From
Live Event Content
APSA 2018 Practice Gaps
With Dr. Alex Gibbons & Dr. Rae Hanke & Dr. Alejandro Cassar & Dr. Mark Wulkan
Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
Video
Journal Club: Review of 2018 Pediatric Surgery Practice Gaps
Dr. Todd Ponsky · Published Jul 2019
Video
Isotonic maintenance fluid: Practice Gap discussion at Update Course 2018
5 min · Published Aug 2018
Video
Maintenance Fluids in Resuscitation: 2018 Pediatric Surgery Practice Gap #4
Dr. Todd Ponsky · Published Jun 2019
Video
Clinical & Research Update: Renal Tumors with Drs. Ethan Smith, Lindsay Haacker, Michael Daugherty, and Meera Kotagal
71 min · Published Sep 2026
Video
Clinical & Research Update: Neuroblastoma with Drs. Katherine Somers, Cara Morin, Juan Gurria, and Meera Kotagal
67 min · Published Sep 2026
Video
Clinical & Research Update: Sarcoma w/ Drs. Roshni Dasgupta, Joseph Pressey, Arthur Meyer, Luke Pater
66 min · Published Sep 2026
Video
Update Course Rewind 2025: Nerve Monitoring in Pediatric Thyroid Surgery
6 min · Published Jul 2026
Video
Journal of Pediatric Surgery Article Review: June 2023, AAP Issue
Todd Ponsky · 13 min · Published Jul 2026
Video
Pediatric Surgical Oncology Research Collaborative (PSORC): Studying Rare Pediatric Tumors
56 s · Published May 2026
Podcast
Update Course Rewind: Perforated Appendicitis 2019
12 min · Published Apr 2021
Podcast
Update Course Rewind: Pilonidal Disease 2019
13 min · Published Apr 2021
Podcast
Airway Foreign Bodies: Diagnosis and Treatment
17 min · Published Mar 2021
Video
7th Annual Pediatric Surgery Update Course 2019 - FULL SHOW
285 min · Published Jul 2020
Video
How effective is POEM in children?
Published Oct 2019
Video
JPS Journal Club: July 2019 Part 1
Published Aug 2019
Video
2026 Laparoscopic Pediatric Hernia Repair
123 min · Published Jun 2026
Video
Beyond the Spectrum: Diagnosis, Myths & Management - Caitlin Couch & Leslie Lopez - APP Conference 2026
50 min · Published May 2026
Video
Dysautonomia: Navigating the Journey - Martha Willis - APP Conference 2026
55 min · Published May 2026
Video
Everything You Ever Wanted to Know About G-tubes But Were Afraid to Ask - Betsy Gerrein - APP Conference 2026
30 min · Published May 2026
Video
Take My Breath Away - Carolyn Grad, Mark Washam, & Katie Holtman - APP Conference 2026
58 min · Published May 2026
Video
Central Lines...WHAT? - Richelle Guinigundo - APP Conference 2026
26 min · Published May 2026
What the experts said
Sickle cell disease is an exception to restrictive transfusion protocols, requiring hematocrit around 30 or HBSS below 50-60%
Institutional policy at one center applies VTE prophylaxis with low molecular weight heparin to patients age 12 and over
High risk criteria for VTE in trauma include femur fractures, cervical spine fracture, and intubation
Kids with IBD are probably the most at-risk group for deep venous thrombosis
In Wilms tumor with pulmonary metastases, it is still important to take lymph nodes because local disease treatment has an impact on abdominal disease treatment regardless of lung mets
In a survey for a Seattle-based multi-institutional study, parents stated they would accept a 50% chance of success as acceptable for enrolling in non-operative appendicitis management study
Restrictive transfusion protocols using target hemoglobin of 7 instead of 8, 9, or 10 show no difference in mortality
Early enteral feeding in pancreatitis decreases morbidity, infectious complications, and overall mortality
Nasogastric feeding is equal to nasojejunal feeding in pancreatitis and equally tolerated
Ultrasound is not a great tool for diagnosis of ovarian torsion
In ovarian torsion, even if the ovary looks black and dead after detorsion, leave it in place because ovaries can still recover and this helps preserve fertility
For low bleeding risk trauma patients, VTE prophylaxis should include SCDs and low molecular weight heparin
For high bleeding risk trauma patients, use SCDs until ambulatory, then do screening ultrasound on ICU day 7
Burnout directly impacts patient care and outcomes
Support systems for physician wellness need to be proactive because when burnt out, surgeons are not likely to seek help
Physicians should ask parents if there is a firearm in the home, how it is stored, whether it is locked and loaded, whether ammunition is kept separate, and who has access
Current strategy should be to continue isotonic fluids throughout hospitalization rather than switching to hypotonic maintenance fluids
Continuing isotonic fluids decreases the risk of hyponatremia and had similar mortality otherwise
In Wilms tumor surgery, failing to take lymph nodes automatically upstages the patient
Pulmonary metastasis in Wilms tumor does not preclude doing a primary nephrectomy
Non-operative management of uncomplicated appendicitis has decreased days of hospitalization, decreased days of disability, and equal outcome measures otherwise
In the adult IMPACT trial from Finland at 5 years, 41% of the non-operative appendicitis management group underwent appendectomy