Kentucky Children’s Hospital Affiliate Network Conference Agenda

Creating Calm: Strategies for Pediatric Comfort and Care
Jennifer Guilliams, CCLS 

Objectives:

• Discuss the research related to comfort, procedural pain and the pediatric patient. 
• Understand the benefits of comfort positions and other psychosocial techniques to use during medical interventions with pediatric patients.
• Verbalize a variety of comfort techniques and positions during procedures that enhance positive clinical outcomes, decrease pain and increase coping.
• Identify two or three techniques that can be incorporated into coping plans to assist with managing pain for pediatric patients during medical interventions.

Child Abuse Evaluation
Christina Howard, MD, FAAP 

Objectives:

• Understand what injuries should raise concern for child maltreatment.
• Be able to apply standard evaluations and work-up for children where there is concern for child maltreatment.
• Be aware of appropriate resources to aid in decision-making, including how to contact pediatric forensic medicine.

Breakout Session 1A: Current Landscape at UK HealthCare: HIE, Neuro-NICU and Neonatal Neurology Clinic
Diane Buckley, MD, and Ranjit Torgalkar, MD 

Objectives:

• Discuss basic current HIE pathophysiology and management.
• Discuss role of multidisciplinary neuro-NICU involvement and current state at UK HealthCare.
• Discuss neonatal neurology multidisciplinary follow-up clinic and future outlook.

Breakout Session 1B: Pediatric Foreign Body Removal – Tips and Tricks
Jaryd Zummer, MD, FACEP, FAAEM 

Objectives:

• Use materials and tricks readily available in the clinical setting to more easily remove foreign bodies in pediatric patients.
• Identify high-risk situations that require early intervention and often specialist consultation for foreign body removal.

From Doxy to Delabeling: Antimicrobial Stewardship Hacks for Busy Clinicians
Erich C. Maul, DO, MPH, FAAP, SFHM

Objectives:

• Recognize increasing incidence of Lyme disease in Kentucky and apply current best practices for early diagnosis and treatment, including the liberal use of doxycycline and updated diagnostic considerations.
• Understand the limitations of cefdinir for common pediatric infections and identify scenarios for penicillin allergy delabeling.
• Adopt shorter, evidence-based antibiotic durations and improve diagnostic accuracy for common pediatric infections.

Fetal Care Program: Advancing the Care of Complex Fetal Conditions with a Cohesive Interdisciplinary Approach
Divya Khattar, MD, and Lindsay Ragsdale, MD, FAAP, FAAHPM 

Objectives:

• To describe the key components and benefits of a team-based approach in the evaluation and management of complex fetal conditions. 
• Analyze case-based scenarios to understand how interdisciplinary collaboration impacts decision-making and delivery planning.

Taking a Trauma-informed Approach to Support Mental Health in Health Care
Meghan L. Marsac, PhD

Objectives:

• Define medical traumatic stress and describe impact of trauma exposure.
• Review emotional trauma symptoms.
• Introduce trauma-informed care techniques to integrate into daily practice.

Breakout Session 2A: Redefining Neonatal Opioid Withdrawal Syndrome (NOWS): From Pathophysiology to 
Post-discharge Care
Rupin Sharma, MD, and Julie Springate Spalding, MD

Objectives: 

• Recognize and diagnose NOWS.
  • Identify common clinical manifestations of NOWS using standardized assessment tools (e.g., Finnegan Scoring, Eat-Sleep-Console method). 
• Understand the pathophysiology of opioid withdrawal in neonates and factors influencing severity. 
• Assess an infant with NOWS and apply ESC to the scenario to determine treatment.
• Evaluate and implement current best practices for managing NOWS. 
• Compare and contrast non-pharmacologic (rooming-in, breastfeeding, skin-to-skin) vs. pharmacologic (morphine, methadone, clonidine) interventions. 
  • Understand the role of maternal opioid replacement therapy (buprenorphine vs. methadone) in reducing NOWS severity. 
• Critically assess emerging pharmacologic treatments. 
• Analyze recent research on clonidine monotherapy and buprenorphine as alternatives to traditional opioid-based therapies. 
• Discuss the potential benefits and risks of alternative pharmacologic strategies in reducing hospital stay and improving neonatal outcomes. 
• Understand the long-term neurodevelopmental and behavioral outcomes of opioid-exposed infants. 
• Examine neuroimaging and neurodevelopmental studies highlighting white matter changes and cognitive risks in opioid-exposed infants. 
  • Explore strategies for early intervention and developmental follow-up for high-risk infants. 
• Apply a multidisciplinary and family-centered approach to NOWS management. 
• Discuss the importance of family engagement, social determinants of health and policy changes in improving neonatal outcomes.

Breakout Session 2B: When Minutes Matter – Pediatric Trauma Resuscitation
Andrea Doud, MD

Objectives:

• Understand the special considerations in the early phases of pediatric trauma resuscitation.
• Review common pediatric injury patterns and indications for rapid referral to pediatric trauma center.

Pediatric Respiratory Therapy: Let’s Talk About Education and Training
Josh Curtis, BHS, RRT-NPS, Ae-C

Objectives:

• Define what makes a strong educational/training program or session.
• Understand how to implement training.
• Understand how to sustain training over time.