barkin_2

Pediatric Emergency Medicine : 

Pediatric Emergency Medicine Roger M. Barkin, M.D

Pediatric Emergency Medicine : 

Pediatric Emergency Medicine US: conjoint specialty board reflecting the biology of emergency medicine and pediatrics. It’s history is relatively short, but its impact has been tremendous.

History : 

History 1933 American Board of Pediatrics (AAP) 1968 American College of Emergency Physicians (ACEP) 1976 American Board of Emergency Medicine (primary board in 1989) 1980 First PEM fellowship established in Philadelphia 1981 Section of Pediatric Emergency Medicine of AAP 1984 Task Force created by ACEP and AAP 1988 Section of Pediatric Emergency Medicine of ACEP 1991 Joint PEM sub-board established 1992 First PEM certification examination

Educational Program : 

Educational Program Fellowship training Residency training PALS and APLS Nursing and paramedic

Certification : 

Certification Prior certification in pediatrics or emergency medicine Two or three year fellowship

Clinical Settings - Hospital : 

Clinical Settings - Hospital Emergency Department - Goals Expedite Care Quality of Care Marketing Community Service

Clinical Settings - Hospital : 

Clinical Settings - Hospital Emergency Department - Requirements Volume Institutional philosophical & financial committment

Clinical Settings - Hospital : 

Clinical Settings - Hospital Emergency Department - Settings Pediatric specialized facility/area Mixed use facility 30% of general ED population is pediatric No differentiation

Clinical Settings - Hospital : 

Clinical Settings - Hospital Emergency Department - Environment Interior decorating Toys Play areas Distractive therapy (videos/games)

Clinical Settings - Hospital : 

Clinical Settings - Hospital Emergency Department - Personnel Physicians Nursing Physician assistants/extenders Laboratory Radiology

Clinical Settings - Hospital : 

Clinical Settings - Hospital Emergency Department - Equipment Resuscitation Standard Supplies

Clinical Settings - Hospital : 

Clinical Settings - Hospital Emergency Department - Observation Units Educational Programs PALS

Clinical Settings - PreHospital : 

Clinical Settings - PreHospital Equipment Personnel Training

Clinical Settings - In-patient : 

Clinical Settings - In-patient Pediatric specialized facility Mixed-use facility “Hospital within a hospital”

Clinical Focus : 

Clinical Focus Protocols Analgesia and sedation Rapid sequence induction (RSI) Trauma Child abuse/neglect Special needs children

Slide 16: 

Equipment and Training Literature/Research

Slide 17: 

Education and Prevention