe TBI 3. The role of multi-modality neuromonitoring in children with severe TBI

Organiser & Moderator: Kristen Gibbons

Speakers: Kristen Gibbons, Renate Le Marsney, Tara Williams, Kerry Johnson, Endrias Ergetu

Objectives/Goals: 

In 2016, an addendum to ICH-GCP guidelines recommended that sponsors develop a systematic, prioritised, risk-based approach to monitoring clinical trials; termed risk-based monitoring (RBM). This allows monitoring plans to be flexible and in proportion to the risk to patient safety and data quality. This approach is further reflected in guidelines from regulatory bodies across international settings, including the Food and Drug Administration and European Medicines Agency. Some of the reported benefits of RBM include: * A reduction in monitoring costs, a potential significant saving as monitoring is estimated to consume 25-40% of the study budget;

* An improvement in data quality and patient safety as there is a more focused effort on monitoring risks to critical data and processes that are specific to each trial;

* A shift from frequent on-site visits and 100% source data verification toward a combination of activities, including remote and centralised data monitoring, to optimise the monitoring approach;

* Greater effectiveness in the timely detection of data quality issues by using centralised monitoring of accumulating study data; and

* A more efficient allocation of study resources for monitoring as allocation is proportionate to the level of risk, rather than every risk receiving equal resources.

The literature across international settings suggests that the uptake of RBM has been varied, and suboptimal across a large range of settings. Of researchers surveyed across different settings, less than a quarter of researchers in Ireland, one third of researchers in emerging countries and half of researchers in developed countries had performed RBM in a clinical trial. Our own research of monitoring practices across the Australian and New Zealand critical care setting also reflected that there is varied uptake of RBM, with risk assessments being used in the development of monitoring plans only half the time. While there are recognised advantages that RBM improves data quality and patient safety, and reduces monitoring costs, a lack of knowledge and expertise in undertaking RBM is a major barrier to its uptake. This workshop aims to address the known barriers to implementation of RBM by providing participants with a greater understanding of the RBM framework and how to apply this framework to monitoring their clinical trials.

Specifically, the key learning objectives for participants are to understand:

* The role of monitoring in clinical research * The principles of the risk assessment and its role in the development of the monitoring plan

* The types of monitoring approaches that can be used and how to choose the approach that is fit for cause * How to use templates and technology to improve monitoring effectiveness and efficiency

Workshop Description:

Through presentations, group discussion and group activities with active participation, this interactive workshop will cover the following topics:

1. Why we monitor – we will describe the role of monitoring in clinical research in the context of patient safety, data quality and compliance with the approved protocol, with GCP, and with the applicable regulatory requirements.

2. What we should monitor – we will discuss the principles of the risk assessment and its role in the development of the monitoring plan. The principles discussed will include: * Critical process and data identification * Risk identification * Risk evaluation * Risk control * Risk communication * Risk review * Risk reporting 3. How we should monitor – we will discuss the types of monitoring approaches that can be used and how to choose the approach that is fit for cause. Approaches discussed will include: * Targeted onsite monitoring based on site characteristics, e.g., inexperience, poor recruitment * Remote monitoring to replace of supplement onsite visits * Centralised monitoring of accumulating data to help identify unreliable data, unusual data trends We will also discuss the roles and responsibilities of the project team in carrying out the monitoring approach. 4. Tools and resources that can be used for RBM – we will discuss how to use templates and technology to improve monitoring effectiveness and efficiency. Tools discussed will include: * Templates that can be utilised for risk assessments and monitoring plans * Technologies that can be utilised for remote monitoring * Technologies that can be utilised for centralised monitoring

Organiser & Moderator: Manasik Hassan

Speakers: Manasik Hassan, Magda Yousef, Ahmed Alhammadi, Eman Al Maslamani, Hatim Abdelrhman

Objectives/Goals: 

1) Define the virtual learning and highlight it is importance in medical education

2) Describe different strategies to implement virtual learning

3) Identify benefits and challenges to apply it in the busy clinical work

Workshop Description:

In this interactive workshop, participants will be engaged in several activities:

(1) Interactive didactic introduction on the definition of virtual learning and it is importance as alternative methods of education when it is needed

(2) Engagement in discussions and reflections on video-clips of different approaches in how to implement the different types of virtual learning

(3) In small groups, participants will identify barriers to implement virtual learning in especially in the busy clinical program (4) Sharing successful stories of implemented virtual learning.

Organiser & Moderator: Manasik Hassan

Speakers: Ahmed Alhammadi, Manasik Hassan, Magda Yousef, Hatim Abdelrhman

Objectives/Goals: 

1) Highlights the importance of effective communication & collaboration among (HCPs) in a multicultural healthcare environment

2) Identify challenges and barriers to promoting communication in multicultural clinical work area

3) Use different practical communication tools and strategies to promote such collaboration

Workshop Description:

In this interactive workshop participants will be engaged in several activities:

(1) interactive didactic introduction on the significance of communication and team collaborations among (HCPs) in a multicultural healthcare environment, share decision and putting plan together, known challenges faced or perceived.

