For anyone interested in a Pediatric Emergency Medicine Fellowship, the ACEP Pediatric Section and AAP held 2 webinars where Program Directors were available to answer questions. You can listen to the webinars here.
It is a hot summer evening, and you are called overhead for a trauma stat or Level 1, or whatever the terminology is in your institution for penetrating torso gunshot wounds, and you think not again? This is my second one tonight! When the flight team arrives, they relay the history of one child unloading their dad’s gun and shooting the patient, their sibling. You reflect on the previous trauma alert earlier this evening where parents found a teenager with a gunshot wound to his head. These scenarios are increasingly common and entirely preventable.read more
Pediatric psychiatric holds have been the norm for years in the emergency department (ED) with a shortage of pediatric beds nationwide. Unfortunately, the problem has only grown worse during the pandemic. With schools closed, routines disrupted, and parents anxious over lost income or uncertain futures, children are shouldering burdens that many were unequipped to bear. With the number of hospitalized coronavirus disease 2019 (COVID-19) patients, bed space is even scarcer for these patients. Most states are seeing upwards of a 400% increase in pediatric psychiatric holds. Kids’ mental health-related visits have climbed steadily since the start of the pandemic, according to a recent Centers for Disease Control and Prevention (CDC) report. This has created a crisis of its own in pediatrics.read more
Francisco Gonzalez, MD and Noah Kondamudi, MD, MBA, FAAP, FACEP
This article is intended to be a brief primer about COVID-19 illness among children with a focus on emergency department management. For readers that would like more in depth information, we refer them to these recently published review articles [1, 2, 3]
So far, over 3.4 million cases of pediatric COVID-19 cases have been reported in the U.S for a prevalence of 4525/100,000 children, out of which approximately 0.1-2.2% resulted in hospitalization and 0.04% resulted in death4. As cases of SARS CoV-2 infections continue to overwhelm hospitals and emergency departments around the country, it is important for emergency physicians to recognize signs and symptoms of this disease, cohort cases to avoid endangering staff and other patients, distinguish which individuals require testing, and ultimately manage them appropriately.read more