These are Dr. Romig's basic lectures. Lectures given at conferences may have slight modifications to customize sessions for specific audiences. New lectures will be posted as they become available.
This lecture focuses on how standard decontamination procedures can and should be altered to better meet the needs of infants, children and families. Learn how to address the physical, psychosocial and logistical issues inherent in the process of deconning scared, ill or injured and slippery children. Little changes in procedure can make big differences for our smallest and most vulnerable patients.
Disaster Preparedness and Response for Pediatric Healthcare Providers: How to Get Involved
This is the final Keynote session for the Michigan Region 6 Pediatric Disaster Conference 2011. In this session, participants will receive an overview of the framework of disaster preparedness and response agencies and efforts found on multiple levels within the United States. We will then review the many opportunities available on federal, state and local levels for healthcare providers to become involved in organized disaster planning and response efforts. What's the difference between the MRC and ESAR-VHP? What's a DMAT and can I join one?
Pediatric Healthcare Providers and Disasters: Have You Learned the Lessons?
This is the first Keynote session for the Michigan Region 6 Pediatric Disaster Conference 2011. This session looks not at the clinical lessons learned from recent disasters, but at the lessons all of us as potential disaster victims and responders should take to heart. What is the role of healthcare providers in creating and perpetuating a culture of disaster preparedness within our communities and professions? How can we personally best prepare to meet the needs of children and their families in disasters?
Disaster Preparedness and Response for the Pediatrician: How to Get Involved
This is the Powerpoint presentation for the session of the same title at the AAP's National Conference and Exhibition in Boston on October 11, 2008. In this presentation, Dr. Romig and co-presenter Dr. Michele McKee talk about the structure of current federal and national disaster planning and response programs, how pediatricians can contribute to disaster planning in their practices and communities and opportunities available for pediatricians to become involved in disaster response.
Pediatric and Family Disaster Planning
This panel presentation was given by Dr. Romig at the December 2006 Emergency Preparedness and Response Conference: For People with Disabilities, the Elderly, Pediatrics and Animals, sponsored by the Homeland Defense Journal and the National Organization on Disability. It focuses on the importance of empowering families to prepare for and respond to disasters and how emergency planners can incorporate child and family needs in their own planning processes.
Preparing your family for hurricanes: My new best friend is a generator!
After sitting through seven tropical storms and hurricanes at home in three hurricane seasons, Dr. Romig has more than a few insights on preparing your home and family for hurricanes. In this lecture she discusses planning and preparedness tasks, family disaster supplies and the mixed blessings of life on portable generator power. Download the Powerpoint lecture above but don't forget to also look at the checklists available just below.
Family Hurricane Planning Checklist: Things to Do (Word format)
Family Hurricane Planning Checklist: Supplies (Word format)
Family Hurricane Preparedness: Portable Generators (Word format)
Ashes, ashes, we all fall down...
This presentation, given during a panel discussion for the AAP's Transport Medicine Section at the 2006 National Conference and Exhibition, is targeted toward neonatal and pediatric transport teams as they examine their roles in disaster response. Using predictions for the consequences of a major earthquake along the New Madrid Seismic Zone in the US Midwest as an example of what could happen in "the really big one", Dr. Romig poses some difficult questions that all transport team sponsors and members should consider in their disaster plans and response policies.
Lessons learned from pediatricians' responses to Katrina and other disasters
This presentation was given as a plenary session at the AAP's 2006 National Conference and Exhibition. The session presents several general lessons in disaster preparedness that are applicable to all primary care providers who care for children.
Disasters: What you could have known, what you wish you would have known, what you can do now
This presentation was given at the AAP's 2006 National Conference and Exhibition during the Pediatrics for the 21st Century pre-conference session. The presentation is oriented toward practicing pediatricians and emphasizes the ways pediatricians and other primary care providers can contribute to a national culture of disaster preparedness.
See a video of Dr. Romig's presentation at the Pediatrics for the 21st Century session here.
Pediatric Issues in Terrorism:
This Powerpoint lecture presents information on the risks and vulnerabilities of children as terrorist targets, family and community planning issues, and how to communicate with children about terrorism. The lecture addresses issues for both family members and emergency planners and responders.
Pediatric Issues in Terrorism: Handout in Word format
Disaster Planning for Families and Children with Special Needs:
This Powerpoint lecture is oriented toward disaster planning by families and includes issues such as: evacuation vs sheltering vs staying at home; family reunification; essential equipment, supplies and tasks necessary for good planning; and additional considerations for family members with special medical needs.
