As the days shorten and we move into the winter holiday season, most of us take some time to reflect upon the year and take stock of where we are and where we will head come January 1st.
For myself, this happens to include the pediatric emergency medicine section.
Mike Greenwald, the outgoing chair, has really gotten me off to a great start with the formation of workgroups/subcommittees. We will use these groups, Education, Research, Advocacy, and Clinical/Quality to generate new microsite content, produce section grants and leverage as outreach for new members.read more
“I would like to tell you that you have inspired me to change my career goal from being a cardiologist, to an ER doctor. I want to help people when they need it most urgently. When I grow up, I want to be just like you.” –Kashika Bharol
In the summer of 2016, I was approached with an opportunity to do something completely out my scope of practice and I said yes.
No, I was not asked to initiate ECMO on an emergency department patient.read more
3 year old Jimmy was excited when he saw his Daddy’s truck coming up the driveway. The subtle bump as the giant 4×4 ran over Jimmy’s abdomen was almost missed, but Jimmy’s cry was heard by dad in the cab and mom in the house. He was awake and alert, boarded and collared as our trauma team descended. The large tire tread mark over his abdomen was the only obvious injury as we pounced upon him masked and gloved, with hands palpating, scissors tearing and IVs plunging. As I peered down all forehead and nose to his view he looked back with terror. Calmly, quietly I did my best to explain in terms a 3 year old would understand the action unfolding. He was being incredibly brave as I assessed him. As I tried to illicit any other injuries I asked, “Jimmy what hurts?” He looked straight up into my eyes and responded, “Being run over by daddy’s truck.”read more
It’s a busy day in the ED. Thirty deep in the waiting room. Patients are threatening to leave. Staffing is short. Your colleagues are dying for help and you are the one who gets the call to pitch in and lend a hand. With a heavy sigh, you flop on the sofa, flip open your lap top, and start seeing patients.
Future fantasy? It is not as farfetched as you might think. Although the medical industry is often maligned as being a slow moving monolith resistant to adaptation, there are a slew of groups, both academic and commercial, looking into bringing telemedicine to the mainstream.read more