Category Archives: Uncategorized

COVID Therapeutics Update

John Misdary, MD, Florida ACEP Pediatric Emergency Committee Co-Chair

COVID-19 cases among children spiked dramatically during the delta and omicron variant surges.  Since the pandemic began children represented 18.9% of cumulated cases and make up 22.2% of the US population.  This fortunately has not equated to hospitalizations. Among reporting states children ranged from 1.5%-4.6% of their cumulated hospitalizations and 0.1%-1.5% of all child COVID-19 cases resulted in hospitalizations.  In all states reporting 0.01% of pediatric cases resulted in death.  MISC has been a concern with the total number of patients meeting criteria have totaled 6851 and with 59 deaths which equates to 0.05% of all pediatric COVID-19 cases.  MISC has remained a high concern in which vaccine effectiveness data has remained uncharacterized according to Pfizer’s data and there is no data that shows treatment of COVID-19 of any type of prevention. read more

Who We Are

Officers for 2021-2023

Tricia Swan, M.D., M.Ed, FACEP, FAAP

Chair

Dr. Swan is pleased to be able to serve as your Chair of the Pediatric Emergency Medicine Section for the next 2 years!  A little background on her, she completed her medical degree at the University of Oklahoma. Her residency training was in Pediatrics at the University of Florida-Jacksonville and then she went on to complete her fellowship training in Pediatric Emergency Medicine at The Children’s Mercy Hospital in Kansas City, Missouri. Dr. Swan has 12 years of experience as a clinician, educator, administrator and mentor.  Currently, she is an associate professor of Pediatric Emergency Medicine in the Department of Emergency Medicine at the University of Florida in Gainesville.  In 2021, she became the Program Director for the Pediatric Emergency Medicine Fellowship. read more

1st Place EMage Winner-Infant With a Strange Rash

Rob Grell, MD
Division of Pediatric Emergency Medicine
Department of Pediatrics
Emory University School of Medicine

7-month-old male with no past medical history presented to the Pediatric Emergency Department (PED) for 4 months of rash and decreased urine output. Mom reports that she had initial sought medical care 4 months ago, but despite treatment and repeated reassurance, the rash has worsened. Over the last 24 hours prior to presentation, the rash became firm, indurated, and more edematous. The rash was initially localized to the diaper region, but recently spread inferiorly to the lower extremities and superiorly to the abdomen. Mom reports failure of treatment with topical steroids and only transient improvement when treated with oral steroids. Working diagnosis at the time of presentation was granuloma gluteale infantum. read more

2nd Place EMage Winner-Bronchial Atresia in an 18‐Month‐Old

Tanya Dall, MD; Tyler Ayalin, MD
Dr. Dall UCI/CHOC ‐ Children’s Hospital of Orange County; Dr. Ayalin ‐ CHOC

An 18-month-old male with no previous medical history presented to the pediatric ED during the summer for 4 months of cough. The parents described the cough as intermittent, lasting weeks at a time, before resolving and then recurring. The cough was associated with intermittent shortness of breath. He had been seen several times in the ED and by his pediatrician and was pending an outpatient ENT workup for intermittent stridor. His parents brought him to the ED because of a choking episode with perioral cyanosis while feeding. The initial CXR below demonstrated a distinct right upper lobe hyperlucency. Working diagnoses included asthma, airway obstruction, and foreign body. Bilateral decubitus xrays were performed, suggesting air trapping. A CT chest was performed that raised concern for bronchial atresia of the right upper lobe. read more