Swimming-induced pulmonary edema (SIPE) causes acute respiratory symptoms during strenuous water activities and has been described in military trainees and open-water swimmers. Although SIPE typically presents bilaterally, asymmetric cases may relate to swimmer position. Chest x-ray (CXR) and lung ultrasound (LUS) are used in the clinical evaluation of SIPE, but whether they show similar edema lateralization patterns relative to swimmer position is unclear.

Simulation-Based Medical Education (SBME) is a learning tool for healthcare providers and medical teams. Despite widespread use across health systems and teaching hospitals, instructional guidelines and standardized approaches for its implementation are lacking. Furthermore, the diversity of techniques, methods, and curricula introduces variability in simulation program design. Many programs remain isolated within individual clinical units or departments and seldom integrate multidisciplinary teams, which limits opportunities for collaboration or system-level learning. We describe our critical care SBME program, ICU UNITED, at Seattle Children's Hospital and how it fits within the simulation landscape while addressing many SBME shortcomings. ICU UNITED is an innovative, cross-unit simulation program that integrates in situ sessions through a shared resource model across the pediatric, cardiac, and neonatal intensive care units. We present an instructional framework for longitudinal program organization and individual session design, emphasizing clear scenario objectives, learner participation, and measures of participant satisfaction to support program sustainability. This framework provides a pragmatic model for programs seeking to grow, develop, or expand an interdisciplinary simulation program capable of assessing and addressing system-level challenges.

Recurrent venous thromboembolism (rVTE) occurring during therapeutic anticoagulation represents a clinically challenging and high-risk condition.

Pulmonary endoscopy contributes substantially to medical waste generation. Previous studies have estimated the average waste per bronchoscopy at approximately 1.03 kg. However, scalable data are lacking.

Primary ciliary dyskinesia (PCD) is a heterogenous disease that is difficult to diagnose. Investigations for PCD are recommended with an appropriate phenotype of four "key PCD clinical criteria": (1) year-round wet cough from before 6 months old, (2) year-round nasal congestion from before 6 months old, (3) neonatal respiratory distress at term birth, and/or (4) an organ laterality defect. Accuracy of these symptoms was validated in children but not robustly explored in adults.

Magnetic resonance imaging (MRI) revealed a high prevalence of lung abnormalities in children with primary ciliary dyskinesia (PCD). However, longitudinal imaging data on the onset and progression are lacking.

Non-cystic fibrosis bronchiectasis (NCFB) is a heterogeneous chronic airway disease increasingly recognized worldwide and associated with a substantial burden of extra-pulmonary manifestations. Osteoporosis has emerged as a highly prevalent yet underappreciated comorbidity. Unlike cystic fibrosis, where bone health guidelines exist, no screening or management recommendations are available for NCFB despite overlapping risk factors, including chronic inflammation, malnutrition, hypoxia, medication exposure, and physical inactivity.