(2) Engagement in discussions and reflections on video-clips of different communication gaps in clinical workplace.

(3) in small groups, participants will identify barriers to implement effective communication in culturally diverse healthcare environment

(4) Practice different tool and strategies to support communication and team collaboration.

Organiser & Moderator: Saul Flores

Speakers: Saul Flores, Justin J. Elhoff, Rohit S. Loomba,

Objectives/Goals: 

1. To understand from a representative sample of three-dimensional (3D) printed prototypes of complex congenital heart disease anatomy.

2. To implement and evaluate an educational workshop using gamification principles to integrate 3D printed models to enhance congenital heart disease education

Workshop Description:

This proposed workshop will produce a unique educational experience for multiple levels of critical care learners including staff and residents, fellows (critical care, cardiology, and neonatology), cardiac critical care instructors, nurses and advanced practice providers, yielding a total of 30 anticipated participants with a duration of 2 hours. The proposed instructional approach is based on meaningful gamification principles that will generate different motivating factors to learn, and will mitigate the sense of boredom during the learning session. As fully envisioned, this workshop will deliver an ingrained exposure to complex congenital heart disease fundamentals through patient-specific 3D printed models of complex congenital heart disease. The program will also contain pre- and post-test knowledge and a drawing-to-learn skill assessment station to supplement visualization- and exploration-based knowledge.

Organiser & Moderator: Varina Boerwinkle

Speakers: Varina Boerwinkle, Beth Slomine, Erika Molteni

Objectives/Goals: 

• Increase awareness of the pediatric component of Curing Coma Campaign

• Review the EEG and fMRI Biomarkers of Consciousness in Pediatric Patients with Acute Brain Injury

• Understand key issues in behavioral assessment and outcomes measurement in pediatric disorders of consciousness

• Become more familiar with the subacute and chronic DOC biomarkers including EEG, event related potentials, and polysomnography in relation to good or poor recovery

Workshop Description:

Varina Boerwinkle, MD Dr. Boerwinkle will present the international effort Curing Coma Campaign with respect to pediatric disorders of consciousness. This is covering the goals, experts, and institutions involved, progress to current state, and future outlook. The goal is to increase awareness of this effort and to promote clinical and research advancement in pediatric disorders of consciousness. Dr. Boerwinkle will also cover the use of functional MRI in acute brain injury setting of neonates and children as an advanced biomarker of current network condition in relation to other acute modality testing and prediction of recovery. Beth Slomine, PhD, ABPP Dr. Slomine will provide an overview the behavioral characteristics of pediatric DOC as well as emerging tools that can be used to assess states of DOC in children, including the Coma Recovery Scale – Pediatric. Additionally, Dr. Slomine will describe outcomes following pediatric DOC and discuss methodological challenges in collecting outcomes data. Lastly, Dr. Slomine will summarize the key themes related to neurobehavioral assessment and outcomes that were identified in a recent scoping review exploring pediatric DOC. Erika Molteni, PhD In the sub-acute rehabilitation environment, the diagnosis and assessment of children with a Disorder of Consciousness (DoC) is generally performed through the repeated employment of (possibly standardized) behavioral measures, and particularly through evaluation of visuo-motor abilities. Over the last two decades, behavioral assessment tools have been increasingly combined with instrumental assessment strategies, in an attempt to obtain more accurate details on the patient’s status and to take informed clinical and therapeutic decisions based on multiple evidence. The talk will describe the two main techniques employed: the neurophysiological tools (including electroencephalography, event related potentials examination, and polysomnography) and the imaging tools (including structural and diffusion weighted imaging, metabolic imaging and event related functional MRI). The role of each technique in the sub-acute and chronic phase of the disease will be discussed. In the second part, the talk will also address the prognostic role of instrumental assessment, and the strategies to optimise the employment of instrumental assessment against costs. Mathematical modelling of the disease trajectory will be proposed, through intuitive concepts and simple graphical explanations, as a tool for understanding factors that moderate the course of the patient’s disease, and as a strategy to identify common elements of good or poor recovery between patients.

Organiser & Moderator: Senthilkumar Sankararaman

Speakers: Senthilkumar Sankararaman, Aparna Roy, Aravind Thavamani, Thomas Sferra

Objectives/Goals: 

1. Review the current evidence focusing the management of acute pancreatitis in children admitted to the critical care units.

2. Discuss potential complications of acute pancreatitis and strategies to identify and manage them early.

3. Outline the latest evidence on diagnostic and therapeutic strategies for acute pancreatitis.

Workshop Description:

– This workshop will discuss the primary and secondary causes of acute pancreatitis in children.

– The definition for acute pancreatitis, symptoms/signs, scores predicting severity, diagnostic modalities, and management will be reviewed. Early feeding strategies will also be emphasized.

– Participants will be able to recognize the latest available evidence for management including fluid administration, pain management, and endoscopic/surgical interventions.

– The workshop will close with case scenarios that reflect clinical challenges in managing acute pancreatitis in children.

– Mode of instruction will be virtual (online).