Explore the evolution and future of pediatric intensive care in this 51-minute lecture by Dr. Mark Rogers, renowned author and Founding Professor at Johns Hopkins University. Delve into the historical events that shaped the development of pediatric ICUs, from the challenges of no ventilators to the impact of the Vietnam War and military technology. Discover key innovations, regionalization efforts, and the establishment of pediatric intensive care as an academic specialty. Gain insights into the creation of fellowships, textbooks, and the PICU Board. Examine current trends, including the effects of natural disasters and the potential of unstructured data. Reflect on career opportunities and future directions in this critical field of medicine. This comprehensive overview, presented by OPENPediatrics, offers valuable knowledge for healthcare professionals caring for critically ill children worldwide.