A three-day-old term female infant presented to the emergency department with a two-day history of rash to the back of her right leg. The family noticed the rash shortly after hospital discharge and described the rash first as just a few red spots. However, the following day, the rash spread on her right leg and was now described by the family as multiple red and fluid filled spots. No maternal history of herpes simplex virus (HSV) or varicella at time of delivery. The infant was otherwise well, afebrile with appropriate waking, alertness, appetite, voiding and stooling. On physical examination, she appeared well, active and in no acute distress. A linear, vesicular rash with surrounding erythema extended from right posterior mid shin to upper thigh (Image 1 and 2). Pediatric dermatology was consulted and a full neonatal sepsis evaluation including urine, blood and cerebrospinal fluid (CSF) was performed.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
Clinical Associate Professor, University of Oklahoma College of Medicine, Department of Pediatrics
Medical Director, Child Protection Team at The Children’s Hospital at OU Medical Center
Child maltreatment is a terrible fate that children may face. Unfortunately, no one is immune to the effects of abuse. Child maltreatment has been shown to affect children from all races, genders, ages, and socioeconomic background.1 Every year there are hundreds of thousands of children that fall victim to this atrocious calamity. During 2015, child protection services received over 4 million referrals for child maltreatment. Those referrals encompassed 7 million children of which about 700,000 were found to be victims of abuse. Unfortunately, the victimization rate has been increasing over the past 5 years from 8.8 to 9.2/100,000 children.2read more
You’re invited to the Pediatric Section Meeting and Reception at the Advanced Pediatric Emergency Medicine Assembly. Come join the party and mingle with other top minds in pediatric emergency medicine.
Pediatric EM Section Meeting and Reception Wednesday, April 26, 2017 5:30 – 7:00 pm
Versailles Ballrooms 3 and 4
Paris Hotel, Las Vegas
Ben Hoffman, MD, is professor of pediatrics at the OHSU School of Medicine and is medical director of the Tom Sargent Safety Center at OHSU Doernbecher Children’s Hospital.
20 million people—more than the populations of Florida or New York. 20 million people who are your neighbors, worship with you, go to school with your children, sit next to you at the cafe. 20 million people in the waiting room of your doctor or your dentist. 20 million people who stand to lose their health care if the Affordable Care Act (ACA) is repealed.read more