Pediatric and Family Disaster Planning: Considerations for Emergency Managers:
This Powerpoint lecture is oriented toward agency and community emergency planners and managers and includes issues such as: identifying the risks for and needs of families and child-centered community agencies and organizations in disasters; pediatric and family-oriented shelter planning; and how emergency planning and response partners can improve their preparedness and ability to interact to better meet the needs of children and families in their communities.
Managing Pediatric Patients After Hurricanes:
This Powerpoint lecture is oriented toward healthcare providers. Based on Dr. Romig's experiences and those of others responding after a number of hurricanes, this lecture describes the most common pediatric complaints seen in the post-storm setting and how new environmental constraints may require adjustments to the usual approaches to pediatric emergent and urgent care.
Pediatric Medical Complaints After Hurricanes: Handout in Word format
Pediatric Atropine Autoinjector Use in Children (doc):
This is not a lecture, but an informational Word document about atropine autoinjector use in children.
Pediatric Assessment: Can You Hear Me Now?
This presentation was given at the 2009 International Cruise Medicine Conference in Miami, FL. It combines the Pediatric Assessment Triangle (PAT) with real clinical photos and videos to demonstrate how the General Appearance portion of the PAT can be applied to determine how sick a child is and how quickly providers must intervene.
Pediatric asthma in distress video clip: MPG file for use in the lecture above
Pediatric asthma in evolving failure video clip: MPG file for use in the lecture above
DKA patient with Kussmaul respirations video clip: MPG file for use in the lecture above
Identifying Training Programs for EMS Providers
This presentation to the EMSC Grantee Meeting in June 2008 explores pediatric education resources available to meet the needs of EMS providers.
Never Let Them See You Sweat: Taking Control of the Pediatric Call
This Powerpoint lecture is oriented toward EMS personnel but is also useful for Emergency Department staff members. The author uses the mnemonic PREP (Physiology, Response, Equipment and Protocols) to describe the facets of an organized approach to the pediatric emergency patient. Also included is a section on pediatric patient assessment that is based on the Pediatric Assessment Triangle from the Pediatric Education for Prehospital Professionals (PEPP) course from the American Academy of Pediatrics. This lecture is based on Dr. Romig's article "PREP for Peds", published in JEMS, Vol 26(5), pp 24-33, May 2001.
Child with cold medication ingestion video clip: MPG file for use in the lecture above
Severely dehydrated child video clip: MPG file for use in the lecture above
The Pediatric Assessment Triangle:
This Powerpoint lecture is a modified version of the Pediatric Assessment Triangle (PAT) lecture from the original Pediatric Education for Paramedics (PEP) course, which is now known as the AAP's Pediatric Education for Prehospital Professionals (PEPP) course. Dr. Romig is one of the authors of the original course. The PAT serves medical caregivers of all levels as an excellent tool to quickly answer two questions as they first encounter a pediatric patient: how sick is the patient physiologically and how quickly is intervention needed?
Kid Fevers: A Hot Topic:
This Powerpoint presentation is one of Dr. Romig's most popular lectures. It is oriented toward emergency care providers of all levels of training and is also useful for parent education. In the lecture Dr. Romig reviews the origins of our current definitions of fever, some of the physiology of fever and information about febrile seizures. Frustrated by the pervasive "fever phobia" that crosses cultural and educational boundaries, Dr. Romig created this lecture using current research to bust the most common myths about pediatric fever and to emphasize that fever is a benign and possibly protective natural process that need not strike fear in the hearts of parents and others who care for sick children.
Baby Talk: Communicating Effectively with Your Pediatric Patients:
This Powerpoint presentation targets medical caregivers of all levels of training. Being able to communicate effectively with a patient is a crucial skill for those trying to deliver good medical care. Because children with varying developmental capabilities communicate in different ways and comprehend information differently, we must customize our approach to each of our pediatric patients. This lecture reviews the developmental stages of children and their communication abilities and offers suggestions about how to communicate with children verbally and nonverbally so that the greatest possible amount of information is exchanged and cooperation is maximized.
Sedation and Analgesia for Painful Pediatric Procedures:
This Powerpoint lecture was developed as a basic introduction to pediatric sedation and analgesia for EMS providers but can also be used to introduce the topic to hospital and office-based medical care providers. The lecture addresses the differences between sedation, analgesia and anesthesia and gives examples of when each class of intervention might be most appropriate. Some of the most commonly used sedative and analgesic drugs are reviewed. This is not a comprehensive module that would meet JCAHO guidelines for training for hospital-based conscious sedation procedures.