Multimedia platform bringing you the latest in Medical Education. Created by: @tponsky Editors: @EmGooteeMD, Ramy Shaaban

Cincinnati, OH
Joined June 2019
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The metopic suture closes at three to nine months, far earlier than any other, a key point in craniosynostosis. Dr. Jesse Skoch, Cincinnati Children's. Full EP: library.globalcastmd.com/wat… #PedSurg Made possible by @CincyChildrens
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Most new trauma technology changes a workflow; few tools change an operation. Devin O'Connor, MD, sorts them out at STACS 2026, Nov 20. Register for 17th Annual Southwest Trauma & Acute Care Symposium (STACS): cognitoforms.com/ArizonaTrau… #MedEd
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Isolated cleft palate warrants a syndrome workup; Stickler syndrome is the most common association. Dr. Brian Pan, Cincinnati Children's. Plastic Surgery team at CCHMC: cincinnatichildrens.org/serv… #PedSurg Made possible by @CincyChildrens
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Pediatric e-bike trauma: 3 activations in 2021. 262 in 2025. Policy follows injury — trauma clinicians need to lead the advocacy. Dr. Romeo Ignacio, Rady Children's Hospital, at #WPTC2026. Visit the 2027 WPTC website to learn more about booking a hotel: pedtrauma.org/wptc-2027?utm_…
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Cincinnati Children's activates ECPR after the second dose of epinephrine. A second attending checks the circuit and cannula to minimize compression pauses. @JPGurria @RothsteinDavid Full episode: library.globalcastmd.com/wat… #ECMO #PedSurg Made possible by @CincyChildrens
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Craniosynostosis is not the cause when the fontanelle is unpalpable but head shape and head circumference are normal. Head shape decides referral. Plastic Surgery at CCHMC: cincinnatichildrens.org/serv… #PedSurg Made possible by @CincyChildrens
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Intestinal failure is not defined by bowel length — it is defined by function. Short bowel syndrome, mucosal enteropathies, motility disorders, and more. How well do you know the categories? More info:library.globalcastmd.com/spa… #SoMe4PedSurg Made possible by @CincyChildrens
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Teduglutide is driving a 40% reduction in TPN needs over 6 months for pediatric short bowel syndrome — including patients with extreme anatomy. GLP-2 analog therapy is reshaping intestinal rehabilitation at Cincinnati Children’s. #SoMe4PedSurg Made possible by @CincyChildrens
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Growth plateau after TPN wean in short bowel syndrome? Reassess sodium and hydration first. ASPEN enteral autonomy requires 3+ months, not 6 weeks. Fluid comes off last. Full EP: library.globalcastmd.com/wat… #SoMe4PedSurg #MedEd Made possible by @CincyChildrens
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Trigonocephaly = triangular forehead from metopic suture fusion. Dr. Jesse Skoch at Cincinnati Children's explains craniosynostosis diagnosis and treatment. Full EP: library.globalcastmd.com/wat… #MedEd #PedSurg Made possible by @CincyChildrens
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Pediatric ECPR: femoral vs. cervical cannulation — stroke risk up to 10% with either approach. @RothsteinDavid (Seattle Children's) and @JPGurria (CCHMC) on how to choose. Full EP:library.globalcastmd.com/wat… #SoMe4PedSurg #PedSurg Made possible by @CincyChildrens
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Abdominal pain and ileus in a child on PEG-asparaginase: rule out pancreatitis before calling it constipation. Onset 3-10 days post-dose. Dx: 2 of 3 criteria. Hold the drug, care.@JPGurria Full EP: library.globalcastmd.com/vid… #SoMe4PedSurg #MedEd Made possible by @CincyChildrens
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85% of ped pancreatitis patients carry a genetic mutation. The PRSS1 trypsinogen variant is hitting kids as young as 1-3 years old with acute recurrent pancreatitis. Genetics belong in every workup. @JPGurria Full EP: library.globalcastmd.com/vid… Made possible by @CincyChildrens
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In craniosynostosis, fused sutures don't stop skull growth — they redirect it. Virchow's Law, explained by Dr. Jesse Skoch, MD, FAANS, FACS Full EP: library.globalcastmd.com/wat… #Craniosynostosis #PedSurg Made possible by @CincyChildrens
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ECPR achieves 40% survival to discharge in pediatric cardiac arrest after failed conventional CPR — ALHSA data via @JPGurria & @RothsteinDavid. Volume and patient selection are the differentiators. Full EP:library.globalcastmd.com/wat… #SoMe4PedSurg Made possible by @CincyChildrens
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Pediatric pancreatitis is not adult pancreatitis. Congenital biliary anomalies, trauma, and genetic mutations — not alcohol or gallstones — drive disease in children. @JPGurria Full EP: library.globalcastmd.com/vid… #PedSurg #MedEd Made possible by @CincyChildrens
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New article you should know by @lizzyPAC8 “Predictive Power of Imaging: Assessing Parenchymal Fibrosis in Pediatric Chronic Pancreatitis" Saad M et. al. Full text: pubmed.ncbi.nlm.nih.gov/4205… #SoMe4PedSurg #MedEd Made possible by @CincyChildrens
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Pediatric ECPR: 30 min of CPR is not an automatic exclusion. Reversible pathology and physiologic numbers matter more than downtime alone. — @JPGurria and @RothsteinDavid Full EP: library.globalcastmd.com/wat… #SoMe4PedSurg #MedEd Made possible by @CincyChildrens
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Premature suture fusion = lost direction of skull growth. The brain keeps growing regardless. That mismatch is craniosynostosis. Full EP:library.globalcastmd.com/wat… #SoMe4PedSurg #MedEd Made possible by @CincyChildrens
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