The practice of Pediatric Emergency Medicine requires us to stay up to date with a immense amount of information. This column can help us relearn many of those items that seemed to slip out of our brains.
Michael Greenwald, MD Associate Professor, Pediatrics and Emergency Medicine Emory University/Children’s Healthcare of Atlanta
Physicians wear many hats. At times we are teachers and other times psychotherapists. We are asked to diagnose and also to counsel. With experience each of us learns when to switch hats. But there is one important role that we sometimes fail to recognize and embrace: the role of “coach.”
Coaching is very similar to teaching but there are important differences.read more
The fellows at Children’s National Health System have developed an open source academic blogsite, which includes various areas of interest to fellows and attending PEM providers. A weekly “Hot Seat” case, which enjoys tremendous popularity, evidence-based articles with large impact on PEM practice, and a one-of-a-kind ECG training module are just some of the resources that can be found there.
The blogsite was the original creation of Sonny Tat, MD, a former fellow at Children’s National and a current PEM faculty at UCSF. Sonny is also the site administrator for PEMNetwork.read more
“In this world nothing can be said to be certain, except death and taxes.” –Benjamin Franklin
Death, taxes, and bronchiolitis.
Providers of pediatric patients know all too well that the winter season is characterized by colder weather, shorter days, and an abundance of children with bronchiolitis. Bronchiolitis is a dynamic disease and thus can have a varied presentation. It is within this variety of symptoms that overlapping medical conditions can hide, masquerading as bronchiolitis, especially as providers quickly become numb to the disease due to the overwhelming volume of patients presenting with similar symptoms. Myocarditis is one such disease with the potential for significant morbidity. Although it is rare, its symptoms significantly overlap those of bronchiolitis. It is the intent of this article to highlight these two disease states in helping pediatric providers identify myocarditis, essentially finding the proverbial needle in the haystack.read more
In a partnership with Academic Life in Emergency Medicine, a group of ACEP Peds Section members have written the case for Emergency Medicine residents doing Pediatric Emergency Medicine fellowships. The pros and cons of the PEM fellowship are discussed.
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