As an adolescent and pediatric emergency medicine specialist with an interest in reproductive health, I was asked to write about adolescents and sexually transmitted diseases (STDs). So, I’ve put together a potpourri of important, but not as commonly discussed, issues to help improve adolescents’ and your lives, with two caveats. 1) These are NOT recommendations for sexual assault or child abuse cases. 2) There are apps and websites at the end of this article for further information. These tidbits are more for what to think about when caring for an adolescent who might be sexually active… AKA every adolescent.read more
I first joined the PEM section of ACEP as a PEM Fellow and immediately found mentorship and connection. Since then, I have benefitted from collaboration and education that has led to my professional growth. Therefore, I was honored to take on the role of Chair of this section, especially during its 30th anniversary year.
As a group, the section’s goal is to continue to engage members in key areas: advocacy, clinical quality, research, medical education, and personal/professional development. We plan to accomplish this by continuing to build upon and expand our existing web presence and incorporate social media. We aim to provide information and resources to our members, as well as continue to interface with EMRA by providing ongoing mentorship.read more
Written by the Pediatric Emergency Medicine Committee of the ACEP Florida Chapter
The COVID-19 pandemic is rapidly evolving and the healthcare challenges are continuing to increase and evolve. Despite the widespread global incidence and increasing number of cases, the epidemiology and clinical presentation of COVID-19 in pediatric patients is not well understood. The majority of children seen for emergency medical problems in the United States are seen in general emergency departments, not pediatric-specific institutions, and this will likely continue with the current pandemic. The information below is based on current evidence, and is meant to assist in the evaluation and management of pediatric patients with suspected or confirmed COVID-19. However, it must be noted that new information is available on a daily basis, and the understanding of COVID-19 including the epidemiology, clinical presentation, testing recommendations, and clinical management is subject to change. Additionally, the information below does not pertain nor apply to neonates.read more
It’s winter. The waiting room has had to bring in extra chairs to handle the overflow, and you are likely working your way through your 3rd or 4th URI of the season. The new staffing model for extra help during the busy season worked the first day but has since devolved into an extra doc following up on respiratory panels from last week. People are wearing their emotions as the next patient with a cough/congestion chief complaint gets checked in.
Physician wellness and its counterpart, burnout, are two of the buzzwords that have captured the medical zeitgeist of the past decade. Although they may be a little overused, their importance cannot be overstated—especially in these overworked, sun setting at 2pm, cold days. It has become so important that there is now a physician wellness fellowship at Stanford. Multiple research papers and physician groups have identified the issues that seem to affect us all: EMRs, documentation, patient loads, insurance nightmares, emotional exhaustion, and depersonalization. Some ways to combat burnout and promote wellness are obvious but may not feasible—cutting patient loads, taking a walk during lunch, or outsourcing your more nominal daily activities. But we are emergency medicine physicians, we do not have a say in patient loads, and I feel lucky when I can eat a sandwich at my computer on wheels in between patients (don’t take away our food in the ED…).read more
The New Year of 2020 has commenced and with it will come new challenges, new opportunities and an abundance of new information. The sheer volume of new literature published and presented in 2019 will virtually make it impossible to keep up for most practicing PEM physicians. This is an attempt to wade through the published literature in order to identify the most impactful articles published in 2019. Compiled here are arguably the top five manuscripts that have potential impact on our day-to-day practice. Surely, there may be other articles that readers find to be more relevant and more impactful to the field, and these should be discussed on our list serve and the website. Here is the list:read more