Boston Children's Critical Care Transport Ambulance

11th Annual Pediatric and Neonatal Critical Care Transport Team Conference (5/09/2026)

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Course Credit

The following credit is available for this course:

Contact Hours (Nurse)7.5 hours

Overview

This course provides clinicians with the latest evidence-based recommendations and innovations in pediatric healthcare needed to care for the critically ill child during inter-facility transport and throughout hospitalization. Presented by highly skilled practitioners and content experts in Critical Care Medicine, Emergency Medicine and Pediatric Transport. The course is formatted to engage learners through virtual instructor led lectures and Q&A with presenters.

Course Format 

This course will be fully virtual and presented via Zoom.

Learning Objectives: 

At the conclusion of this educational program, learners will be able to:

  1. Discuss pre-hospital care and traumatic arrest of the pediatric trauma patient
  2. Describe presentation and management of hypoxic-ischemic encephalopathy (HIE)
  3. Discuss the complexities of airway management in the patient with a new mediastinal mass
  4. Outline key points of post-cardiac arrest care in pediatrics
  5. Review the pathophysiology and treatment of cannabis hyperemesis syndrome (CHS)
  6. Differentiate between respiratory distress and heart failure in the pediatric population
  7. Describe the history, challenges, and major innovations of military critical care air transport
  8. Identify key points in the care of critically ill pediatric/neonatal patients during inter-facility transport

In support of improving patient care, Boston Children’s Hospital is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Nurse

Boston Children’s Hospital designates this activity for 7.5 contact hours for nurses. Nurses should only claim credit commensurate with the extent of their participation in the activity. 

Emergency Service
Approved for 7.5 continuing education hours (Basic, Advanced, Paramedic levels) by Region IV of the Metropolitan Boston Emergency Medical Services Council. *in accordance with the Office of Emergency Medical Services (OEMS) requirements, all levels of EMT are required to complete and end-of-course examination.

Sarah Smith McAlvin, PhD, CPNP, CCRN, EMT Staff Nurse III, Critical Care Transport Program, Boston Children’s Hospital
Joanathan Levin, MD, MBI Director, Bronchopulmonary Dysplasia Program; Director, Center for Healthy Infant Lung Development; Co-Director, Chronic Pulmonary and Ventilator Program; Pulmonologist, Divisions of Newborn Medicine and Pulmonary Medicine, Boston Children’s Hospital Assistant Professor of Pediatrics, Harvard Medical School
Paul Guarino, BSN, RN, NREMT-P Trauma Center Educator, Quality Improvement Coordinator Department of General Surgery, Trauma Center, Boston Children’s Hospital
Brian Kalish, MD Assistant Medical Director, Critical Care Transport Program Physician in Medicine, Division of Newborn Medicine, Boston Children’s Hospital Assistant Professor of Pediatrics, Harvard Medical School
Shawn Jackson, MD Assistant Medical Director, Critical Care Transport Program Department of Anesthesiology, Pediatric Anesthesiology Fellowship, Boston Children’s Hospital Pediatric Residency: Anesthesiology Residency, Brigham and Women’s Hospital
Monica E. Kleinman, MD
Assistant Medical Director, Critical Care Transport Program, Chief Safety Officer, Program for Patient Safety and Quality, Co-Chair, Resuscitation Quality Program, Associate Chief, Division of Critical Care Medicine, Department of Anesthesiology, Critical Care and Pain Medicine
Associate Professor of Anesthesia (Pediatrics), Harvard Medical School
Michael S. Toce, MS, MD Associate Physician in Pediatrics Division of Emergency Medicine and Medical Toxicology, Boston Children’s Hospital Assistant Professor of Pediatrics, Harvard Medical School
Jason S. Kerstein, MD Critical Care Fellow Division of Cardiology, Boston Children’s Hospital
Ashley Sam, DO, FAAP Attending Physician Pediatric Intensive Care Unit, St. Louis Children’s Hospital
Jordan Rettig, MD Medical Director, Critical Care Transport Program Associate, Division of Critical Care Medicine, Boston Children’s Hospital Department of Anesthesiology, Critical Care and Pain Medicine Instructor of Anesthesia, Harvard Medical School Pediatric Medical Director, Boston MedFlight
Jennifer McNamara, MSN, CPNP, CCRN, EMT Staff Nurse III, Trauma Nurse Practitioner Department of General Surgery, Trauma Center, Boston Children’s Hospital
       

