Two expert speakers gave presentations on critical care paediatrics and craniofacial reconstructive surgery during the latest Grand Rounds lecture at Weill Cornell Medicine-Qatar (WCM-Q).

Dr Ashok Aralihond, attending physician in the Paediatric Emergency Department at Sidra Medicine and assistant professor of clinical paediatrics at WCM-Q, gave a lecture explaining the evaluation and stabilisation of acutely ill children in the emergency room.

Dr Ashok Aralihond
Dr Ashok Aralihond

Speaking to an audience of physicians, nurses, students, educators and other healthcare professionals, Dr Aralihond stressed that children must not be viewed as ‘little adults’ because their anatomy, physiology and pathology are all very different. Physicians treating children in emergency situations should follow a systematic, structured approach.

When we see the child in the emergency department as a paediatrician or any other physician, it is important to focus on the primary assessment and identify the problems, and then to resuscitate. Then we go to secondary assessment, which is basically a focused history, the next step is more investigations and examinations, which allow us to give appropriate emergency treatment, after which we move to stabilisation and transfer to definitive care.’

Dr Graeme E Glass, attending plastic and craniofacial surgeon at Sidra Medicine and assistant professor of clinical (plastic) surgery at WCM-Q, gave a lecture on ‘Innovations in Craniofacial Reconstructive Surgery’, where he discussed the various abnormalities in the development of the skull in children and the interventions used to treat them. These included craniosynostosis, in which the plates of the skull fuse too soon or abnormally, which often requires surgical treatment, and plagiocephaly, in which a flat spot or other uneven areas develops, and which can be treated with a custom-designed helmet.

In the most severe cases (of plagiocephaly), we can use a molding helmet, which are made by a company in the US. Thanks to a great innovation, we don’t actually need a CT scan to get these custom-designed helmets – all we need is a 3D picture. So, we take a 3D picture of the patient’s head, which is uploaded to a server in the US, they make the helmets for us and post them back within three weeks.’

Dr Glass went outlined the influence of craniosynostosis on intercranial pressure and explained several types of craniofacial deformities and the frontofacial surgeries deployed to correct them.

Both lectures were accredited by the Qatar Council for Healthcare Practitioners-Accreditation Department (QCHP-AD) and by the Accreditation Council for Continuing Medical Education (ACCME). For more information, visit the WCM-Q website at