Teach

Pediatric MNM in 45 minutes

A presenter-mode walkthrough designed to replace slides for a 45-minute fellow teaching session. Built around two real cases, four widget demos, and three discussion prompts.

How to use this page

Open this page on the projector. Each section is a timed segment with speaker notes.
The green play button at the right starts a 45-minute countdown, the live timer also flags which segment you should be in.
The "Live demo" links below each section open the relevant widget, fellows can interact during Q&A.
The speaker notes are collapsed by default. Toggle them when you need a memory aid.

Lecture timer

00:00 / 45:00

Now: Hook · 45:00 remaining

Hook

Foundation

Toolkit

Maya

Yusuf

Pediatrics

Take-homes

Section 1 · 00:00 – 03:00 · 3 min

Hook, a real case in 60 seconds

A 12-year-old, day 6 post severe TBI. ICP 24, CPP 58, MAP 82, NIRS 62%/64%, PRx +0.30. Fellow asks: 'Are we treating the right number?'

Live demo:Maya, full case

Section 2 · 03:00 – 09:00 · 6 min

Foundation, the 6-minute physiology cram

Three ideas, each in 2 minutes.

Live demo:Monro-Kellie Autoregulation Astrup cascade

Section 3 · 09:00 – 20:00 · 11 min

The toolkit, what each monitor actually samples

Walk through ICP/PRx → NIRS → TCD → EEG/aEEG → pupillometry. Two minutes each. End with: 'No single number, convergence.'

Live demo:ICP waveform PRx NIRS TCD CPPopt, live demo

Section 4 · 20:00 – 30:00 · 10 min

Case 1, Maya, 12y, SAH day 6 vasospasm

Walk the multimodal trajectory: TCD MFV up, qEEG ADR down, NIRS asymmetric. Discuss: which monitor would have caught this first if you only had one?

Live demo:Maya, full walkthrough

Section 5 · 30:00 – 37:00 · 7 min

Case 2, Yusuf, 9y, HTS bolus and a regional NIRS drop

HTS works. ICP falls. Then 2 hours later L NIRS drops. CT shows a contusion. Discussion: what's the lesson about regional vs. global?

Live demo:Yusuf, full walkthrough

Section 6 · 37:00 – 42:00 · 5 min

Pediatric specifics + when the kit isn't there

Age bands matter. Open fontanelles change everything. Many monitors are research-grade in most centres. What do you do at 0300 with one nurse and a TCD probe?

Live demo:Bedside quick-card Resource-limited PICU Fontanelle US

Section 7 · 42:00 – 45:00 · 3 min

Take-homes + Q&A

Three sentences. Then questions.

Live demo:Discordance triage All 18 scenarios

What slides can't do

The reason this lecture is delivered as a website rather than slides: the fellows can interact live with the CPPopt widget, the discordance scenarios, and the dose calculator during Q&A. After the lecture, they have the full reference material in one URL, searchable, citation-anchored, and updated. Slides give a one-shot performance; this gives them a teaching surface they can return to.

Pre-flight checklist (5 minutes before)

Set the theme to dark for projector contrast (toggle in header).
Open three tabs in advance: Maya, Yusuf, Quick-card.
Test the CPPopt widget, make sure it animates on the projector.
Confirm internet, most figures are inline SVGs but search uses fetch.

If you have 30 minutes instead of 45

Drop sections 5 and 6. Run sections 1 (3 min) → 2 (5 min) → 3 (8 min) → 4 (10 min) → 7 (4 min). Hand out the quick-card at the door so fellows can read the omitted material.

If you have 60 minutes

Add a third case from the integration library. Best choices for fellows: Liam, CPPopt (algorithmic), Asher, DKA cerebral oedema (high-frequency PICU), or Noah, refractory status (every PICU sees this).