 
Saturday, May 9, 2026
Welcome and Introduction 8:00 AM – 8:05 AM Sarah Smith McAlvin, PhD, RN, CPNP
Strategies to Manage Bronchopulmonary Dysplasia 8:05 AM – 8:55 AM Jonathan Levin, MD
  • Epidemiology
  • Ventilator strategy
  • Medication
  • Case reviews
Pediatric Trauma Arrest: Lessons Learned, Paradigms Challenged 8:55 AM – 9:45 AM Paul Guarino, RN
  • Complex medical interventions and challenges
  • Literature review of pros & cons of field intubation
  • Pediatric pre-hospital blood product administration
  • Pre-hospital pediatric arrest statistics
  • Recovery trajectory
Break 9:45 AM – 10:00 AM
Neonatal Brain Injury: Challenges and Controversies 10:00 AM – 10:45 AM Brian Kalish, MD
  • Epidemiology and presentation of hypoxic-ischemic encephalopathy (HIE)
    • Qualifications for therapeutic hypothermia
  • Standard of care management of HIE
  • Challenges and gaps in management
  • Current cutting-edge therapies under investigation
Airway Considerations for the New Mediastinal Mass 10:45 AM – 11:30 AM Shawn Jackson, MD
  • Location of the mass
  • Preplanning
  • Positioning
  • Airway adjuncts
  • Preparing for decompensation
Pediatric Post-cardiac Arrest Care 11:30 AM – 12:15 PM Monica E. Kleinman, MD
  • Immediate priorities
  • Benchmark values
    • Hemodynamics
    • Ventilation
    • Electrolytes
    • Temperature
  • Monitoring
  • Outcomes
Lunch 12:15 PM – 12:45 PM
Cannabis Hyperemesis Syndrome 12:45 PM – 1:30 PM Michael Toce, MD
  • Prevalence of CHS among adolescents
  • Prior and current investigations into the pathophysiology of CHS
  • CHS treatment plan
    • Topical capsaicin
    • Antiemetics
    • Dopamine antagonists
Respiratory Disease vs. Heart Failure 1:30 PM – 2:15 PM Jason Kerstein, MD
  • Past medical history
  • Physical exam findings
  • Diagnostic testing
  • Management
Break 2:15 PM – 2:30 PM
Military Critical Care Air Transport 2:30 PM – 3:15 PM Ashley Sam, DO
  • History of military critical care air transport teams (CCATT)
  • Current USAF CCATT model
  • Challenges of long-range transport
  • Major innovations in USAF CCATT
  • Pediatric CCATT- challenges of using primarily adult based teams to transport children
Transport Case Reviews 3:15 PM – 4:20 PM Jordan Rettig, MD
  • Pediatric & Neonatal case reviews
  • Transport considerations
Closing Comments/Q&A/Evaluations 4:20 PM – 4:30 PM Jennifer McNamara, RN
     

Disclosures

Boston Children’s Hospital adheres to all ACCME Essential Areas, Standards, and Policies. It is Boston Children’s policy that those who have influenced the content of a CME activity (e.g. planners, faculty, authors, reviewers and others) disclose all relevant financial relationships with commercial entities so that Boston Children’s may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations.

The following planners, speakers, and content reviewers, on behalf of themselves, do not have any relevant financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on patients: 

The following planners, speakers, and content reviewers, on behalf of themselves, have reported the following relevant financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on patients: 

Please see the FAQs below for common questions about how to work through a course. If you have a question or issue that is not addressed in the FAQ, please use this form to submit a help request, or if your issue is urgent, call the CME office at: 617-919-9908.

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How do I navigate this course?

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How do I claim credit?

If the course has been accredited, available credits will be displayed on the course home page. Select only those credits that apply to your profession, and click/tap “Apply Selection.” You may make your selection at any point while you are taking the course, or after you have completed it.

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Course Content